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Knowledge, Attitudes and Practices of Intensive Care Nurses on the Use of Physical Retainers

Year 2023, Volume: 6 Issue: 2, 224 - 236, 30.09.2023
https://doi.org/10.52538/iduhes.1140678

Abstract

This study was conducted to determine the knowledge, attitudes and practices of nurses working in intensive care units regarding the use of physical restraints. This descriptive and cross-sectional study was conducted between May and November 2019 with 202 nurses working in intensive care units and volunteering to participate in the research. Data were collected using a questionnaire form and the “Levels of Knowledge, Attitudes, and Practices of Staff Regarding Physical Restraints Questionnaire”. A statistically significant difference was found between mean knowledge, attitude, and practice score and intensive care units, between mean practice score and the status of receiving information about physical restraints and the number of patients cared for during the day, between mean attitude and practice score and the number of patients cared for at night, between mean knowledge, attitude and practice score and intensive care level (p<0.05). It is recommended to raise awareness about nurses' knowledge of their legal rights regarding physical restraint use and encourage further studies to determine the knowledge, attitude, and practices of nurses regarding the relevant topic.

Supporting Institution

Çalışmayı destekleyen herhangi bir kurum yoktur.

Thanks

The authors would like to thank all those who participated in this study.

References

  • Armitage, C.J., and Christian, J. (2017). From attitudes to behavior: Basic and applied research on the thery of planned behavior. Current Psychology, 22(3), 187-195.
  • Balci, H., and Arslan, S. (2018). Nurses' information, attitude and practices towards use of physical restraint in intensive care units. Journal of Caring Sciences. 7(2), 75-81.
  • Bulut, S. and Kızılırmak, H. (2022). The relationship between intensive care nurses's physical restraınt practices and care behavior. Gevher Nesibe Journal of Medical & Health Sciences, 7(21), 129-140.
  • Cunha, M., André, S., Bica, I., Ribeiro, O., Dias, A., and Andrade, A. (2016). Chemical and physical restraint of patients. Procedia-Social and Behavioral Sciences, 217, 389-399.
  • Çelik, S., Kavrazlı, S., Demircan, E., Güven, N., Durmuş, Ö., and Duran, E. S. (2012). Knowledge, attitudes and practices of intensive care nurses related to using physical restraints. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 3(3), 176-183.
  • El-sol, A.E.S.H., and Mohammed, R.G.A. (2018). Assessment of nurse’s knowledge, attitudes, and practice regarding physical restraints among critical ill patients. Assessment, 4(1), 15- 22.
  • Eskandari, F., Abdullah, K.L., Zainal, N.Z., and Wong, L.P. (2018). The effect of educational intervention on nurses' knowledge, attitude, intention, practice and incidence rate of physical restraint use. Nurse Education in Practice, 32, 52–57.
  • Estévez-Guerra, G.J., Fariña-López, E., Núñez-González, E., Gandoy-Crego, M., Calvo-Francés, F., and Capezuti, E.A. (2017). The use of physical restraints in long-term care in Spain: A multicenter cross-sectional study. BMC Geriatrics, 17(1), 29.
  • Farina-Lopez, E., Estevez-Guerra, G.J., Gandoy-Crego, M., Polo-Luque, L.M., Go ́mez-Cantorna, C., and Capezuti, E.A. (2014). Perception of spanish nursing staff on the use of physical restraints. Journal of Nursing Scholarship. 46, 322-330
  • Gu, T., Wang, X., Deng, N., and Weng, W. (2019). Investigating influencing factors of physical restraint use in China intensive care units: A prospective, cross-sectional, observational study. Australian Critical Care, 32(3), 193-198.
  • Gül, Ü., and Kavak, F. (2019). Identification of nurses’ knowledge, attitudes and practices regarding the use of physical restraint. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 10(4), 657-662.
  • Gürdoğan, E.P., Uğur, E., Kınıcı, E., and Aksoy, B. (2016). Knowledge, attitudes, and practices of nurses in ıntensive care units on physical restraint use and factors affecting nurses’ decisions to use them. Yoğun Bakım Dergisi, 7, 83-88.
