181 Effects of de-implementation strategies aimed at reducing low-value nursing procedures 6 Description of intervention strategy (sorted by EPOC Taxonomy) Positive significant effect (p≤ 0.05,Yes/No) Educational outreach visits: Academic detailing (educational outreach) intervention delivered by registered health professionals following an intensive training program including relevant clinical issues and techniques to support health professional behavior change Educational materials: Online practice reports No Restraint education (RE) group Educational meetings: Intensive education by a masters-prepared gerontologic nurse on restraint use Restraint education-with-consultation (REC) group Educational meetings: Intensive education by a masters-prepared gerontologic nurse Educational outreach visits: Unit-based nursing consultation Yes Single faceted group Educational materials: Educational program: restraint education in service administered in the form of a selflearning module and the option to construct a poster in each unit Multifaceted group Educational materials: Educational program: restraint education in service administered in the form of a selflearning module and the option to construct a poster in each unit. Critical care restraint decision guide (CCRDG). No Educational meetings: Nursing home staff education Availability of alternative interventions Educational outreach visits: Consultation by a nurse specialist aimed at nursing home staff Local consensus processes: Promotion of institutional policy change that discourages use of belt restraint Yes Educational meetings: Intensive educational program offered by two registered nurses with extensive experience in physical restraint reduction Availability of alternative interventions Educational outreach visits: Consultation from the two nurse specialists (who delivered the educational program) to individual nurses on the intervention wards Local consensus processes: Policy change by the nursing home management, with new use of belts prohibited and current use reduced Yes Educational meetings: Power-Point presentations Discussion Scenario reflections Yes Educational meetings: Educational program Educational outreach visits: Consultation with a nurse specialist No
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