Nurses' Physical Restraint Knowledge, Attitudes, and Practices: The Effectiveness of an In-Service Education Program
Nurses' Physical Restraint Knowledge, Attitudes, and Practices: The Effectiveness of an In-Service Education Program
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DOI：
10.1097/jnr.0b013e3181c1215d
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发表时间：
2009-12-01
影响因子：
2.7
通讯作者：
Chiang, Kuei-Feng
中科院分区：
文献类型：
--
作者：
Huang, Hui-Tzu;Chuang, Yeu-Hui;Chiang, Kuei-Feng
背景：物理约束通常用于降低治疗干扰风险和保护患者安全。然而，护士仍然对在急性护理环境中使用身体约束持有误解。向护理人员传授正确的身体束缚知识和技能，培养积极的态度，纠正身体束缚使用中的不规范现象，都是改善病人护理的必要条件。目的：本研究旨在探讨短期在职教育对提高护士有关身体束缚使用的知识、态度和自我报告行为的有效性。方法：在台湾南部一家医院的两个不同分支机构采用方便抽样方法进行准实验研究。这两个分支被随机分为干预组和对照组。将其中一个科室的59名护士分配到干预组，另一个科室的70名护士设为对照组。对干预组护士进行90分钟的在职教育。问卷包括人口学资料和3个量表(使用身体约束的知识、使用身体约束的态度和使用身体约束的行为)。结果：干预结束后，干预组在有关身体约束使用的知识(p=.000)、态度(p=.007)和自我报告的实践(p=.048)方面均有显著改善。然而，项目结束后，干预组和对照组对使用身体约束的态度没有显著差异。结论和实践启示：90分钟的在职教育后，身体约束知识和技能有所提高。研究结果强调，有必要提供一项关于在急性护理环境中使用身体约束的短期在职教育计划。
Background: Physical restraints are commonly used to reduce treatment interference risk and protect patient safety. However, nurses still hold misconceptions about the use of physical restraints in acute care settings. Teaching nursing staff accurate knowledge and proper skills, cultivating positive attitudes, and rectifying irregularities in physical restraint use are all necessary to improve patient care.Purpose: The aim of this study was to examine the effectiveness of a short-term in-service education program in improving nurses' knowledge, attitudes, and self-reported practices related to physical restraint use.Methods: Convenience sampling was used in this quasi-experimental study at two different branches of one hospital in southern Taiwan. The two branches were randomly assigned as either the intervention or control group. Fifty-nine nurses at one branch were assigned to the intervention group, and 70 nurses in the other branch were assigned to the control group. The developed 90-minute in-service education program was given to nurses in the intervention group. The questionnaire included demographic data and three scales (Knowledge of Physical Restraint Use, Attitudes of Physical Restraint Use, and Practice of Physical Restraint Use). These scales were used to measure critical study variables prior to and 2 weeks after the intervention.Results: Results found a significant improvement in the intervention group in terms of knowledge (p = .000), attitudes (p = .007), and self-reported practices (p = .048) related to physical restraint use after program completion. However, there were no significant differences in participant attitudes toward the use of physical restraints between intervention and control groups after program completion.Conclusions and Implications for Practices: Physical restraint knowledge and skills improved after the 90-minute in-service education program. Findings highlight the need to provide a short-term in-service education program on physical restraint use in acute care settings.