Process evaluation of a multicomponent intervention to prevent physical restraints in nursing homes (IMPRINT): A mixed methods study

Abraham, Jens, Bake, Mareike, Berger-Hoeger, Birte, Koepke, Sascha, Kupfer, Ramona, Meyer, Gabriele and Moehler, Ralph . Process evaluation of a multicomponent intervention to prevent physical restraints in nursing homes (IMPRINT): A mixed methods study. J. Adv. Nurs.. HOBOKEN: WILEY. ISSN 1365-2648

Full text not available from this repository.

DOI:10.1111/jan.14694

Abstract

Aims To describe the implementation process and fidelity of two versions of a guideline-based, multicomponent intervention to reduce physical restraints in nursing homes and to identify factors that might explain the heterogeneity of effects between different clusters. Design Mixed methods evaluation of the implementation process (dose delivered, dose received, response, and adaption) alongside a pragmatic three-arm cluster randomized controlled trial. Methods Quantitative and qualitative process data were collected during the study period (February 2015-February 2017). Quantitative data from questionnaires and short surveys were analysed by descriptive statistics. Qualitative data from focus groups and semi-structured interviews were analysed using content analysis. An in-depth analysis was conducted by contrasting responding and non-responding clusters regarding the intervention goal and primary outcome. Results Both interventions were implemented as planned in all clusters: we found no deviations from the protocol regarding the dose delivered to and received by the clusters. Satisfaction of staff targeted by the interventions was high. The in-depth analysis did not reveal any pronounced variation in the degree of implementation or adoption in clusters with a good or nearly no response to the interventions or factors explaining different study effects. Conclusion Although both versions of a guideline-based multicomponent intervention to prevent physical restraints in nursing homes were implemented as planned and the response was generally acceptable, the interventions' goal to change nursing practice towards a least-restraint policy was not achieved by the entire nursing staff in all of the clusters. No factors could be identified that might explain the different effects of the interventions. Impact For some nursing homes, different approaches than addressing nurses' attitudes and institutional policies might be needed to sustainably reduce the use of physical restraints; however, the process evaluation did not reveal characteristics that might have hampered or facilitated the effectiveness of the intervention.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Abraham, Jens	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Bake, Mareike	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Berger-Hoeger, Birte	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Koepke, Sascha	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Kupfer, Ramona	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Meyer, Gabriele	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Moehler, Ralph	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED