ArticleBMC geriatrics2020
Reducing physical restraints by older adults in home care: development of an evidence-based guideline.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 36 citations in OpenAlex.
- The decision-making process leading to the use of home physical restraints: A qualitative study.International journal of nursing studies advances · 2026Article
- Distinguishing Abuse from Caregiving in Rural Nigeria: Older Adults' Perspectives.Journal of cross-cultural gerontology · 2025Article
- Exploring the Safewards Programme to Reduce Restrictive Practices in Residential Aged Care: Protocol for a Pilot and Feasibility Study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Is physical restraint unethical and illegal?: a qualitative analysis of Korean written judgments.BMC nursing · 2024Article
- Experience of patients with restraints in acute care hospitals and the view of their relatives: A qualitative study.Nursing open · 2023Article
- Knowledge and Attitudes towards Palliative Care: Validation of the Spanish Version of Questionnaire on Palliative Care for Advanced Dementia.Healthcare (Basel, Switzerland) · 2022Article
- Caregiver decision-making concerning involuntary treatment in dementia care at home.Nursing ethics · 2022Article
- Restraining patients in acute care hospitals-A qualitative study on the experiences of healthcare staff.Nursing open · 2022Article
- Reducing the use of physical restraints in home care: development and feasibility testing of a multicomponent program to support the implementation of a guideline.BMC geriatrics · 2021Article
- Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRestraint use is a complex and challenging issue in home care. Due to socio-demographic trends, worldwide home healthcare providers are faced with an increasing demand for restraint use from informal caregivers, patients and healthcare providers, resulting in the use of various types of restraints in home care. Awareness and knowledge of restraint use in home care, its implications and the ethical challenges surrounding it are of crucial importance to its reduction. This research aimed to describe the development process of an evidence-based practice guideline to support caregivers to optimize home care.
methodThe practice guideline was developed according to the framework of the Belgian Centre for Evidence-Based Medicine and AGREE II. The guideline was developed over several stages: (1) determination of the target population and scope, (2) literature search, (3) drafting and (4) validation. A multidisciplinary working group determined the proposed purpose, target group, and six clinical questions for the guideline. A consensus procedure and consultation by experts were used to develop the guideline.
resultsThe guideline provides an answer to six clinical questions and contains ten key recommendations based on the classification of GRADE, with the objective of increasing healthcare providers' awareness, knowledge and competence to adequately deal with situations or questions related to restraint use. The guideline also includes a flowchart for dealing with complex situations where the use of restraints is requested, already present or considered.
conclusionsThe guideline was validated by the Belgian Centre for Evidence-Based Medicine. Increasing competence, awareness and knowledge related to restraint use are key objectives of the guideline for reducing restraint use in home care. A multicomponent intervention to support healthcare workers in implementing the guideline in clinical practice needs to be developed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.