Effect of Interventional Educational Programs on Intensive Care Nurses' Perception, Knowledge, Attitude, and Practice About Physical Restraints

Ahmadi, M R Malek; Bagheri-Saweh, Mohammad Iraj; Nouri, Bijan; Mohamadamini, Omid; Valiee, Sina

doi:10.1097/cnq.0000000000000244

Cited by 11 publications

(15 citation statements)

References 38 publications

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“…The length of the courses are listed according to the frequency mentioned in the included studies: 2 days, 4 months, 90 minutes, 2 hours, 4 hours, 2 weeks, 3 months, and 1 year (Table 1). Among them, 2 days 34,35 and 4 months 27,36 were the most frequently used education duration. The 90‐minute to 2‐day courses had limited learning tools and methods, including PowerPoint presentations, technical demonstrations, and discussion 28,29,31,34,35,37 .…”

Section: Resultsmentioning

confidence: 99%

“…Among them, 2 days 34,35 and 4 months 27,36 were the most frequently used education duration. The 90‐minute to 2‐day courses had limited learning tools and methods, including PowerPoint presentations, technical demonstrations, and discussion 28,29,31,34,35,37 . Besides theoretical teaching, the 4‐month and 1‐year 30 courses also included practice guidance, supervision, and quality improvement.…”

Section: Resultsmentioning

confidence: 99%

“…PowerPoint presentations, technical demonstrations, and discussion. 28,29,31,34,35,37 Besides theoretical teaching, the 4-month and 1-year 30 courses also included practice guidance, supervision, and quality improvement.…”

Section: Delivery Mode and Duration Of Educationmentioning

confidence: 99%

“…2 days, 4 months, 90 minutes, 2 hours, 4 hours, 2 weeks, 3 months, and 1 year (Table 1). Among them, 2 days 34,35 and 4 months 27,36 were the most frequently used education duration. The 90-minute to 2-day courses had limited learning tools and methods, including…”

Section: Delivery Mode and Duration Of Educationmentioning

confidence: 99%

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Nurse education to reduce physical restraints use in ICU: A scoping review

Lei

Jiang

Liu

et al. 2020

Nursing in Critical Care

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Background: Physical restraints are defined as a manual approach to reduce a patient's physical movement and has been regarded as a protective nursing measure in the intensive care unit (ICU) to avoid unplanned extubation, falls, and other unexpected events. However, the limitations and changes associated with physical restraints have been verified by several studies. Restraint minimization has been advocated by studies worldwide; however, the most effective interventions are still being explored.Aim: To identify and map nurse education strategies that reduce the use of physical restraints in the ICU. Design and methods:A systematic literature search that followed the steps of a scoping review was performed in the Cochrane, PubMed, Embase, CINAHL, CNKI, Wan Fang Data, and VIP databases. We included studies that focused on nurse education aiming to reduce the use of physical restraints and/or use physical restraints reasonably. Results:The included studies (n = 12) described a variety of education strategies.Two delivery modes, eight common course durations, 14 main topics, two types of teaching methods with various materials, and two kinds of outcome measurements were identified and compared. Conclusion:There are a variety of nurse education activities that could effectively improve ICU nurses' knowledge, attitudes, and behaviours towards physical restraints. However, the strategies of nurse education, such as delivery mode, teaching methods, and outcome measurements, require further study.Relevance to clinical practice: Nurse education on physical restraints should be carried out in ICUs. Online courses, practical sessions, and simulated scenarios should be a part of future nurse education. In addition to nurses' knowledge and attitude changes, frequency of physical restraints and other patient-related outcomes should also be considered for outcome evaluation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Delivery Mode and Duration Of Educationmentioning

confidence: 99%

Section: Delivery Mode and Duration Of Educationmentioning

confidence: 99%

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Nurse education to reduce physical restraints use in ICU: A scoping review

Lei

Jiang

Liu

et al. 2020

Nursing in Critical Care

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“…Kısıtlama uygulaması, fiziksel kısıtlama (FK) ve kimyasal kısıtlama (KK) olmak üzere 2 genel sınıflama kategorisinde ele alınmaktadır (5,6). Fiziksel kısıtlama, hastanın kendisinin veya başkasının zarar görmesini ya da yaralanmasını önlemek amacıyla başvurulan, vücudun bir bölümünün bağlanarak, kişinin kolayca kontrol edemeyeceği ya da uzaklaştıramayacağı bir yöntemle serbest vücut hareketlerini kısıtlayan herhangi bir eylem ya da prosedür olarak tanımlanmaktadır (5,7,8).…”

Section: Introductionunclassified

Yoğun Bakım Hastalarında Kısıtlama Uygulamalarının ve Nörovasküler Etkilerinin İncelenmesi

Kısacık¹,

Cosgun²

2019

Yoğun Bakım Derg

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Introduction: The purpose of this study is to examine the characteristics of restraints applied in intensive care units and the neurovascular effects on patients to whom physical restraints are applied. Material and Methods: The cross-sectional observational study was conducted between April 2018 and September 2018 in the internal and surgical intensive care units of a state hospital. The study included 120 patients to whom physical restraints were applied. The data were collected using a data collection form developed in accordance with the literature through a review of patient records in addition to observation and interview methods. The patients under restraint were observed and the nurses responsible for patient care were interviewed. Approval for the study was granted by the Local Ethics Committee, permission was obtained from the institution and informed consent from the relatives of the intensive care units patients in the study. Data obtained in the study were analysed statistically using SPSS vn 22.0 software and descriptive statistics, the Cochran Q test, Chi-square test, Friedman test and the Kruskal Wallis test. Results: A statistically significant increase was observed in oedema and colour change in the region below the physical restraint in a 5-day observation period and pulse strength was determined to have decreased (p<0.05). No significant change was determined in the temperature and capillary filling time of the restrained area in the 5-day observation period (p>0.05). No significant difference was determined between the restraining materials used in respect of oedema and pulse strength. A statistically significant difference was determined between the restraining materials used in respect of colour change, capillary filling time and temperature parameters on the second and third days of the restricted area (p<0.05). Conclusion: The results of the study showed that in physical restraint, which is mostly preferred in intensive care units, an increase in the period of physical restraint increases the possibility of neurovascular complications and the use of special restraint equipment could reduce the potential development of neurovascular complications.

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