The Effects of Continuing Education in Restraint Reduction on Novice Nurses in Intensive Care Units

約束縮減在職教育對加護病房新進護理人員之成效

葉淑惠(Shu-Hui Yeh)；蕭秋月(Chiu-Yueh Hsiao)；賀天蕙(Tien-Hui Ho)；江明珠(Ming-Chu Chiang)；林麗味(Li-Wei Lin)；許瓊尹(Chiung-Yin Hsu)；林淑媛(Shu-Yuan Lin)

約束縮減 ； 在職教育 ； 加護病房 ； restraint reduction ； continuing education ； intensive care unit

The Journal of Nursing Research

12卷3期（2004 / 09 / 01）

246 - 256

英文

A decrease in the use of physical restraints in Intensive Care Units (ICUs) is an important indicator of quality of nursing care. This quasi-experimental study examined the effect on nurses of a session of continuing education aimed at reducing the use of restraints. At a medical center in southern Taiwan, 37 novice nurses were surveyed about their knowledge, perception, attitude and clinical practice of restraint use in 11 ICUs. Two instructors then taught a four-hour continuing education class on patient restraint standards, principles for reducing physical restraint use, and alternatives to restraining. Data were analyzed by paired t-test and the results of identical structured questionnaires which participants received before and after the lecture, showed that, afterwards, knowledge (t = -6.04, p ＜ .01), perception (t = 4.76, p ＜ .01), and attitude (t = 3.93, p ＜ .01) toward restraint use had significantly improved . The continuing education improved the nurses’ knowledge and attitude toward restraint use and may therefore enhance the quality of care provided to ICU patients.

A decrease in the use of physical restraints in Intensive Care Units (ICUs) is an important indicator of quality of nursing care. This quasi-experimental study examined the effect on nurses of a session of continuing education aimed at reducing the use of restraints. At a medical center in southern Taiwan, 37 novice nurses were surveyed about their knowledge, perception, attitude and clinical practice of restraint use in 11 ICUs. Two instructors then taught a four-hour continuing education class on patient restraint standards, principles for reducing physical restraint use, and alternatives to restraining. Data were analyzed by paired t-test and the results of identical structured questionnaires which participants received before and after the lecture, showed that, afterwards, knowledge (t = -6.04, p ＜ .01), perception (t = 4.76, p ＜ .01), and attitude (t = 3.93, p ＜ .01) toward restraint use had significantly improved . The continuing education improved the nurses’ knowledge and attitude toward restraint use and may therefore enhance the quality of care provided to ICU patients.

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