Methodology Article | | Peer-Reviewed

Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital

Received: 3 April 2024     Accepted: 8 May 2024     Published: 20 August 2024
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Abstract

Background: Physical restraint can be defined as any act that avoids a person's liberated body change to a position of preference and, or regular evaluation to their body by the application of any technique, attached or adjacent to a person’s body that they cannot manage or remove easily. Inappropriate use of physical restraints may cause patients grave damage. Different studies informed that patients faced to physical restraints pass on due to pneumonia, constipation, and incontinence, as well as circulatory and respiratory problems. Critical care nurses should make correct decisions regarding use of physical restraints if they are to guarantee patient safety by the accountable nurse. Aim: the intention of this study was to assess nurses’ knowledge, attitude and practice; towards physical restraints use. Method: study design was a descriptive cross Sectional that used to assess knowledge, attitude and practice of nurses towards physical restraints in Orotta national referral hospital with self-administered questionnaire. Lastly data was analyzed using SPSS version 26. Results: the study was conducted among 100 nurses. 60% of the respondents were females and the median age of the study participants was 28 (IQR=6) years, with a minimum age of 21 and maximum age of 50yrs. Most of the study participants 31% had age of 25 or less years. Majority of them were diploma level and did not take any physical restraint related training 55% and 84% respectively. Except in recovery (12%) and adult ICU (27%) areas, the number of nurses in medical, surgical and adult was similar (each 20%). More than ninety percent (94%) of the study participants were not aware of the presence of guidelines regarding physical restraint in their work area. Conclusion: In this current study we concluded that, there was no correlation between knowledge and attitude and also between attitude and practice. But there was correlation between knowledge and practice. Those who have good knowledge can practice well. Nursing implication: By evaluating the current nurses’ knowledge, attitude and practice, this study will contribute recommendation on the frequent training of nurses on physical restraints and possible avoidance of it or safe practice.

Published in World Journal of Medical Case Reports (Volume 5, Issue 1)
DOI 10.11648/j.wjmcr.20240501.11
Page(s) 1-12
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Attitude, Knowledge, Nurses, Physical Restrain, Practice

