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| Title: | Description of an advanced practice nursing consultative model to reduce restrictive siderail use in nursing homes |
| Authors: | Wagner, Laura M.
Capezuti, Elizabeth
Brush, Barbara
Boltz, Marie
Renz, Susan
Talerico, Karen A. |
| Issue Date: | Apr-2007 |
| Publisher: | Wiley Subscription Services, Inc., A Wiley Company |
| Citation: | Wagner, Laura M.; Capezuti, Elizabeth; Brush, Barbara; Boltz, Marie; Renz, Susan; Talerico, Karen A. (2007)."Description of an advanced practice nursing consultative model to reduce restrictive siderail use in nursing homes An earlier version of this paper was presented at the Gerontological Society of America Conference, November 2003: Wagner, L.M., Capezuti, E., Boltz, M., Renz, S., & Talerico, K.A. Cost of environmental recommendations to reduce restrictive siderail use in nursing homes (Abstract). The Gerontologist, 43 (Special Issue, 1), 116. This study was funded by John A Hartford Foundation; University of Pennsylvania Research Foundation; American Nurses' Foundation; John A Hartford Foundation Institute for Geriatric Nursing; University of Pennsylvania School of Medicine Alzheimer's Disease Center Core; NOVARTIS Foundation for Gerontological Research. The authors are grateful to research assistant Tara Williams, who collected the data; Betsy Weiss, for obtaining consents; and others who helped to code and enter the data: Honore Becker, BSN, RN; Gerald Driscoll, MSN, RN, CS; Kelly Wiltse, BSN, RN; and Diana Popa, BSN, RN. Special thanks to Dr. Christi Deaton, PhD, RN, and Jo Taylor, MPH, RN for their helpful ideas and comments on the early drafts of this paper. ." Research in Nursing & Health 30(2): 131-140. <http://hdl.handle.net/2027.42/56001> |
| Abstract: | Researchers have demonstrated that the use of physical restraints in nursing homes can be reduced, particularly where advanced practice nurses (APNs) are utilized. We examined the link between APN practice, siderail reduction, and the costs of siderail alternatives in 273 residents in four Philadelphia nursing homes. The majority of participants were cognitively and physically impaired with multiple co-morbidities. APNs recommended a total of 1,275 siderail-alternative interventions aimed at reducing fall risk. The median cost of siderail alternatives to prevent falls per resident was $135. Residents with a fall history experienced a significantly higher cost of recommendation compared to non-fallers. Findings suggest that an APN consultation model can effectively be implemented through comprehensive, individualized assessment without incurring substantial costs to the nursing home. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30: 131–140, 2007 |
| URI: | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db
=pubmed&list_uids=17380514&dopt=citation |
| ISSN: | 0160-6891
1098-240X |
| DOI: | 10.1002/nur.20185 |
| PMID: | 17380514 |
| Appears in Collections: | Interdisciplinary and Peer-Reviewed
Nursing, School of
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| 20185_ftp.pdf | | 126Kb | Adobe PDF | View/Open |
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