Nursing Home Deficiency Citations for Physical Restraints and Restrictive Side Rails. (May 2013)

• Record Type: Journal Article
• Authors: Wagner, Laura M.; McDonald, Shawna M.; Castle, Nicholas G.
• Is Part Of: Western journal of nursing research. Volume 35:Number 5(2013)
• Page Start: 546
• Page End: 565
• Publication Date: 2013-05
• Subjects: nursing homes -- physical restraints -- restrictive side rails -- facility characteristics; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/0193945912437382
• Languages: English
• ISSNs: 0193-9459

Abstract

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.