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Changes in attitudes toward using physical restraints, and the benefits of restraint eliminationwere examined by interviewing 161 staff and 153 family members of residents in four long-termcare facilities before and afterformal restraint reduction programs were instituted. The four siteswere divided into two groups: one group was composed of two sites that had initiated restraintreduction prior to this study, while the other group initiated restraint reduction as a result of thisstudy. Both groups experienced statistically significant declines in restraint prevalence ratesfrom pre- to posttest. Although both staff and families cited fewer reasons for using restraintsfrom pre- to posttest, staff along with families of previously restrained residents, did not perceiveincreased benefits to residents or their relatives following restraint reduction. Restraint reduction, therefore, could lead to an acceptance of nursing practices that emphasize dignity evenwithout an accompanying perception of improvement in relatives' or residents'daily lives.
Journal of Applied Gerontology – SAGE
Published: Dec 1, 1996
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