  • Hall, D.K., Zimbro, K.S., Maduro, R.S., Petrovitch, D., Ver Schneider, P., and Morgan, M. (2018). Impact of a restraint management bundle on restraint use in an intensive care unit. Journal of Nursing Care Quality, 33(2), 143–148.
  • Kalula, S.Z., & Petros, S.G. (2016). Use of physical restraint in hospital patients: A descriptive study in a tertiary hospital in South Africa. Curationis, 39(1), 1-8.
  • Kassew, T., Dejen Tilahun, A., and Liyew, B. (2020). Nurses’ knowledge, attitude, and ınfluencing factors regarding physical restraint use in the ıntensive care unit: A multicenter cross-sectional study. Critical Care Research and Practice, 1-10.
  • Kaya, H. and Doğu, Ö. (2018). Intensive care unit nurses’ knowledge, attitudes and practices related to using physical restraints. International Journal of Caring Sciences, 11(1), 61-70.
  • Kılıç, G., Kutlutürkan, S., Çevik, B., and Erdoğan, B. (2018). The evaluation of ıntensive care unit nurses' opinions on physical restraint application. Van Medical Journal, 25(1), 11-16.
  • Köse, G., Taştan, S., Çatalbaş, A., Akkaya, H., Seyfi, M., and Avşar, Ö. (2020). Determination of knowledge, attitude and practices of nurses working at a university hospital related to use of physical restraints. Kocaeli Medical Journal, 9(2), 39-48.
  • Lan, S.H., Lu, L.C., Lan, S.J., Chen, J.C., Wu, W.J., Chang, S.P., and Lin, L.Y. (2017). Educational intervention on physical restraint use in long-term care facilities Systematic review and meta-analysis. Kaohsiung Journal of Medical Science, 33(8), 411-421.
  • Masters, K.J. (2017). Physical restraint: A historical review and current practice. Psychiatric Annals, 47(1), 52-55.
  • Mehrok, S., Belsiyal, C.X., Kamboj, P., and Mery, A. (2002). The use of physical restraints knowledge and attitude of nurses of a tertiary care institute, Uttarakhand, India. Journal of Education and Health Promotion, 9(1), 77.
  • Möhler, R., Nürnberger, C., Abraham, J., Köpke, S., and Meyer, G. (2016). Interventions for preventing and reducing the use of physical restraints of older people in general hospital settings.The Cochrane Database of Systematic Reviews,2016(12): CD012476.
  • Pradhan, N., Lama, S., Mandal, G., and Shrestha, E. (2019). Physical restraining: nurses knowledge and practice in tertiary care hospital of eastern nepal. Nursing Open, 6(3), 1029-1037.
  • Sharifi, A., Arsalani, N., Fallahi-Khoshknab, M., Mohammadi-Shahbolaghi, F., and Ebadi, A. (2020). Iranian nurses’ perceptions about using physical restraint for hospitalized elderly people: a cross-sectional descriptivecorrelational study. BMC Geriatrics, 20(233), 1-7.
  • Stinson, K.J. (2016). Nurses’ attitudes, clinical experience, and practice ıssues with use of physical restraints in critical care units. American Journal of Critical Care, 25(1), 21-26.
  • Suliman, M., Aloush, S., and Al-Awamreh, K. (2017). Knowledge, attitude and practice of intensive care unit nurses about physical restraint. Nursing in Critical Care, 22, 264-269.
  • Turna, Ö., and Gürsoy, A. (2021). Physical restraint use in ıntensive care units: causes and consequences. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 8(2), 127-133.
  • Via-Clavero, G., Claramunt-Domènech, L., García-Lamigueiro, A., Sanchez M.M., Secanelle Martinez, M., Aguirre Recio, E., Sandalines Mulero, I., Ortega Guerrero, A., Yuste Bustos, F. and Delgado Hito, P. (2019). Analysis of a nurses’ knowledge survey on the use of physical restraint in intensive care units. Enfermería Intensiva, 30(2), 47-58.
  • Wang, L., Zhu, X.P., Zeng, X.T., and Xiong, P. (2019). Nurses' knowledge, attitudes and practices related to physical restraint: a cross sectional study. International Nursing Review, 66(1), 122-129.
  • Woldekirkos, L.M., Jiru, T., Hussien, H., and Shetie, B. (2021). Knowledge, attitude, and practice of nurses working in the adult ıntensive-care unit and associated factors towards the use of physical restraint in federally administered hospitals in addis ababa, ethiopia: a multicenter cross-sectional study. Crit Care Res Pract. 24, 1-11.
  • Younis, G.A., and Ahmed, S.E. (2017). Physical Restraint and Maintenance of critically ill patient's safety in ıntensive care unit: effect of clinical practice guidelines on nurse's practice and attitude. IOSR-JNHS,6(4), 6-21.

