The purpose of this paper is to critique the research article, “Gulper. Et. Al’s Preventing belt restraint use in newly admitted residents in nursing homes: A quasi-experimental study. The incident I am going to discuss in this paper is of Mr. P., an 85-year-old man, admitted to this facility about a year ago. His history includes coronary heart disease, cataract, dementia, hypertension, macular degeneration and Alzheimer’s. Mr P. scored 28 of 30 on the Folstein Mini-Mental State Examination; he missed the date and recalled 2 of 3 objects at 5 minutes (Folstein, Folstein, and McHugh 1973). His medications included Analgesics, anti-hypertensions, antipsychotics and baby aspirin. Mr. P had multiple falls …show more content…
Al provided an abstract,
Introduction and Review of the Literature:
The authors use the introduction to contextualize the problem in relation to published research,stating that knowing that the use of physical restraints been shown to be ineffective and sometimes even hazardous, attention must be focus on interventions to reduce the current usage and prevent initiation of new restraints (Gulper, 2012, P.1474). They highlight some important topics in relation to the focus of the article, including policy change, educational programs, consultation and alternative interventions.
Several sources were reviewed by the authors to establish the need for the study as well as to stress the importance of preventing the use of seat belt on newly admitted residents. The literature reviewed by the authors dates from the year 1997 to 2010 (Gulper et al., 2012). There are forty-two articles cited by the authors that discuss physical restraints (Gulper et al., 2012). All sources are relevant to the topic of either physical and chemical restraints or fall prevention. (Gulper et al.,2009). The citations within the paper are all referenced correctly. …show more content…
They did not offer any hypothesis, as this was a phenomenologic study using interviews. Sampling and Design In the article, two sample were used 1) residents living in as nursing homes and 2) newly residents admitted. They recruited 26 psychogeriatric wards from 13 nursing homes throughout various regions in the Netherland for studies. From these homes 6 homes were allocated to EXBELT intervention group and 7 homes were allocated to control group (Gulpers et.al 2012, p. 1475). The settings were psychogeriatric wards in nursing homes. The study design is not described in detail in this article.
Clinical Implications The writers state that the findings in this study reinforce the use of EXBELT seems to prevent the use of belt restraints in newly admitted residents in psychogeriatric nursing homes. The need for health care providers to be aware that “many negative physical, psychological and social consequences of restraint use had been reported and recent studies confirm that education alone is not enough to ensure a reduction in reduction in use of restraints (Gulpers et.al 2012, p.