Iranian nurses’ perceptions about using physical restraint for hospitalized elderly people: a cross-sectional descriptive-correlational study

Abstract

Background Using physical restraint (PR) for hospitalized elderly people is a major nursing challenge. It is associated with different physical and mental complications and ethical dilemmas, though many nurses still use it to ensure patient safety. Nurses’ perceptions are one of the most important factors affecting PR use. This study aimed to evaluate Iranian nurses’ perceptions about PR use for hospitalized elderly people. Methods This cross-sectional descriptive-correlational study was conducted from July to December 2019. Participants were 270 hospital nurses who were purposively recruited from intensive care units and medical and surgical wards of three teaching hospitals in Kermanshah, Iran. Data were collected using a demographic questionnaire and the Perceptions of Restraint Use Questionnaire (PRUQ). The SPSS software (v. 23.0) was used for data analysis through the independent-sample t test, the one-way analysis of variance, and the multiple regression analysis. Results The total mean score of PRUQ was 4.08 ± 0.12 in the possible range of 1–5. The most important reasons for PR use were to prevent patients from falling out of bed and to prevent them from pulling out catheters. The total mean score of PRUQ had significant relationship with participants’ age, work experience, and history of receiving PR-related educations (P < 0.05), but had no significant relationship with their gender, educational degree, and affiliated hospital ward (P > 0.05). Conclusion This study suggests that nurses attach high importance to PR use for hospitalized elderly people. Healthcare policy-makers at national and hospital levels are recommended to provide nurses with PR-related educations in order to reduce the rate of PR-related complications.

Hospital Restraints: Safe or Dangerous? A Case of Hospital Death Due to Asphyxia from the Use of Mechanical Restraints

“…In fact, it is shown in the literature that the calculation of the number of nurses/number of patients is essential to reduce the use of physical restrictions on patients [ 17 , 18 , 19 ]. Furthermore, the use of restraint devices increases with the years of experience of the healthcare personnel and with the reduction in their degree of empathy towards pain [ 14 ].…”

Design and validation of a preparedness evaluation tool of pre-hospital emergency medical services for terrorist attacks: a mixed method study

“…In formative tools, the items that make up the dimensions of the tool are not conceptually related [ 26 ]. For formative tools structural validity cannot be done by factor analysis (exploratory-confirmatory) method because factor analysis requires a linear relationship between variables [ 27 ]. designed tool in this study was a checklist with nature of formative and we used convergent validity to perform the construct validity.…”

Knowledge, Attitudes and Practices of Intensive Care Nurses on the Use of Physical Retainers

“…Nurses' knowledge underlies their behavior in carrying appropriate nursing activities out during a crisis. Sharifi et al (2020) stated that as the professional experience of nurses increases, there is a significant relationship between physical restraint practices, and the experience of nurses and the tendency to use physical restraints are higher with advancing age (Sharifi et al, 2020, pp.1-7). Younis and Ahmed (2017) stated that the level of practice for physical restraint increased in nurses working in the intensive care unit for more than 10 years (Younis and Ahmed, 2017, pp.6-21).…”