Basic Nursing 1st Edition by Judith Wilkinson, Leslie Treas

Exercise 23

Capezuti, E.,Wagner, L., Brush, B., et al. (2007). Consequences of an intervention to reduce restrictive siderail use in nursing homes. Journal of the American Geriatric Society, 55(3), 334-34 I.
Researchers examined the effect of an advanced practice nurse (APN) intervention on restrictive siderail usage in four urban nursing homes with a sample of 251 residents. A secondary question explored the association between restrictive siderail reduction and bed-related falls. They observed siderail use, and interviewed residents and nurses for functional status, mobility, cognition, and behavioral symptoms. They also reviewed the medical record for treatment information and incident reports for fall data. The intervention consisted of the APN consulting with individual residents and providing education and consultation for staff in the facility. Researchers concluded that APN consultation and education intervention can safely reduce siderail use, and that reducing siderail use does not lead to an increase in falls.
Fonad, E.,Wahlin,T.,Winblad, B., et al. (2008). Falls and fall risk among nursing home residents. Journal of Clinical Nursing, 17( I), I 26- 134.
In this 4-year study, researchers sent questionnaires to staff nurses in five nursing homes in Sweden in order to identify falls risk factors for older adults living in nursing homes. They concluded that neither bed rails nor wheelchairs with safety belts eliminated falls, and that use of antidepressants increased the risk of falls.
Which study (or studies) support each intervention, and does the study provide direct or indirect support? Explain your thinking.
Interventions:
A. Provide APN consultation with patients.
B. Have an APN teach facility staff about fall prevention.
C. Use siderails on all resident beds.
D. Reduce the use of siderails. E. Use safety belts for patients in wheelchairs.
E Avoid using antidepressants when possible.