Description of an advanced practice nursing consultative model to reduce restrictive siderail use in nursing homes

Laura M. Wagner, Elizabeth Capezuti, Barbara Brush, Marie Boltz, Susan Renz, Karen A. Talerico

Research output: Contribution to journalArticle

23 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)131-140
Number of pages10
JournalResearch in Nursing and Health
Volume30
Issue number2
DOIs
StatePublished - Apr 1 2007

All Science Journal Classification (ASJC) codes

  • Nursing(all)

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