References
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[2] Çelik S, Kavrazlı S., Demiran E, Güven N, Durmuş O, Duran ES. (2012). Knowledge, Attitudes And Practices Of Intensive Care Nurses Related To Using Physical Restraints. Acibadem University Journal of Health Sciences 3(3): 176-183.
[3] Demir A. (2007). The use of physical restraints on children: Practices and attitudes of paediatric nurses in Turkey. International Nursing Review 54(4): 367–374.
[4] Eşer İ, HakverdiogluG. (2006). Deciding On Using A Physical Restraint. C. Ü. Journal of Nursing School 10(1): 37-42.
[5] Kaya H, Aştı T, Acaroglu R, ErolS, SavcıC. (2008). Nurses’ Knowledge, Attitudes And Practices Related To Using Physical Restraints. Maltepe University Journal of Nursing Science and Art1 (2): 21-29.
[6] Orhan MF, Yakut Hİ. (2012). [Knowledge, Attitudes And Practices of Pediatric Intensive Care Nurses Related To Using Physical Restraints] Türkiye Çocuk Hast. Derg. Turkish J. Pediatr. Dis. 6(3): 155-160.
[7] Regan Judy J, Wilhoite Kerri, Faheen Uzma, Wright Arvis. The use of restraint in psychiatric settings. The Journal mental health series. Tenn Med. 2006Mar: 41-2.
[8] Radziewicz RosanneM, Amato Shelly, Bradas Cheryl, Mion Lorraine C. Use of physical restraints with elderly patients. 2009Feb. Available from:
[9] Berzlanovich, A. M., Schöpfer, J., & Keil, W. (2012) Deaths due to physical restraint. Dtsch ArzteblInt. 109: 27-32.
[10] Hakverdioglu, G., Demir, A., & Ulusoy, F. (2006) Evaluation of emergency nurses’ knowledge on physical restraints. Türkiye Klinikleri J. MedSci. 26, 634-641 (in Turkish).
[11] Kalula, S. Z., & Petros, S. G. (2016) Use of physical restraint in hospital patients: A descriptive study in a tertiary hospital in South Africa. Curationis 39(1): 1-8.
[12] Lielt Mersha (2019). Assessment of Knowledge, Attitude, Practice And Associated Factors Towards Use Of Physical Restraint Among Nurses Working In Adult Icu In Federally Administered Hospitals Addis Ababa, Ethiopia. Thesis for masters of science degree in emergency medicine and critical care nursing in Addis Ababa.
[13] Abeer El-Said, H. E. & Ragaa Gasim, A. M. (2018). Assessment of nurse's knowledge, attitudes, and practice regarding physical restraints among critical ill patients. National Journal of Advanced; 4(1): 15-22.
[14] Kaya, H., & Dogu O. (2018). Intensive Care Unit Nurses’ Knowledge, Attitudes And Practices Related To Using Physical Restraints. International Journal of Caring Sciences, 11:1, 61-70.
[15] Kandeel N. A. & Attia, A. K.: Physical restraints practice in adult intensive care units in Egypt. Nursing and Health Sciences. 2013; 15, 79–85.
[16] Swee, G. L. and Vivian, J. T. (2021). Critical care nurses’ knowledge, attitudes and practices on the usage of physical restrainer. IEJSME; 15 (1): 5-18.
[17] Fatma, B. & Fatmana, İ. (2019). The Knowledge, Attitudes and Practices of Nurses in Relation to the Use of Physical Restraints. International Journal of Health Sciences; 7(1): 18-25. URL:
[18] Gunawardena, R., & Smithard, D. G. (2019). The attitudes towards the use of restraint and restrictive intervention among health care staff on acute medical and frailty wards- A brief literature review. Geriatrics (Basel), 4(3), 50.
[19] Mahmoud AS. Psychiatric Nurses’ Attitude and Practice toward Physical Restraint. Arch. Psychiatr. Nurs. 2017; 31: 2-7.
[20] Om-Mohamed Abed El-Latief Nurses’ Knowledge, Attitude and Practice towards Safety Physical Restraint Zagazig Nursing Journal January; 2015 Vol. 11, No. 1.
Cite This Article
  • APA Style

    Kidane, H., Habtemariam, M., Tewelde, R., Mahmud, S., Habte, E. (2024). Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital. World Journal of Medical Case Reports, 5(1), 1-12. https://doi.org/10.11648/j.wjmcr.20240501.11

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    ACS Style

    Kidane, H.; Habtemariam, M.; Tewelde, R.; Mahmud, S.; Habte, E. Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital. World J. Med. Case Rep. 2024, 5(1), 1-12. doi: 10.11648/j.wjmcr.20240501.11

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    AMA Style

    Kidane H, Habtemariam M, Tewelde R, Mahmud S, Habte E. Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital. World J Med Case Rep. 2024;5(1):1-12. doi: 10.11648/j.wjmcr.20240501.11

