The effect of empathy skills of psychiatric nurses on their attitudes and practices towards the use of physical restraint

Üşenmez, Tülay Yıldırım; Gümüş, Funda

doi:10.1111/ppc.12723

Cited by 6 publications

(3 citation statements)

References 30 publications

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“…The level of empathy among caregivers is essential in reducing the use of physical restraint. [27][28][29] Studies have shown that patients experience emotional distress such as anger, helplessness, sadness, embarrassment, and punishment as a result of physical restraint. 4,5,30 Patients may also feel a loss of self-worth, degradation, and humiliation, and their autonomy and privacy may be violated when restrained.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Nurses’ Knowledge, Attitudes, and Practice Regarding Physical Restraint in China: A Multicentre Cross-Sectional Study

Chong¹,

Wang²,

Tong³

et al. 2023

JMDH

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Background: Physical restraint is widely used in mental health services to address safety concerns. However, studies have shown that improper physical restraint can result in adverse effects. Nurses are the main practitioners of physical restraint and play a crucial role in physical restraint decisions and nursing. In China, there is a lack of large-scale investigations into the current status of psychiatric physical restraint use. Aim: This study aims to explore the situation and influencing factors of the psychiatric nurses' knowledge, attitudes and practices regarding physical restraint in China. Methods: A cross-sectional multicenter descriptive study was conducted from December 2022 to February 2023, consecutively. A convenience sampling method was used to recruit 345 staff from three psychiatric hospitals in Shanghai. A psychiatric nurses' physical restraint use status questionnaire was administered to examine their knowledge, attitude, and practice regarding physical restraint. The data were analyzed using the Mann-Whitney U-test and the Kruskal-Wallis test. Multivariate linear stepwise regression analysis was used for multi-factor analysis. Results: Overall, nurses had a good level of knowledge with positive attitudes and adequate practices. However, they had some misunderstandings and undesirable practices. Multiple linear regression analysis revealed that educational background, position and training experience were the main factors influencing physical restraint knowledge, attitudes and practice among psychiatric nurses (p<0.05). Conclusion:This study highlights some important misconceptions and improper practices of psychiatric nurses about using physical restraint. It is necessary to strengthen education and training on physical restraint for nursing staff to reduce unnecessary physical restraint use.

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Section: Discussionmentioning

confidence: 99%

Psychiatric Nurses’ Knowledge, Attitudes, and Practice Regarding Physical Restraint in China: A Multicentre Cross-Sectional Study

Chong¹,

Wang²,

Tong³

et al. 2023

JMDH

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“…The magnitude of adverse consequences that can be associated with using physical restraints has led institutions to introduce rigorous guidelines limiting their use to the minimum practicable extent (George, 2020). Earlier research identified empathy as a core predictor of nursing attitudes and behaviours able to prevent the occurrence of restraint use (Yıldırım Üşenmez & Gümüş, 2021). Generally speaking, empathy refers to the ability to understand others' experiences vicariously and identifies it as a crucial component of human adaptive social functioning (Davis, 2017).…”

Section: Introductionmentioning

confidence: 99%

Organizational citizenship behaviour as a protective factor against the occurrence of adverse nursing‐sensitive outcomes: A multilevel investigation

Mazzetti

Sciolino

Guglielmi

et al. 2022

J Nursing Management

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Aims: This study aimed to investigate the association between organizational citizenship behaviour enacted by nurses and the occurrence of adverse nursing-sensitive patient outcomes.Background: Managing psychosocial factors (i.e., aspects concerning the work environment) is key to ensure patient safety, to prevent exacerbation of case complexity and to cope with critical shortages in human and financial resources. Methods: Self-report measures of nurses' organizational citizenship behaviour were combined with objective data on the incidence of adverse nursing-sensitive outcomes (i.e., pressure ulcers and restraint use) collected through patients' medical records. Participants were 11,345 patients and 1346 nurses across 52 teams working in 14 Italian hospitals. Data were analysed using multilevel binary logistic regression models.Results: A negative relationship between nurses' organizational citizenship behaviour and restraint use was identified, with an odds ratio of 0.11. Thus, for a one-unit higher organizational citizenship behaviour score, the odds of using restraints shrink to about one eighth of the previous level.Conclusions: Intervention strategies to foster the implementation of organizational citizenship behaviour among nurses may inhibit the occurrence of critical outcomes affecting patients' health and well-being (i.e., using restraint devices).Implications for Nursing Management: In health care organizations, shaping a psychosocial environment encouraging organizational citizenship behaviour can mitigate the occurrence of adverse nursing-sensitive outcomes such as restraint use on patients.

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“…The PRQ is an instrument to measure nurses' knowledge, practice, and attitudes regarding physical restraint. This instrument and its various language versions have been used in inpatient psychiatric settings in Hong Kong [30], Finland [31], India [32], Malaysia [33], Saudi Arabia [26], Sudan [11], and Turkey [34][35][36].…”

Section: Introductionmentioning

confidence: 99%

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

Lee

Välimäki

2021

IJERPH

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There is a considerable amount of literature describing how nurses’ knowledge contributes to their attitudes and practices related to patient physical restraint. However, whether or not there have been any improvements in nurses’ knowledge levels, attitudes or practices regarding physical restraint during the past few years is unknown. A survey was conducted on nurses (n = 133) in one psychiatric hospital in Hong Kong (n = 98, response rate = 74%). The data were analyzed using independent t-tests, ANOVA, a Mann–Whitney U test, a Kruskal–Wallis test and Spearman’s rho. In general, nurses had good restraint-related knowledge with satisfactory attitudes and practices, although their knowledge levels, attitudes, and practices regarding restraint varied. Having a higher age, seniority, and education level contributed to a higher restraint-related knowledge level. Male nurses demonstrated more desirable practices (i.e., care of restrained patients), while nurses with a higher education level were more likely to avoid restraint. Nurses’ restraint-related knowledge positively correlated with restraint practices. Although nurses’ knowledge levels, attitudes, and practices regarding restraint were found to be satisfactory, more training efforts should focus on young nurses working in psychiatric settings with less work experience and lower education levels. As some nurses seem to favor the use of restraint with limited reflection, more studies are needed to verify nurses’ emotions and how their emotions influence the use of restrictive practices.

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The effect of empathy skills of psychiatric nurses on their attitudes and practices towards the use of physical restraint

Cited by 6 publications

References 30 publications

Psychiatric Nurses’ Knowledge, Attitudes, and Practice Regarding Physical Restraint in China: A Multicentre Cross-Sectional Study

Psychiatric Nurses’ Knowledge, Attitudes, and Practice Regarding Physical Restraint in China: A Multicentre Cross-Sectional Study

Organizational citizenship behaviour as a protective factor against the occurrence of adverse nursing‐sensitive outcomes: A multilevel investigation

The Knowledge, Practice and Attitudes of Nurses Regarding Physical Restraint: Survey Results from Psychiatric Inpatient Settings

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