Table 3 Components of the intervention (excerpt) [22]
Intervention | Description | Basis of rationale |
|---|---|---|
Declaration | • Declaration confirming the nursing home’s dedication to the intervention’s objectives, i.e. the avoidance of physical restraints signed by head nurses and/or directors of each nursing home | • Proven strategy in previous studies(Ref) |
Structured 90-minute information program for all nursing staff | • Definition of physical restraints | • Cochrane review(Ref) |
• Desired and unwanted effects of physical restraints | • Theory of planned behavior(Ref) | |
• Legal aspects of physical restraint use | • Acknowledging perceived barriers, current practice culture, and concerns and emotional responses of nursing staff by using different educational strategies, e.g. working with case vignettes and small group work(Ref) | |
• Guideline development and recommendations | ||
• Nurses’ subjective attitudes and experiences | ||
• Alternative approaches focusing on physical restraints avoidance as most important alternative | • … | |
External structured 1-day intensive training workshop for nominated key nurses from different nursing homes | • Advanced version of 90-min session | • Key nurses to support reduction of physical restraints(Ref) |
• In-depth work with the guideline | • All aspects referred to in the above box | |
• Exchange and discussion between nurses from different nursing homes | ||
• Group presentation and discussion of individual barriers and facilitators of physical restraints reduction | ||
• … |