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  • @article{10.11648/j.wjmcr.20240501.11,
      author = {Hisabu Kidane and Merhawi Habtemariam and Rahel Tewelde and Sulieman Mahmud and Eyasu Habte},
      title = {Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital
    },
      journal = {World Journal of Medical Case Reports},
      volume = {5},
      number = {1},
      pages = {1-12},
      doi = {10.11648/j.wjmcr.20240501.11},
      url = {https://doi.org/10.11648/j.wjmcr.20240501.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20240501.11},
      abstract = {Background: Physical restraint can be defined as any act that avoids a person's liberated body change to a position of preference and, or regular evaluation to their body by the application of any technique, attached or adjacent to a person’s body that they cannot manage or remove easily. Inappropriate use of physical restraints may cause patients grave damage. Different studies informed that patients faced to physical restraints pass on due to pneumonia, constipation, and incontinence, as well as circulatory and respiratory problems. Critical care nurses should make correct decisions regarding use of physical restraints if they are to guarantee patient safety by the accountable nurse. Aim: the intention of this study was to assess nurses’ knowledge, attitude and practice; towards physical restraints use. Method: study design was a descriptive cross Sectional that used to assess knowledge, attitude and practice of nurses towards physical restraints in Orotta national referral hospital with self-administered questionnaire. Lastly data was analyzed using SPSS version 26. Results: the study was conducted among 100 nurses. 60% of the respondents were females and the median age of the study participants was 28 (IQR=6) years, with a minimum age of 21 and maximum age of 50yrs. Most of the study participants 31% had age of 25 or less years. Majority of them were diploma level and did not take any physical restraint related training 55% and 84% respectively. Except in recovery (12%) and adult ICU (27%) areas, the number of nurses in medical, surgical and adult was similar (each 20%). More than ninety percent (94%) of the study participants were not aware of the presence of guidelines regarding physical restraint in their work area. Conclusion: In this current study we concluded that, there was no correlation between knowledge and attitude and also between attitude and practice. But there was correlation between knowledge and practice. Those who have good knowledge can practice well. Nursing implication: By evaluating the current nurses’ knowledge, attitude and practice, this study will contribute recommendation on the frequent training of nurses on physical restraints and possible avoidance of it or safe practice.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital
    
    AU  - Hisabu Kidane
    AU  - Merhawi Habtemariam
    AU  - Rahel Tewelde
    AU  - Sulieman Mahmud
    AU  - Eyasu Habte
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    DO  - 10.11648/j.wjmcr.20240501.11
    T2  - World Journal of Medical Case Reports
    JF  - World Journal of Medical Case Reports
    JO  - World Journal of Medical Case Reports
    SP  - 1
    EP  - 12
    PB  - Science Publishing Group
    SN  - 2994-726X
    UR  - https://doi.org/10.11648/j.wjmcr.20240501.11
    AB  - Background: Physical restraint can be defined as any act that avoids a person's liberated body change to a position of preference and, or regular evaluation to their body by the application of any technique, attached or adjacent to a person’s body that they cannot manage or remove easily. Inappropriate use of physical restraints may cause patients grave damage. Different studies informed that patients faced to physical restraints pass on due to pneumonia, constipation, and incontinence, as well as circulatory and respiratory problems. Critical care nurses should make correct decisions regarding use of physical restraints if they are to guarantee patient safety by the accountable nurse. Aim: the intention of this study was to assess nurses’ knowledge, attitude and practice; towards physical restraints use. Method: study design was a descriptive cross Sectional that used to assess knowledge, attitude and practice of nurses towards physical restraints in Orotta national referral hospital with self-administered questionnaire. Lastly data was analyzed using SPSS version 26. Results: the study was conducted among 100 nurses. 60% of the respondents were females and the median age of the study participants was 28 (IQR=6) years, with a minimum age of 21 and maximum age of 50yrs. Most of the study participants 31% had age of 25 or less years. Majority of them were diploma level and did not take any physical restraint related training 55% and 84% respectively. Except in recovery (12%) and adult ICU (27%) areas, the number of nurses in medical, surgical and adult was similar (each 20%). More than ninety percent (94%) of the study participants were not aware of the presence of guidelines regarding physical restraint in their work area. Conclusion: In this current study we concluded that, there was no correlation between knowledge and attitude and also between attitude and practice. But there was correlation between knowledge and practice. Those who have good knowledge can practice well. Nursing implication: By evaluating the current nurses’ knowledge, attitude and practice, this study will contribute recommendation on the frequent training of nurses on physical restraints and possible avoidance of it or safe practice.
    
    VL  - 5
    IS  - 1
    ER  - 

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Author Information
  • Department of Nursing, Orotta College of Medicine and Health Sciences, Asmara, Eritrea

  • Department of Nursing, Orotta College of Medicine and Health Sciences, Asmara, Eritrea

  • Department of Nursing, Orotta College of Medicine and Health Sciences, Asmara, Eritrea

  • Department of Nursing, Orotta College of Medicine and Health Sciences, Asmara, Eritrea

  • Department of Statistics, College of Science, Mai-Nefhi, Eritrea

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