Factors affecting nursing practice of patient physical restraint among nurses

Abstract

Background This study was aimed to identify perception, knowledge, attitude and nursing practice toward use of physical restraints among clinical nurses. Methods The research participants were 180 nurses from general hospitals located in Korea. Data were collected using self-report questionnaires regarding perception, attitude, knowledge, and nursing practice on application of physical restraints and analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results There were significant negative relationships attitudes towards the use of physical restraints with knowledge (r = -.32, p < .001). Knowledge showed a positive correlation with nursing practice (r = .28, p < .001). Factors affecting nursing practice of clinical nurses were identified as knowledge (β = .23), education experiences on physical restraints (Yes) (β = .18), and work unit (ICU) (β = .43). The explanation power of this regression model was 22% and it was statistically significant (F = 7.45, p < .001). Conclusion This study suggests that knowledge, education experiences on physical restraints, and work unit were the strongest predictor on nursing practice toward use of patient physical restraints. Therefore, developing and applying evidence-based educational intervention programs by work unit to reduce the inappropriate use of physical restraints in hospitals are required.

Development of management indicators of nursing for minimizing physical restraints focused on older adult patients hospitalized in acute care settings: A Delphi consensus study

“…However, nurses’ overestimation of the safety of physical restraints complicates their decision to use or avoid physical restraints for older adult patients [ 10 ]. In addition, nurses’ intention to use restraints is related to their perceived behavioral control, attitude [ 11 ], and knowledge [ 12 ]. Therefore, we believe that any strategy designed to prevent or withdraw physical restraints would need to support a change in staff nurses’ knowledge, perception, and attitude toward physical restraints.…”