What are the best practices for reducing restraint use in medical and geriatric psychiatric units?

Systematic reviews

Mechanical restraint-which interventions prevent episodes of mechanical restraint?-a systematic review. Bak J, Brandt-Christensen M, Sestoft DM, Zoffmann V.  Perspect Psychiatr Care. 2011 Apr 19.

Interventions for preventing and managing aggressive patients admitted to an acute hospital setting: a systematic review.  Kynoch K, Wu CJ, Chang AM.  Worldviews Evid Based Nurs. 2011 Jun;8(2):76-86.

Special care units for dementia individuals with behavioural problems.  Lai CK, Yeung JH, Mok V, Chi I.   Cochrane Database Syst Rev. 2009 Oct 7;(4):CD006470.

Interventions to reduce the use of seclusion and restraint in inpatient psychiatric settings: what we know so far a review of the literature.  Scanlan JN.  Int J Soc Psychiatry. 2010 Jul;56(4):412-23.

Changing the practice of physical restraint use in acute care.  Park M, Tang JH.
J Gerontol Nurs. 2007 Feb;33(2):9-16

A systematic review of the safety and effectiveness of restraint and seclusion as interventions for the short-term management of violence in adult psychiatric inpatient settings and emergency departments.  Nelstrop L, et al.  Worldviews Evid Based Nurs. 2006;3(1):8-18.

Other recent studies on reducing restraint use:

The effect of staff training on agitation and use of restraint in nursing home residents with dementia: a single-blind, randomized controlled trial.  Testad I, Ballard C, Brønnick K, Aarsland D.  J Clin Psychiatry. 2010 Jan;71(1):80-6.

A cluster-randomized trial of an educational intervention to reduce the use of physical restraints with psychogeriatric nursing home residents.  Huizing AR, Hamers JP, Gulpers MJ, Berger MP.  J Am Geriatr Soc. 2009 Jul;57(7):1139-48.

 

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