Publications by authors named "Math J M Gulpers"
Objectives: To explore the prevalence and associated factors of involuntary treatment (physical restraints, psychotropic medication, nonconsensual care) in persons with cognitive impairment receiving home care.
Design: Cross-sectional survey using association analyses.
Setting: Professional home care in the southern part of the Netherlands.
Objective: The current study describes the process evaluation of a multicomponent intervention program (Expelling Belts [EXBELT]) to reduce the use of belt restraints in psychogeriatric nursing homes. The aim was to assess the feasibility and ascertain suggestions for optimization of the EXBELT program.
Design: A descriptive study comprising longitudinal elements.
Objectives: To assess the long-term effects of the EXBELT intervention program, which was designed to reduce belt restraint use and was found to be effective immediately after implementation, after 24 months.
Design: Quasi-experimental longitudinal design.
Setting: Thirteen nursing homes: seven assigned to control group and six to intervention group.
Background: Physical restraints are commonly used in psychogeriatric nursing home residents despite reports of negative consequences. Most research has focused on restraint reduction without addressing methods to prevent initiation of restraints in nursing homes. EXBELT has been found to decrease belt restraint use but should also be evaluated for its use in preventing restraints.
View Article and Find Full Text PDFObjectives: To test the effects of a multicomponent intervention program to reduce the use of belt restraints in psychogeriatric nursing homes.
Design: A quasi-experimental longitudinal design. Study duration was 8 months.
Background: The use of physical restraints still is common practice in the nursing home care. Since physical restraints have been shown to be an ineffective and sometimes even hazardous measure, interventions are needed to reduce their usage. Several attempts have been made to reduce the use of physical restraints.
View Article and Find Full Text PDFObjectives: To investigate the effects of an educational intervention on the use of physical restraints with psychogeriatric nursing home residents.
Design: Cluster-randomized trial.
Setting: Fifteen psychogeriatric nursing home wards in the Netherlands.
Background: Although there is an urgent need for restraint-free care, the number of randomized clinical trials on preventing or reducing physical restraints has been limited.
Objectives: To investigate the effectiveness of an educational intervention to prevent the use of physical restraints on residents newly admitted to psycho-geriatric nursing home wards.
Design: Cluster-randomized trial.
Background: Physical restraints are still frequently used in nursing home residents despite growing evidence for the ineffectiveness and negative consequences of these methods. Therefore, reduction in the use of physical restraints in psycho-geriatric nursing home residents is very important. The aim of this study was to investigate the short-term effects of an educational intervention on the use of physical restraints in psycho-geriatric nursing home residents.
View Article and Find Full Text PDFAim: The aim of the study was to examine the prevalence of physical restraint use in cognitively impaired nursing home residents, the manner in which restraints are used, reasons for using them, and relationships between residents' characteristics and use of physical restraints.
Methods: A point prevalence study was conducted on the use of physical restraints among all residents cared for in two Dutch nursing homes and one nursing home unit (n = 265). Data about the nursing home residents and the use of restraints were collected by means of a questionnaire, which was filled in by the nurses.