Determination of Knowledge, Attitudes and Practices of Nurses Working in Surgical Intensive Care Units on the Use of Physical Restraint: A Multicenter Cross-Sectional Study

Abstract

Background: Research on the knowledge, attitudes, and practices of nurses working in surgical intensive care units regarding the use of physical restraints is limited. Objective: This study aimed to assess nurses’ knowledge, attitudes, and practices regarding physical restraint use in surgical intensive care units (S-ICUs). Method: The research, a descriptive cross-sectional study, involved nurses from three hospitals’ surgical intensive care units between March 15th and June 15th, 2022, with a total of 73 voluntarily participating nurses (n=73). Data were gathered using the Physical Restraint Knowledge, Attitude, and Practice Scale via face-to-face surveys. In the analysis of the data, independent t tests and one-way ANOVA were used. The post hoc Tukey HSD test was utilized to determine the variables contributing to the differences. A p-value of <0.05 was considered statistically significant, and the study’s reporting adhered to the STROBE checklist. Results: The participating nurses had a mean age of 32.08±6.91 years, with 61.6% being female and 68.5% having undergraduate degrees. The total scale score was 76.86±6.58, with subdimension scores for knowledge, attitude, and practice at 7.09±1.49, 32.52±4.5, and 37.24±3.30, respectively. Nurses working ≤61 hours per week had lower scores in physical restraint attitude and practice (p=.001 for both), and there was a significant negative correlation between nurses’ weekly working hours and their physical restraint attitude and practice scores (r=.746 and r=.734, respectively) (p<.05). Conclusion: Nurses displayed shortcomings in knowledge, attitudes, and practices related to physical restraint use. It has been determined that nurses do not consistently document the physical restraint, do not always implement it solely based on physician directives, and do not always resort to alternative methods. Knowledge scores were linked to S-ICU work experience, while attitude and practice scores were influenced by weekly working hours.

Keywords

• Intensive Care Unit
• Physical Restraint
• Surgical
• Nursing

Cerrahi Yoğun Bakım Ünitelerinde Çalışan Hemşirelerin Fiziksel Tespit Kullanımına İlişkin Bilgi, Tutum ve Uygulamalarının Belirlenmesi: Çok Merkezli Kesitsel Bir Çalışma

Abstract

Giriş: Cerrahi yoğun bakım ünitelerinde çalışan hemşirelerin fiziksel tespit kullanımına ilişkin bilgi, tutum ve uygulamalarını belirleyen araştırmalar sınırlıdır. Amaç: Bu çalışma, cerrahi yoğun bakım ünitelerinde (C-YBÜ) çalışan hemşirelerin fiziksel tespit kullanımına ilişkin bilgi, tutum ve uygulamalarını belirlemek amacıyla yapıldı. Yöntem: Araştırma, tanımlayıcı kesitsel bir çalışma olup, 15 Mart 2022 ile 15 Haziran 2022 tarihleri arasında üç hastanenin cerrahi yoğun bakım ünitelerinde görev yapan toplam 73 gönüllü hemşire (n=73) ile yürütüldü. Veriler, Fiziksel Kısıtlama Bilgi, Tutum ve Uygulama Ölçeği kullanılarak yüz yüze anketler aracılığıyla toplandı. Verilerin analizinde bağımsız gruplarda t testi ve tek yönlü ANOVA kullanıldı. Farklılıklara katkıda bulunan değişkenleri belirlemek için post hoc Tukey HSD testi kullanıldı. p-değeri <0.05 olan sonuçlar istatistiksel olarak anlamlı kabul edildi ve çalışmanın raporlaması STROBE kontrol listesine uygun olarak yapıldı. Bulgular: Çalışmaya katılan hemşirelerin yaş ortalaması 32.08±6.91, %61.6’sı kadın, %68.5’i lisans mezunudur. Ölçeğin toplam puanı 76.86±6.58, bilgi, tutum ve uygulama alt boyut puanları (sırasıyla; 7.09±1.49, 32.52±4.5, 37.24±3.30) bulundu. Haftalık çalışma süresi ≤61 saat olan hemşirelerin fiziksel tespit tutum ve uygulama puan ortalamaları daha düşüktü (sırasıyla p=.001, p= .001, p=.001) (p<.05). Hemşirelerin haftalık çalışma saatleri ile fiziksel kısıtlama tutum ve uygulama puanları arasında negatif yönde yüksek bir korelasyon vardı (sırasıyla, r=.746 ve r=.734) (p<.05). Sonuç: Hemşirelerin fiziksel tespit bilgi, tutum ve uygulamalarında eksikler olduğu belirlendi. Hemşirelerin fiziksel tespit uygulamasını her zaman kayıt etmediği, hekim direktifi ile uygulamadığı, alternatif yöntemlere başvurmadığı belirlendi. Bilgi puanları C-YBÜ çalışma deneyimlerinden, tutum ve uygulama puanları ise haftalık çalışma sürelerinden etkilenmektedir.

Keywords

• Yoğun Bakım Ünitesi
• Fiziksel Tespit
• Cerrahi
• Hemşirelik

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