Abstract
Background: Physical Restraint (PR) has been widely used in the intensive care units, which aims to protect patients and maintain their safety. With all benefits of PR, there are many complications and risks from improper utilization. Further, no Jordanian studies have found to educate nurses regarding the proper PR utilization. Purpose: To evaluate the impact of an educational program on nurses’ knowledge, attitude and practice regarding PR use in ICUs. Methods: A pre-experiment with one-group pretest-posttest design was used among 40 ICU nurses. A self-administered questionnaire was used to evaluate nurses before the education program and two weeks after its completion. Results: After implementation of the program, nurses demonstrated a significant difference in knowledge scores between pretest (M = 10.35 ± 1.73) and posttest (M = 13.30 ± 1.47) (t = 9.92; df = 39; P = 0.000), attitudes scores (M = 27.90 ± 2.79 vs. M = 30.40 ± 2.32) (t = 4.61; df = 39; P = 0.000), and practice scores (M = 36.85 ± 1.98 vs. M = 40.52 ± 1.60) (t = 11.59; df = 39; P = 0.000). Conclusion: Service-education program can improve ICU nurses’ knowledge, and enhance their attitudes and practices towards physical restraint. Such improvement is expected to be reflected in improving the quality of care delivered to the patients, and decreasing complications of malpractice regarding physical restraint.
Highlights
IntroductionA previous study reported that the rate of using restraints is different among the intensive care units (ICU), where it was higher in (12.6 to 50.1%) medical ICU compared to (14.5 to 34%) in surgical ICUs [5]
The findings of this study demonstrated significant improvement in general level of knowledge, attitude and practice regarding Physical Restraint (PR) use among intensive care units (ICU) nurses, which leads to accept the set hypotheses regarding impact of educational program
This study was carried out to test the hypotheses that implementing educational program for training nurses in their using PR would improve their related knowledge, attitude and practice in ICUs
Summary
A previous study reported that the rate of using restraints is different among the ICUs, where it was higher in (12.6 to 50.1%) medical ICU compared to (14.5 to 34%) in surgical ICUs [5]. Purpose: To evaluate the impact of an educational program on nurses’ knowledge, attitude and practice regarding PR use in ICUs. Methods: A pre-experiment with one-group pretest-posttest design was used among 40 ICU nurses. Conclusion: Service-education program can improve ICU nurses’ knowledge, and enhance their attitudes and practices towards physical restraint. Such improvement is expected to be reflected in improving the quality of care delivered to the patients, and decreasing complications of malpractice regarding physical restraint
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