Nursing Home Deficiency Citations for Physical Restraints and Restrictive Side Rails

作者：Wagner Laura M^*; McDonald Shawna M; Castle Nicholas G

来源：Western Journal of Nursing Research, 2013, 35(5): 546-565.

DOI：10.1177/0193945912437382

• nursing homes
• physical restraints
• restrictive side rails
• facility characteristics

This article examines whether nursing home facility-level characteristics are associated with the likelihood of receiving deficiency citations for physical restraints, including restrictive side rails. Data from the On-Line Survey Certification of Automated Records were used to calculate odds ratios for facility-level characteristics associated with these deficiency citations. Repeat records from 2000 to 2007 were combined to produce longitudinal data. The results of this study show that restraint/side rail deficiency citations were negatively associated with higher staffing levels of registered nurses and licensed practical nurses (p .001) and higher Medicaid reimbursement rates (p .01). Citations were positively associated with greater nurse aide staffing (p .01) and higher quality-of-care deficiency citation percentiles (p .001). The extent of physical restraint and restrictive side rail misuse within nursing homes appears to vary according to various facility characteristics. It is less clear how internal processes within a facility bring about these observed patterns of variation.

• 出版日期2013-5