Yoğun Bakım Hemşirelerinin Fiziksel Tespit Edicileri Kullanımına İlişkin Bilgi, Tutum ve Uygulamaları

Year 2023, Volume: 6 Issue: 2, 224 - 236, 30.09.2023
https://doi.org/10.52538/iduhes.1140678

Abstract

Bu araştırma, yoğun bakım ünitelerinde çalışan hemşirelerin fiziksel tespit edicileri kullanımına ilişkin bilgi, tutum ve uygulamalarını belirlemek amacıyla yapılmıştır. Tanımlayıcı ve kesitsel tipteki bu çalışma, yoğun bakım ünitelerinde çalışan ve araştırmaya katılmaya gönüllü olan 202 hemşire ile Mayıs-Kasım 2019 tarihleri arasında gerçekleştirilmiştir. Veriler, bir anket formu ve “Personelin Fiziksel Kısıtlamalara İlişkin Bilgi Düzeyleri, Tutumları ve Uygulamaları Anketi” kullanılarak toplanmıştır. Bilgi, tutum ve uygulama puan ortalamaları ve yoğun bakım üniteleri arasında, uygulama puan ortalaması ve fiziksel kısıtlamalar hakkında bilgi alma durumu ve gündüz bakılan hasta sayısı arasında, tutum ve uygulama puan ortalamaları ve gece bakılan hasta sayısı arasında, bilgi, tutum ve uygulama puan ortalamaları ile yoğun bakım düzeyi arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). Hemşirelerin fiziksel tespit kullanımına ilişkin yasal hakları konusunda farkındalıklarının artırılması ve hemşirelerin konuyla ilgili bilgi, tutum ve uygulamalarının belirlenmesine yönelik çalışmaların teşvik edilmesi önerilmektedir.

