Abstract
Physical restraint is still frequently used in many countries. However, a lack of education hinders physical restraint reduction in long-term care facilities. No study has yet to examine the effects of physical restraint reduction education on nursing students. This study aimed to evaluate the effects of a web-based educational program of physical restraint reduction on nursing students’ knowledge and perceptions. A cluster randomized controlled and single-blind design was used. This study was conducted at four nursing schools in South Korea. A total of 169 undergraduate nursing students completed this study. Using random allocation, two nursing schools (85 students) were allocated as the experimental group and the other two schools (84 students) as the control group. The experimental group received the web-based educational program, and the control group did not receive the educational program. Data were collected immediately before and after the web-based educational program. The experimental group’s knowledge and perceptions significantly improved between pre-test and post-test. The analysis of covariance showed statistically significant differences between groups in knowledge (p < 0.001) and perceptions (p < 0.001) over time, revealing positive effects of the web-based educational program. The web-based educational program regarding physical restraint reduction positively affected nursing students’ knowledge and perceptions. Future studies are required to examine the educational program’s longitudinal effects with more rigorous measurements and research methods.
Highlights
Physical restraint is defined as “any action or procedure that prevents a person’s free body movement to a position of choice and/or normal access to his/her body by the use of any method, attached or adjacent to a person’s body that he/she cannot control or remove ” (p. 2309) [1]
This study aimed to explore the effects of a web-based educational program regarding physical restraint reduction in long-term care facilities on the knowledge and perceptions of fourth-year nursing students in undergraduate nursing programs
This study aimed to evaluate the effects of educational programs regarding physical restraint reduction on nursing students in undergraduate nursing programs
Summary
Physical restraint is defined as “any action or procedure that prevents a person’s free body movement to a position of choice and/or normal access to his/her body by the use of any method, attached or adjacent to a person’s body that he/she cannot control or remove ” (p. 2309) [1]. Physical restraint is defined as “any action or procedure that prevents a person’s free body movement to a position of choice and/or normal access to his/her body by the use of any method, attached or adjacent to a person’s body that he/she cannot control or remove ” Despite many adverse effects and fatalities [2], the prevalence of physical restraint use in long-term care facilities is still high in many countries: 84.9% in. Most Asian countries face rapidly increasing numbers of people with dementia, low-quality care in long-term care facilities, and a high prevalence of physical restraint use [4,5,7,9]. In Korea, physical restraints are commonly used in most long-term care facilities. Many Korean long-term care facilities still frequently use many kinds of physical restraints (i.e., bedside rails, mitts, wrist restraints, trunk restraints, or chairs to prevent rising) [4].
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