Assessment of nurse's knowledge, attitudes, and practice regarding physical restraints among critical ill patients
Abeer El-Said Hassane El-sol, Ragaa Gasim Ahmed Mohmmed
Nurses in critical ill setting as ICU mostly use physical restraints to maintain the patients’ devices and therapy, such as endotracheal tubes, central lines, and arterial lines. Around 80% of critical ill patients admitted into different types of ICUs may need to apply physical restraints due to alterations in their level of consciousness during a stay in ICU. Nurses' knowledge, attitude and practice about physical restraints play an important role in nursing care provided to restrained patients and prevent its complications. The assessment of nurses' knowledge, attitude and practice related to the applied restraint influence on nursing care and recognizing its weakness and strength.
Aim of the study: To assess nurse's knowledge, attitudes, and practice regarding physical restraints among critically ill patients.
Methodology: A descriptive design was used.
Subjects & Setting: The target population of this study consisted of 60 nurses who working at Alshaab Teaching Hospital during the study period.
Tools: Structured Interviewing Questionnaire: consists of four parts:
Part-1: Socio-demographic designed questionnaire was used to collect the demographic data related to nurses in the study;
Part-2: Structured designed questionnaire was used to collect the nurses' knowledge;
Part-3: Structured designed questionnaire was used to collect the nurses' attitude and
Part-4: Structured designed questionnaire was used to collect the nurses' practice related to physical restraints.
The results: Most of studied sample were female, had bachelor degree in nursing, more than 5 years of experiences, aged between 21-30 years old, and not attended a previous educational program about physical restraints. The majority of the nurses had a fair level of knowledge, improper attitude and about 91.7% of nurses had a satisfactory level of practice toward application of physical restraints among critical ill patients. As relationship between sociodemograhpic characters & nurses` knowledge, attitude & practice, there was no significant correlation between nurses' age and knowledge, attitude & practice, there was a statistical significant correlation between nurses’ gender and knowledge and practice only. There was statistical significant correlation between nurse’s qualification and practice only, finally there was a statistical significant correlation between nurses’ experience years and attitude and practice score.
Conclusion: The present study concluded that, there was a fair level of nurses' knowledge, improper attitude and satisfactory practice to physical restraints among critically ill patients.
Recommendation: conduct in-service training programs for nurses working in all critical care settings about physical restraints and the hospital should develop evidence-based written guidelines or policies on physical restraint to be accessible for all nurses and physicians in order to follow.