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dc.contributor.authorWagner, Laura M.en_US
dc.contributor.authorCapezuti, Elizabethen_US
dc.contributor.authorBrush, Barbaraen_US
dc.contributor.authorBoltz, Marieen_US
dc.contributor.authorRenz, Susanen_US
dc.contributor.authorTalerico, Karen A.en_US
dc.date.accessioned2007-09-20T18:26:58Z
dc.date.available2008-09-08T14:25:13Zen_US
dc.date.issued2007-04en_US
dc.identifier.citationWagner, 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>en_US
dc.identifier.issn0160-6891en_US
dc.identifier.issn1098-240Xen_US
dc.identifier.urihttps://hdl.handle.net/2027.42/56001
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17380514&dopt=citationen_US
dc.description.abstractResearchers 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, 2007en_US
dc.format.extent129114 bytes
dc.format.extent3118 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherWiley Subscription Services, Inc., A Wiley Companyen_US
dc.subject.otherLife and Medical Sciencesen_US
dc.subject.otherEpidemiology, Biostatistics and Public Healthen_US
dc.titleDescription of an advanced practice nursing consultative model to reduce restrictive siderail use in nursing homesen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelNursingen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan, Division of Health Promotion & Risk Reduction, Ann Arbor, MIen_US
dc.contributor.affiliationotherBaycrest Centre for Geriatric Care, Kunin-Lunenfeld Applied Research Unit, 3560 Bathurst Street, Toronto, Ontario, Canada M6A 2E1 ; Research Scientist. ; Baycrest Centre for Geriatric Care, Kunin-Lunenfeld Applied Research Unit, 3560 Bathurst Street, Toronto, Ontario, Canada M6A 2E1.en_US
dc.contributor.affiliationotherNew York University, John A. Hartford Foundation, Institute for Geriatric Nursing, New York, NY ; Associate Professor.en_US
dc.contributor.affiliationotherNew York University, John A. Hartford Foundation, Institute for Geriatric Nursing, New York, NY ; Doctoral Student.en_US
dc.contributor.affiliationotherRS Connection, Inc., West Chester, PA ; Consultant.en_US
dc.contributor.affiliationotherAmann Talerico Consulting, Portland, OR ; President.en_US
dc.identifier.pmid17380514en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/56001/1/20185_ftp.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1002/nur.20185en_US
dc.identifier.sourceResearch in Nursing & Healthen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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