Safewards implementation in residential aged care: a pilot and feasibility study.
• Safewards offers a feasible restraint reduction program for RAC. • Fewer restrictive practice incidents were observed in the care home which implemented five Safewards interventions. • Future implementation should capitalise on aged care staff interest in learning strategies and approaches to supp...
| Publicado en: | Geriatric Nursing Vol. 68 |
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| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191602131&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191602131 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01974572 1WB jtl: Geriatric Nursing issn: 01974572 maglogo: N pubinfo: dt: Mar2026 vid: 68 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 191602131 191602131 191602131 10.1016/j.gerinurse.2025.103767 191602131 ppct: 1 formats: tig: atl: Safewards implementation in residential aged care: a pilot and feasibility study. aug: au: Dawson, Suzanne George, Stacey Schofield, Merridy Rickards, Sharon Gulyani, Aarti Ng, Lorraine Aikman, Jenie Hamilton, Bridget Oster, Candice affil: Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia sug: subj: Residential Care Mental Health Services Program Implementation Nursing Models, Theoretical Geropsychiatric Nursing Restraint, Physical Program Evaluation Conflict (Psychology) Human Australia Male Female Aged Pilot Studies Conceptual Framework Multimethod Studies Outcome Assessment Implementation Science Aged: 65+ years Male Female ab: • Safewards offers a feasible restraint reduction program for RAC. • Fewer restrictive practice incidents were observed in the care home which implemented five Safewards interventions. • Future implementation should capitalise on aged care staff interest in learning strategies and approaches to support their interactions with residents. • Contextual barriers need to be addressed to scale up and sustain Safewards in aged care settings. The prevalence of restrictive practices in residential aged care (RAC) remains unacceptably high. To address this, feasible, evidence-informed interventions that can be integrated into routine practice are needed. Safewards, a model and set of ten interventions that explains and reduces conflict and restrictive practice use in mental health care settings, presents a promising approach for application within RAC. This study evaluated the feasibility of implementing Safewards to reduce restrictive practice use in RAC. This pilot and feasibility study used a mixed methods process and outcomes evaluation. Safewards was implemented in two Australian care homes. Implementation outcomes were assessed using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) and the Consolidated Framework for Implementation Research (CFIR) guided qualitative data collection to identify the contextual factors that facilitated or hindered implementation. Eight Safewards interventions were suggested for implementation in RAC. Three Safewards interventions were implemented at site 1 and five interventions at site 2 with between 28–52 % staff attending training across sites. Physical restraint use decreased at site 2 but not at site 1. Most implementation enablers and barriers were identified within the CFIR domains of inner setting and implementation process. Safewards was feasible to implement in RAC, with 5/8 interventions contributing to reduced physical restraint use. The variation in findings across sites, including greater reach and adoption and stable and engaged leadership at site 2, emphasises the importance of contextual factors for successful implementation. Findings from this study can inform future implementation of Safewards into RAC. A person with lived experience as a caregiver for a family member with dementia was employed as a Safewards facilitator and as a member of the project steering committee and had input into all stages of the project. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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