References

  • Armitage, C.J., and Christian, J. (2017). From attitudes to behavior: Basic and applied research on the thery of planned behavior. Current Psychology, 22(3), 187-195.
  • Balci, H., and Arslan, S. (2018). Nurses' information, attitude and practices towards use of physical restraint in intensive care units. Journal of Caring Sciences. 7(2), 75-81.
  • Bulut, S. and Kızılırmak, H. (2022). The relationship between intensive care nurses's physical restraınt practices and care behavior. Gevher Nesibe Journal of Medical & Health Sciences, 7(21), 129-140.
  • Cunha, M., André, S., Bica, I., Ribeiro, O., Dias, A., and Andrade, A. (2016). Chemical and physical restraint of patients. Procedia-Social and Behavioral Sciences, 217, 389-399.
  • Çelik, S., Kavrazlı, S., Demircan, E., Güven, N., Durmuş, Ö., and Duran, E. S. (2012). Knowledge, attitudes and practices of intensive care nurses related to using physical restraints. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 3(3), 176-183.
  • El-sol, A.E.S.H., and Mohammed, R.G.A. (2018). Assessment of nurse’s knowledge, attitudes, and practice regarding physical restraints among critical ill patients. Assessment, 4(1), 15- 22.
  • Eskandari, F., Abdullah, K.L., Zainal, N.Z., and Wong, L.P. (2018). The effect of educational intervention on nurses' knowledge, attitude, intention, practice and incidence rate of physical restraint use. Nurse Education in Practice, 32, 52–57.
  • Estévez-Guerra, G.J., Fariña-López, E., Núñez-González, E., Gandoy-Crego, M., Calvo-Francés, F., and Capezuti, E.A. (2017). The use of physical restraints in long-term care in Spain: A multicenter cross-sectional study. BMC Geriatrics, 17(1), 29.
  • Farina-Lopez, E., Estevez-Guerra, G.J., Gandoy-Crego, M., Polo-Luque, L.M., Go ́mez-Cantorna, C., and Capezuti, E.A. (2014). Perception of spanish nursing staff on the use of physical restraints. Journal of Nursing Scholarship. 46, 322-330
  • Gu, T., Wang, X., Deng, N., and Weng, W. (2019). Investigating influencing factors of physical restraint use in China intensive care units: A prospective, cross-sectional, observational study. Australian Critical Care, 32(3), 193-198.
  • Gül, Ü., and Kavak, F. (2019). Identification of nurses’ knowledge, attitudes and practices regarding the use of physical restraint. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 10(4), 657-662.
  • Gürdoğan, E.P., Uğur, E., Kınıcı, E., and Aksoy, B. (2016). Knowledge, attitudes, and practices of nurses in ıntensive care units on physical restraint use and factors affecting nurses’ decisions to use them. Yoğun Bakım Dergisi, 7, 83-88.
  • Hall, D.K., Zimbro, K.S., Maduro, R.S., Petrovitch, D., Ver Schneider, P., and Morgan, M. (2018). Impact of a restraint management bundle on restraint use in an intensive care unit. Journal of Nursing Care Quality, 33(2), 143–148.
  • Kalula, S.Z., & Petros, S.G. (2016). Use of physical restraint in hospital patients: A descriptive study in a tertiary hospital in South Africa. Curationis, 39(1), 1-8.
  • Kassew, T., Dejen Tilahun, A., and Liyew, B. (2020). Nurses’ knowledge, attitude, and ınfluencing factors regarding physical restraint use in the ıntensive care unit: A multicenter cross-sectional study. Critical Care Research and Practice, 1-10.
  • Kaya, H. and Doğu, Ö. (2018). Intensive care unit nurses’ knowledge, attitudes and practices related to using physical restraints. International Journal of Caring Sciences, 11(1), 61-70.
  • Kılıç, G., Kutlutürkan, S., Çevik, B., and Erdoğan, B. (2018). The evaluation of ıntensive care unit nurses' opinions on physical restraint application. Van Medical Journal, 25(1), 11-16.
  • Köse, G., Taştan, S., Çatalbaş, A., Akkaya, H., Seyfi, M., and Avşar, Ö. (2020). Determination of knowledge, attitude and practices of nurses working at a university hospital related to use of physical restraints. Kocaeli Medical Journal, 9(2), 39-48.
  • Lan, S.H., Lu, L.C., Lan, S.J., Chen, J.C., Wu, W.J., Chang, S.P., and Lin, L.Y. (2017). Educational intervention on physical restraint use in long-term care facilities Systematic review and meta-analysis. Kaohsiung Journal of Medical Science, 33(8), 411-421.
  • Masters, K.J. (2017). Physical restraint: A historical review and current practice. Psychiatric Annals, 47(1), 52-55.
  • Mehrok, S., Belsiyal, C.X., Kamboj, P., and Mery, A. (2002). The use of physical restraints knowledge and attitude of nurses of a tertiary care institute, Uttarakhand, India. Journal of Education and Health Promotion, 9(1), 77.
  • Möhler, R., Nürnberger, C., Abraham, J., Köpke, S., and Meyer, G. (2016). Interventions for preventing and reducing the use of physical restraints of older people in general hospital settings.The Cochrane Database of Systematic Reviews,2016(12): CD012476.
  • Pradhan, N., Lama, S., Mandal, G., and Shrestha, E. (2019). Physical restraining: nurses knowledge and practice in tertiary care hospital of eastern nepal. Nursing Open, 6(3), 1029-1037.
  • Sharifi, A., Arsalani, N., Fallahi-Khoshknab, M., Mohammadi-Shahbolaghi, F., and Ebadi, A. (2020). Iranian nurses’ perceptions about using physical restraint for hospitalized elderly people: a cross-sectional descriptivecorrelational study. BMC Geriatrics, 20(233), 1-7.
  • Stinson, K.J. (2016). Nurses’ attitudes, clinical experience, and practice ıssues with use of physical restraints in critical care units. American Journal of Critical Care, 25(1), 21-26.
  • Suliman, M., Aloush, S., and Al-Awamreh, K. (2017). Knowledge, attitude and practice of intensive care unit nurses about physical restraint. Nursing in Critical Care, 22, 264-269.
  • Turna, Ö., and Gürsoy, A. (2021). Physical restraint use in ıntensive care units: causes and consequences. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 8(2), 127-133.
  • Via-Clavero, G., Claramunt-Domènech, L., García-Lamigueiro, A., Sanchez M.M., Secanelle Martinez, M., Aguirre Recio, E., Sandalines Mulero, I., Ortega Guerrero, A., Yuste Bustos, F. and Delgado Hito, P. (2019). Analysis of a nurses’ knowledge survey on the use of physical restraint in intensive care units. Enfermería Intensiva, 30(2), 47-58.
  • Wang, L., Zhu, X.P., Zeng, X.T., and Xiong, P. (2019). Nurses' knowledge, attitudes and practices related to physical restraint: a cross sectional study. International Nursing Review, 66(1), 122-129.
  • Woldekirkos, L.M., Jiru, T., Hussien, H., and Shetie, B. (2021). Knowledge, attitude, and practice of nurses working in the adult ıntensive-care unit and associated factors towards the use of physical restraint in federally administered hospitals in addis ababa, ethiopia: a multicenter cross-sectional study. Crit Care Res Pract. 24, 1-11.
  • Younis, G.A., and Ahmed, S.E. (2017). Physical Restraint and Maintenance of critically ill patient's safety in ıntensive care unit: effect of clinical practice guidelines on nurse's practice and attitude. IOSR-JNHS,6(4), 6-21.
There are 31 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Articles
Authors

Diğdem Lafçı 0000-0001-7199-416X

Ebru Yıldız Karadeniz 0000-0002-9327-0653

Hatice Şen 0000-0002-1607-8369

Early Pub Date September 18, 2023
Publication Date September 30, 2023
Submission Date July 4, 2022
Published in Issue Year 2023 Volume: 6 Issue: 2

Cite

APA Lafçı, D., Yıldız Karadeniz, E., & Şen, H. (2023). Knowledge, Attitudes and Practices of Intensive Care Nurses on the Use of Physical Retainers. Izmir Democracy University Health Sciences Journal, 6(2), 224-236. https://doi.org/10.52538/iduhes.1140678

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