Perception of Spanish Nursing Staff on the Use of Physical Restraints
Perception of Spanish Nursing Staff on the Use of Physical Restraints
复制标题
DOI：
10.1111/jnu.12087
复制
发表时间：
2014-09-01
影响因子：
3.4
通讯作者：
Capezuti, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Farina-Lopez, Emilio;Estevez-Guerra, Gabriel J.;Capezuti, Elizabeth A.
目的研究的看法注册护士和护理助理关于使用身体限制与位于西班牙的四个地区的疗养院的居民，并评估这些看法的关系的工作人员受访者的培训水平。设计横断面多中心相关研究。该研究于2013年在19家西班牙养老院进行，共有2，940张床位。共有785名护士（170名注册护士和615名护理助理）参加了研究。方法使用的约束使用问卷（PRUQ），包括17个最引用的原因使用这些设备，是一个问卷调查，捕获的社会人口特征和教育或经验水平的工作人员受访者。结果护士报告的最重要的用途限制为预防福尔斯和避免医疗设备的干扰。如3.47的平均PRUQ得分所示，工作人员受访者支持使用约束，特别是护理助理（3.59），而注册护士（3.00）。关于培训：83.7%的人几乎没有参加过任何培训，只有29.2%的人阅读了三份或三份以上与约束使用有关的文件; 66.6%的人认为他们的培训不够。PRUQ的结果与受访者的社会人口特征或参与培训活动之间没有相关性。各地区护士之间无差异。结论与其他国家发表的论文相比，本研究中的护士仍然认为有必要在日常实践中应用约束。需要对护理人员进行有关约束和替代知识的教育;他们至少应该了解有关使用身体约束的国际护理标准。临床相关性大多数工作人员认为他们与这些器械使用相关的培训不足。护理助理认为使用约束比注册护士更重要。
Purpose To examine the perception of registered nurses and nursing assistants regarding the use of physical restraints with residents of nursing homes located in four of the regions of Spain; and to evaluate the relationship of these perceptions to the staff respondents' level of training. Design Cross-sectional multicenter and correlational study. The research was conducted in 2013 in 19 Spanish nursing homes with 2,940 residential beds. A total of 785 nurses (170 registered nurses and 615 nursing assistants) participated in the study. Methods The Perception of Restraint Use Questionnaire (PRUQ), consisting of 17 of the most cited reasons for using these devices, was used, as was a questionnaire capturing the sociodemographic characteristics and educational or experience level of staff respondents. Findings Nurses reported the most important uses for restraints as prevention of falls and avoidance of medical device interference. As indicated by an average PRUQ score of 3.47, staff respondents supported restraint use, especially nursing assistants (3.59) as compared to registered nurses (3.00). With regard to training: 83.7% had participated in little, if any, training and only 29.2% had read three or more documents related to restraint use; 66.6% believed that their training was inadequate. No correlation was found between the results of the PRUQ and the respondents ' sociodemographic characteristics or participation in training activities. No differences were found among nurses by region. Conclusions In contrast to papers published in other countries, nurses in this study still consider it necessary to apply restraints in everyday practice. The education of nursing staff regarding restraint and knowledge of alternatives is needed; they should at least be aware of international standards of care regarding physical restraint use. Clinical Relevance Most of the staff perceived their training related to the use of these devices as insufficient. Nursing assistants considered the use of restraints more important than did the registered nurses.