Bedrail Use in English and Welsh Hospitals
OBJECTIVES: To explore rates of bedrail use, nurses' rationale, and factors related to bedrail use. DESIGN: An overnight observational study of patient and equipment characteristics related to bedrail use, analyzed using a logistic regression model. SETTING: A stratified random sample of seven...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2009-10, Vol.57 (10), p.1887-1891 |
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| container_issue | 10 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 57 |
| creator | Healey, Frances M. Cronberg, Alexandra Oliver, David |
| description | OBJECTIVES: To explore rates of bedrail use, nurses' rationale, and factors related to bedrail use.
DESIGN: An overnight observational study of patient and equipment characteristics related to bedrail use, analyzed using a logistic regression model.
SETTING: A stratified random sample of seven organizations, drawn from 167 organizations providing acute general hospital care in England and Wales during 2006.
PARTICIPANTS: One thousand ninety‐two inpatients on adult inpatient wards observed at night.
MEASUREMENTS: Categorical data on bedrail use related to bed type, mattress type, patient age, nurses' description of patients' mobility and confusion, and nurses' rationale for bedrail use or nonuse.
RESULTS: Approximately one‐quarter of patients had full bedrails raised at night; prevention of falls was the nurses' main rationale. Full bedrail use was much more likely to occur in patients who nurses described as immobile and very or slightly confused. Older patients appeared no more likely to be given bedrails than younger patients after adjusting for individual patient and equipment factors.
CONCLUSION: Bedrail use varied significantly between organizations and could not be explained by differences in nurses' description of patients' mobility and confusion levels, equipment, or policy. |
| doi_str_mv | 10.1111/j.1532-5415.2009.02448.x |
| format | Article |
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DESIGN: An overnight observational study of patient and equipment characteristics related to bedrail use, analyzed using a logistic regression model.
SETTING: A stratified random sample of seven organizations, drawn from 167 organizations providing acute general hospital care in England and Wales during 2006.
PARTICIPANTS: One thousand ninety‐two inpatients on adult inpatient wards observed at night.
MEASUREMENTS: Categorical data on bedrail use related to bed type, mattress type, patient age, nurses' description of patients' mobility and confusion, and nurses' rationale for bedrail use or nonuse.
RESULTS: Approximately one‐quarter of patients had full bedrails raised at night; prevention of falls was the nurses' main rationale. Full bedrail use was much more likely to occur in patients who nurses described as immobile and very or slightly confused. Older patients appeared no more likely to be given bedrails than younger patients after adjusting for individual patient and equipment factors.
CONCLUSION: Bedrail use varied significantly between organizations and could not be explained by differences in nurses' description of patients' mobility and confusion levels, equipment, or policy.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2009.02448.x</identifier><identifier>PMID: 19702616</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Accidental Falls - prevention & control ; Adolescent ; Adult ; Aged ; Bedrails ; Beds ; Biological and medical sciences ; England ; Equipment Design ; General aspects ; Hospitals ; Humans ; Medical sciences ; Middle Aged ; Miscellaneous ; Nursing ; Nursing Staff, Hospital ; Patient safety ; Personal protective equipment ; prevalence ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; rationale ; side rails ; Wales ; Young Adult</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2009-10, Vol.57 (10), p.1887-1891</ispartof><rights>2009, Copyright the Authors. Journal compilation © 2009, The American Geriatrics Society</rights><rights>2009 INIST-CNRS</rights><rights>Journal compilation 2009 The American Geriatrics Society/Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4628-69c3c900e5a30cb988f1031802d2847e200cc52b00b2e3402dcb605b0f7e035d3</citedby><cites>FETCH-LOGICAL-c4628-69c3c900e5a30cb988f1031802d2847e200cc52b00b2e3402dcb605b0f7e035d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.2009.02448.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.2009.02448.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,45561,45562</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22060027$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19702616$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Healey, Frances M.</creatorcontrib><creatorcontrib>Cronberg, Alexandra</creatorcontrib><creatorcontrib>Oliver, David</creatorcontrib><title>Bedrail Use in English and Welsh Hospitals</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVES: To explore rates of bedrail use, nurses' rationale, and factors related to bedrail use.
DESIGN: An overnight observational study of patient and equipment characteristics related to bedrail use, analyzed using a logistic regression model.
SETTING: A stratified random sample of seven organizations, drawn from 167 organizations providing acute general hospital care in England and Wales during 2006.
PARTICIPANTS: One thousand ninety‐two inpatients on adult inpatient wards observed at night.
MEASUREMENTS: Categorical data on bedrail use related to bed type, mattress type, patient age, nurses' description of patients' mobility and confusion, and nurses' rationale for bedrail use or nonuse.
RESULTS: Approximately one‐quarter of patients had full bedrails raised at night; prevention of falls was the nurses' main rationale. Full bedrail use was much more likely to occur in patients who nurses described as immobile and very or slightly confused. Older patients appeared no more likely to be given bedrails than younger patients after adjusting for individual patient and equipment factors.
