Nurses' knowledge and practices of physical restraints in intensive care units: An observational study

Abstract

Aim To investigate the knowledge and practice of physical restraints (PR) among Jordanian intensive care unit (ICU) nurses. Design A descriptive, observational design was used. Methods A convenience sampling was used to recruit participants. We examined the knowledge of PR in 301 nurses (knowledge check) and the real‐time practice of PR in 81 nurses (direct observation) in ICU. A knowledge questionnaire was used to collect data on knowledge about PR use, and data on their practice of PR were observed and documented using an observation checklist. Results The mean scores of nurses' knowledge and practices were 61.5 ( SD = 12.1) and 57.4 ( SD = 9.7), respectively. More than half of nurses had poor knowledge of PR use and incorrect practice of implementing PR (51.5% and 60.5%, respectively). Results indicated a positive correlation between nurses' knowledge and their use of PR.

Knowledge, Attitude, and Practice of Nursing Home Staff Regarding Physical Restraint in China: A Cross-Sectional Multicenter Study

“…In this study, the main reason for the nursing staff 's non-standard restraint decisions was the lack of knowledge of alternative restraint measures. Moreover, there was a general lack of records of physical restraint among nursing staff in this study, which was consistent with the findings of Almomani et al (36). Effective and complete records of restraint are helpful for nursing staff to grasp the overall situation of elderly restraint, identify, and deal with the adverse effects of restraint in time, and provide a reference for when to terminate restraint.…”

Between Restrictive and Supportive Devices in the Context of Physical Restraints: Findings from a Large Mixed-Method Study Design

“…However, collecting more data on clinical experience and knowledge of both participant nurses and researchers would be helpful to further explain the findings given. Nurse expertise and education have been demonstrated as affecting physical restraint occurrence [ 17 , 43 ], as well as the validity of the qualitative data codification performed.…”

“…According to the evidence available, decisional triggers of physical restraint use have been categorised in: (a) patient-related factors, such as risks of falls or device removal, and aggressive behaviours; (b) context-related factors, such as the lack of human resources and the work environment quality [ 16 ]; and (c) nurse-related factors, regarding the education, expertise and attitudes. The inadequate education and the negative attitudes have been reported as increasing the use of physical restraints [ 17 ]. In line with this, targeted educational interventions have been documented to be effective in preventing physical restraint use [ 18 ].…”

Nurses’ Knowledge, Attitudes, and Practices towards Using Physical Restraints in Intensive Care Units

“…Other studies found correlation with either knowledge or attitudes. For instance, Almomani et al (2021) found a significant relationship between knowledge and practice of PR, while Abd Elhameed and Elemam (2020) found a positive relationship between attitudes and practice. Conversely, other studies concluded that there was no relationship between nurses' knowledge, attitude, and practice of PR (Kaya & Dogu, 2018;Khalil, Al Ghamdi, & Al Malki, 2017) Existing publications indicate that no consensus has been reached on practice issues and attitudes regarding the use of PR in ICU, or identifying the exact factors (demographic or work related) that affect PR practices.…”

“…Studies conducted in Jordan showed that nurses applied PR with no approval by physician or patients' families (Suliman et al, 2017). Also, other studies found low knowledge, insufficient information about alternative methods, and in adequate documentation, in addition to lack of guidelines and protocols on the use of PR, which represents as a serious problem (Almomani, Khater, Qasem, & Joseph, 2021;Nasrate et al, 2017;Suliman et al, 2017).…”