Page 23 - Reduction of coercive measures
P. 23

                                factors can also be studied that provide a better understanding of the conditions under which coercive measures are applied, such as residents’ perspectives on the measure. Also, factors concerning additional information about the application of coercive measures and decision making with regard to the application can be added. More specifically, the circumstances in which the measure was applied are important to record and may moderate associations between coercive measures and staff and context factors. Not all coercive measures are used as a last resort (Deveau & Leitch, 2015). It is known that coercive measures are used for purposes beyond residents’ safety (Matson & Boisjoli, 2009). Based on a broad definition the current study has identified 76 measures which, in addition to protecting against indirect and direct danger, are characterized by restrictions arising from the use of physical support material or surveillance technique used to organize care. Follow-up research can determine the conditions under which a coercive measure has been applied and the reason for its application. The reason of application can be specifically requested. In addition, the multidisciplinary decision- making process can be investigated. It has been found that debriefing after the application of physical restraint leads to a decrease in the use of restraint (Deveau & Leitch, 2015). However, no information is yet available on forms of multidisciplinary decision-making in which the emphasis is on minimizing the use of coercive measures.
Finally, the effect of a multi-component approach on the phasing out of coercive measures should be tested with more healthcare organizations in order to investigate the generalizability of the effect.
Implications for practice
The findings presented in this dissertation are particularly relevant to practice in residential care for people with intellectual disability. Findings support systematic registration of coercive measures as feasible, offering a way to increase awareness of support staff members and professionals of the use of these measures. By registering coercive measures, support staff members become aware of which measures
Summary and general discussion
 21





























































































   21   22   23   24   25