CONCLUSION: Bedrail use varied significantly between organizations and could not be explained by differences in nurses' description of patients' mobility and confusion levels, equipment, or policy.</description><subject>Accidental Falls - prevention & control</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bedrails</subject><subject>Beds</subject><subject>Biological and medical sciences</subject><subject>England</subject><subject>Equipment Design</subject><subject>General aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nursing</subject><subject>Nursing Staff, Hospital</subject><subject>Patient safety</subject><subject>Personal protective equipment</subject><subject>prevalence</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>rationale</subject><subject>side rails</subject><subject>Wales</subject><subject>Young Adult</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV1PwyAUhonR6Pz4C6Yx0QuT1gMUSi-8UKObxo8LNUu8IZRSZXbthC3Ofy91y0y8kptD4HkPJw8IRRgSHNbJKMGMkpilmCUEIE-ApKlI5muot7pYRz0AILHgON1C296PADABITbRFs4zIBzzHjo-N6VTto6evYlsE102r7X1b5Fqymho6rAbtH5ip6r2u2ijCsXsLesOer66fLoYxLcP_euLs9tYp5yImOea6hzAMEVBF7kQFQaKBZCSiDQzYV6tGSkACmJoGo51wYEVUGUGKCvpDjpa9J249mNm_FSOrdemrlVj2pmXPOOCBQsBPPgDjtqZa8JskoQnBaOMBEgsIO1a752p5MTZsXJfEoPsZMqR7JzJzpnsZMofmXIeovvL_rNibMrf4NJeAA6XgPJa1ZVTjbZ-xRECPPxAFrjTBfdpa_P17wHkTf-x24V8vMhbPzXzVV659yCDZkwO7_vyZYjv8AAPZEq_AQawmo0</recordid><startdate>200910</startdate><enddate>200910</enddate><creator>Healey, Frances M.</creator><creator>Cronberg, Alexandra</creator><creator>Oliver, David</creator><general>Blackwell Publishing Inc</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200910</creationdate><title>Bedrail Use in English and Welsh Hospitals</title><author>Healey, Frances M. ; Cronberg, Alexandra ; Oliver, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4628-69c3c900e5a30cb988f1031802d2847e200cc52b00b2e3402dcb605b0f7e035d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Bedrails</topic><topic>Beds</topic><topic>Biological and medical sciences</topic><topic>England</topic><topic>Equipment Design</topic><topic>General aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nursing</topic><topic>Nursing Staff, Hospital</topic><topic>Patient safety</topic><topic>Personal protective equipment</topic><topic>prevalence</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>rationale</topic><topic>side rails</topic><topic>Wales</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Healey, Frances M.</creatorcontrib><creatorcontrib>Cronberg, Alexandra</creatorcontrib><creatorcontrib>Oliver, David</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Healey, Frances M.</au><au>Cronberg, Alexandra</au><au>Oliver, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bedrail Use in English and Welsh Hospitals</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2009-10</date><risdate>2009</risdate><volume>57</volume><issue>10</issue><spage>1887</spage><epage>1891</epage><pages>1887-1891</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>OBJECTIVES: To explore rates of bedrail use, nurses' rationale, and factors related to bedrail use.
DESIGN: An overnight observational study of patient and equipment characteristics related to bedrail use, analyzed using a logistic regression model.
SETTING: A stratified random sample of seven organizations, drawn from 167 organizations providing acute general hospital care in England and Wales during 2006.
PARTICIPANTS: One thousand ninety‐two inpatients on adult inpatient wards observed at night.
MEASUREMENTS: Categorical data on bedrail use related to bed type, mattress type, patient age, nurses' description of patients' mobility and confusion, and nurses' rationale for bedrail use or nonuse.
RESULTS: Approximately one‐quarter of patients had full bedrails raised at night; prevention of falls was the nurses' main rationale. Full bedrail use was much more likely to occur in patients who nurses described as immobile and very or slightly confused. Older patients appeared no more likely to be given bedrails than younger patients after adjusting for individual patient and equipment factors.
CONCLUSION: Bedrail use varied significantly between organizations and could not be explained by differences in nurses' description of patients' mobility and confusion levels, equipment, or policy.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>19702616</pmid><doi>10.1111/j.1532-5415.2009.02448.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2009-10, Vol.57 (10), p.1887-1891 |
| issn | 0002-8614 1532-5415 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Accidental Falls - prevention & control Adolescent Adult Aged Bedrails Beds Biological and medical sciences England Equipment Design General aspects Hospitals Humans Medical sciences Middle Aged Miscellaneous Nursing Nursing Staff, Hospital Patient safety Personal protective equipment prevalence Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine rationale side rails Wales Young Adult |
| title | Bedrail Use in English and Welsh Hospitals |
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