Factors influencing critical care nurses’ intentions to use physical restraints adopting the theory of planned behaviour: A cross-sectional multicentre study

Via‐Clavero, Gemma; Guàrdia‐Olmos, Joan; Falcó‐Pegueroles, Anna; Gil-Castillejos, Diana; Lobo-Cívico, A.; Cueva-Ariza, Laura de la; Romero-García, Marta; Hito, Pilar Delgado

doi:10.1016/j.aucc.2019.09.003

Cited by 13 publications

(7 citation statements)

References 41 publications

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“…Those who lack such a good attitude will not continue to conduct the relevant preparatory work [27]. Many previous studies have also confirmed that MHO staff's attitude towards behavior has a positive impact on their behavior intention [28][29][30][31][32]. Therefore, this study infers that a positive emergency attitude indicates a good EPBI.…”

Section: Tpb and Epbisupporting

confidence: 51%

Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital

Zhao

Wang

Hong

2021

IJERPH

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Medical and Health Organization (MHO) staff’s emergency preparedness awareness and behaviors are essential variables that affect public health emergency response effectiveness. Based on the theory of psychological capital and the theory of planned behavior (TPB), this study discusses the mechanism of the psychological characteristics of MHO staff on their emergency preparedness behavioral intention (EPBI). To verify the research model, we conducted a web-based questionnaire survey among 243 MHO staff from China and analyzed the data using the structural equation modeling software, AMOS 24.0 (IBM, New York, United States). The empirical results reveal that psychological capital significantly affected cognitive processes theorized by TPB. This study suggests that the positive psychological capital of MHO staff should be developed and managed to improve their EPBI.

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Section: Tpb and Epbisupporting

confidence: 51%

Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital

Zhao

Wang

Hong

2021

IJERPH

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“…The use of physical restraints (25.2%) in this study is similar to that reported by other studies in our setting 24,37 and to restraint use reported among European nurses by Egerod et al 57 However, higher restraint rates of 33% and 52% have been reported in the United States by Pun et al 19 and in Canada by Burry et al, 35 respectively. The lower use of physical restraints in this study might be explained by the high prevalence of deep sedation and immobility, and associated contextual factors 62 …”

Section: Discussionmentioning

confidence: 75%

“…and to restraint use reported among European nurses by Egerod et al57 However, higher restraint rates of 33% and 52% have been reported in the United States by Pun et al19 and in Canada by Burry et 35 respectively. The lower use of physical restraints in this study might be explained by the high prevalence of deep sedation and immobility, and associated contextual factors 62. Patient mobility depends greatly on the level of cooperation.…”

mentioning

confidence: 74%

The impact of ABCDE bundle implementation on patient outcomes: A nationwide cohort study

Frade-Mera

Arias-Rivera

García

et al. 2022

Nursing in Critical Care

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Background:The ABCDE bundle is a set of evidence-based practices to systematically reduce the risks of sedation, delirium, and immobility in intensive care patients.Implementing the bundle improves clinical outcome. Aims andObjectives: To investigate the association between patient outcomes and compliance with bundle components ABC (analgosedation algorithms), D (delirium protocol), and E (early mobilization protocol). Design: A Spanish multicentre cohort study of adult patients receiving invasive mechanical ventilation (IMV) for ≥48 h until extubation. Methods: The primary outcome was pain level, cooperation to permit Medical Research Council Scale administration, patient days of delirium, and mobility. The secondary outcome was cumulative drug dosing by IMV days. Tertiary outcomes (ICU days, IMV days, bed rest days, ICU mortality, ICUAW) and independent variables (analgosedation, delirium, early mobilization protocols) were also studied. Results: Data were collected from 605 patients in 80 ICUs and 5214 patient days with IMV. Two-thirds of the ICUs studied applied no protocols. Pain was not assessed on 83.6% of patient days. Patient cooperation made scale administration feasible on 20.7% of days. Delirium and immobility were found on 4.2% and 69.9% of days, respectively. Patients had shorter stays in ICUs with bundle protocols and fewer days of IMV in ICUs with delirium and mobilization bundle components (P = 0.006 and P = 0.03, respectively). Analgosedation protocols were associated with more opioid dosing

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“…Furthermore, regarding the available alternatives, Vía-Calvero et al . (2020) 49 noted that nurses identified family presence as a factor to promote the minimization of physical restraint. 36 Rosa et al .…”

Section: Discussionmentioning

confidence: 99%

The ethical implications of preventing hospital delirium in older adults: A scoping review

et al. 2022

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Introduction Hospital delirium is a frequent, serious, costly, and underrecognized acute disorder of attention and cognition. Therefore, the prevention of hospital delirium is not only desirable for patients, caregivers, healthcare professionals, and the health system itself, but also a moral duty. Objective To identify and synthetize the main ethical aspects that arise related to the prevention of hospital delirium in patients 65 years and older. Methods A scoping review was carried out in Embase, Medline, and Web of Science (January 2009–January 2022). Articles published in English or Spanish analyzing any pharmacologic, non-pharmacologic, or multicomponent intervention for prevention of delirium in hospitalized patients aged 65 years and over were included. Results Twenty-seven studies were included. Based on the frequency of appearance and the relevance, our findings were organized into three main areas. The first one was related to the principle of nonmaleficence and collected findings about the iatrogenic causes of hospital delirium and the use of restraints systems. The second area analyzed the impact of delirium in patients, families, and healthcare professionals from a relational ethics perspective, and addressed the family presence as a factor to prevent delirium. Finally, the third area is related to the quality of care. Conclusion Prevention of delirium in hospitals is essential to avoid the discomfort and potential clinical complications of patients, as well as the suffering of their relatives, caregivers, and healthcare professionals. Policymakers and healthcare managers are encouraged to make the required efforts to prevent delirium in hospitalized older patients.

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Factors influencing critical care nurses’ intentions to use physical restraints adopting the theory of planned behaviour: A cross-sectional multicentre study

Cited by 13 publications

References 41 publications

Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital

Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital

The impact of ABCDE bundle implementation on patient outcomes: A nationwide cohort study

The ethical implications of preventing hospital delirium in older adults: A scoping review

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