Abstract
BackgroundThe Perceptions of Restraint Use Questionnaire measures perception of restraint in a 17-item questionnaire. The aim of this study was to assess the test-retest reliability of the PRUQ as a measure of staff attitudes to restraint in elderly older persons care for people with dementia from two different nursing homes, and its ability to produce reliable results.MethodsTwenty-six staff members from two different nursing homes completed the 17-item PRUQ twice with 14–21 days between time points. As the questionnaire has already been translated in another study, the current study evaluated total item scores, mean, internal consistency, and intraclass correlation for reliability purposes.ResultsThe internal consistency Cronbach’s Alpha were ˃ ≥0.726. The Intraclass correlation (ICC) between test and retest was moderate to good for the three subscales, with ICC (A,1) and ICC (C,1) values approximately equal and in the range 0.480–0.962. A Bland-Altman plot of the PRUQ total mean scores illustrates no systematic change in the mean.ConclusionsThe Swedish version of the PRUQ shows mainly good reliability. Therefore, we suggest that researchers continue to develop the PRUQ to be an even higher reliable questionnaire of health care professionals’ perceptions of measure for restraint use in nursing homes for persons with dementia.
Highlights
Older people living in nursing homes often have cognitive deficits
Aim The aim of this study was to test the reliability and internal consistency of the Swedish version of Perceptions of Restraint Use Questionnaire (PRUQ), among staff working in nursing homes for people with dementia
Procedures Before the study was conducted, the first author contacted the original authors of The Perceptions of Restraint Use Questionnaire (PRUQ), Dr Lois Evans & Dr Neville Strumpf, United States, and they gave their approval for a reliability study of the Swedish translation
Summary
Older people living in nursing homes often have cognitive deficits. Physical restraint is a procedure commonly used in institutional long-term care of old people. It has been questioned both from an ethical perspective, and because there is a lack of sound evidence of their effectiveness [10]. Studies in Western countries have estimated that 13–20 % of elderly patients older persons admitted to hospitals experience some form of physical restraint during their stay. The aim of this study was to assess the test-retest reliability of the PRUQ as a measure of staff attitudes to restraint in elderly older persons care for people with dementia from two different nursing homes, and its ability to produce reliable results
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