The Efficacy of an In-Service Education Program Designed to Enhance the Effectiveness of Physical Restraints

Yin-Yin Chang; Hsiu-Hui Yu; El-Wui Loh; Li-Yin Chang

doi:10.1097/jnr.0000000000000092

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P79 - 86

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

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The Efficacy of an In-Service Education Program Designed to Enhance the Effectiveness of Physical Restraints

身体约束在职教育之效果评价

张瑛瑛(Yin-Yin Chang) ；尤琇慧(Hsiu-Hui Yu) ；罗尔维(El-Wui Loh) ；张丽银(Li-Yin Chang)

The Journal of Nursing Research ； 24 卷 1 期 (2016 / 03 / 01) ， P79 - 86

英文 DOI： 10.1097/jnr.0000000000000092

身体约束；在职教育；加护病房； physical restraint ； in-service education ； intensive care unit (ICU)

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摘要 │ 参考文献 (24) │ 被引用文献 (6) │ 国际计量

摘要〈TOP〉

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Background: Physical restraints are used to enhance the safety of patients and to avoid injury. However, physical restraints may cause injuries if improperly used or if they are used in the absence of continuous monitoring. Nursing staff who use physical restraints often lack sufficient related knowledge, which may increase the risk to patient safety. Purpose: This study investigates the impact of an in-service education program for nursing staff that is designed to improve physical-restraint-related knowledge, attitudes, behaviors, and techniques. Methods: A pretest-posttest design and a quasi-experimental method were employed to evaluate the effectiveness of the in-service education program. One hundred thirty-six nursing staff from four adult intensive care units (ICUs), including two medical ICUs and two surgical ICUs, in a medical center in central Taiwan were enrolled as participants. The experimental group (EG) and the control group (CG) were composed of patients from one randomly assigned medical ICU and one randomly assigned surgical ICU each. The pretest data on physical-restraint-related knowledge, attitudes, behaviors, and techniques were collected before the in-service education program. The EG received 2 hours of classroom education on guidelines and techniques related to physical restraints. The posttest data for the two groups were collected a month after implementation of the in-service education program. General Estimation Equation was used to measure and analyze the data repeatedly. Results: The posttest scores of the EG for knowledge and technique were significantly higher than the pretest scores (p G .0001). However, the posttest scores of the EG for attitudes and behaviors did not significantly differ from the pretest scores. Conclusions/Implications for Practice: In-service education for physical restraints enhances relevant knowledge and techniques but does not significantly affect attitudes or behaviors. Correct implementation of physical restraints not only promotes the quality of nursing care for patients in the ICU but also reduces the risk of physical-restraint-related complications. This study highlights the importance of changing the thoughts and concepts related to the use of physical restraints within the overall caring strategy of hospitals.

参考文献 ( 24 ) 〈TOP〉

Huang, H. T.,Chuang, Y. H.,Chiang, K. F.(2009).Nurses' physical restraint knowledge, attitudes, and practices: The effectiveness of an in-service education program.The Journal of Nursing Research,17(4),241-248.
连结：
Yeh, S.H.,Hsiao, C.Y.,Ho, T. H.,Chiang, M.C.,Lin, L. W.,Hsu, C. Y.,Lin, S. Y.(2004).The effects of continuing education in restraint reduction on novice nurses in intensive care units.The Journal of Nursing Research,12(3),246-256.
连结：
Taiwan Joint Commission on Hospital Accreditation. (2014). 104 years edition hospital accreditation benchmark and evaluation capacity project (draft). Retrieved from http://www.mohw.gov.tw/CHT/Ministry/DM2_P.aspx?f_list_no=9&fod_list_no=4559&doc_no=46892 (Original work published in Chinese)
Berzlanovich, A. M.,Schopfer, J.,Keil, W.(2012).Deaths due to physical restraint.Deutsches Arzteblatt International,109(3),27-32.
Birkett, K. M.,Southerland, K. A.,Leslie, G. D.(2005).Reporting unplanned extubation.Intensive and Critical Care Nursing,21(2),65-75.

被引用文献 ( 6 ) 〈TOP〉

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