Yoğun Bakım Hemşirelerinin Yaşlılara Yönelik Tutumları ile Fiziksel Tespit Edici Kullanımları Arasındaki İlişki

Yıl 2022, Cilt: 17 Sayı: 3, 63 - 71, 02.11.2022

Gülşen Kılıç , Ülkü Polat

https://doi.org/10.17517/ksutfd.953286

Cited By: 1

Öz

Özet

Amaç: Yoğun bakım hemşirelerinin yaşlılara yönelik tutumları ile fiziksel tespit edici kullanımına ilişkin bilgi, tutum ve uygulamaları arasındaki ilişkiyi belirlemek.

Gereç ve Yöntemler: Araştırma, kesitsel tipte olup, Şubat-Nisan 2016 tarihleri arasında iki üniversite hastanesi ve bir özel hastanenin yoğun bakım ünitelerinde çalışan 107 hemşire ile yapılmıştır. Araştırmada veriler, “Anket Formu”, “Hemşirelerin Fiziksel Tespit Edici Kullanımına İlişkin Bilgi Düzeyi, Tutum ve Uygulamaları Ölçeği” ile “Yaşlı Ayrımcılığı Tutum Ölçeği (YATÖ)” kullanılarak toplanmıştır.

Bulgular: Yoğun bakım hemşirelerin fiziksel tespit kullanımına ilişkin bilgi puan ortalaması 7.22±1.59, tutum puan ortalaması 31.60±5.80, uygulama puan ortalaması 37.64±2.99 olarak bulundu. Yoğun bakım hemşirelerinin YATÖ toplam puan ortalaması 86.13±9.44 olarak bulundu. Hemşirelerin fiziksel tespit kullanımına ilişkin bilgi düzeyi, tutum ve uygulamaları ile yaşlılara yönelik tutumları arasında istatistiksel olarak anlamlı ilişki bulunmadı (p>0.05).

Sonuç: Hemşirelerin fiziksel tespit edici kullanımına ilişkin bilgi düzeylerinin iyi, tutumlarının olumlu ve uygulamalarının yeterli düzeyde olduğu ve yaşlılara yönelik tutumlarının ise olumlu olduğu bulundu. Yoğun bakım hemşirelerinin fiziksel tespit uygulamasını, yaşlı hastanın güvenliğini sağlamada bakımın bir parçası olarak gördükleri düşünülmektedir.

Anahtar Kelimeler

Fiziksel tespit , yaşlı , yoğun bakım , hemşire , tutum

Proje Numarası

Ethics committee approval was received for this study from the Gazi University. (date and number: 02/03/2016-E.282045).

The Relationship between Intensive Care Nurses’ Attitudes towards the Elderly and Their Use of Physical Restraints

Öz

Abstract

Objective: This study aimed to investigate the relationship between the attitudes among intensive care nurses towards older people and the use of physical restraints.

Material and Methods: This cross-sectional study was performed between February-April 2016. The study designed in survey method was conducted on 107 nurses working in intensive care units of three hospitals. In the study, data were collected by using the “Survey Form”, “ The Scale for Measuring Nurses’ Knowledge Level, Attitudes and Practices regarding the Use of Physical Restraints” and Ageism Attitude Scale (AAS).

Results: The average scores of intensive care nurses regarding the use of physical restraints were found to be 7.22±1.59 for their knowledge, 31.60±5.80 for their attitudes and 37.64±2.99 with respect to the practice of restraining devices. Their average score regarding the Ageism Attitude Scale, on the other hand, was 86.13±9.44. There was no correlation between the level of knowledge, attitudes and practices of the nurses about the use of physical restraint and their attitudes towards the elderly.

Conclusion: It was found that the knowledge level of the nurses about the use of physical restraints wkaas good, their attitudes were positive and their practices were sufficient, and their attitudes towards the elderly were positive. It is thought that intensive care nurses consider physical restraint practice as a part of the care to ensure the safety of the elderly patient.

Anahtar Kelimeler

Physical restraints , older people , intensive care unit , nurse , attitude

Proje Numarası

Ethics committee approval was received for this study from the Gazi University. (date and number: 02/03/2016-E.282045).

Teşekkür

The authors want to thank the participants in the study.

Kaynakça

• Şahin S, Hatunoğlu Z. Geri dönüşüm sistemlerine yönelik algı düzeyi, finansmanı ve muhasebeleştirilmesi: Kahramanmaraş Sütçü İmam Üniversitesi Örneği. Ekonomik ve Sosyal Araştırmalar Dergisi. 2016;12(2):73-93.
• Li X, Fawcett TN. Clinical decision making on the use of physical restraint in intensive care units. Int J Nurs Sci, 2014;1:446-450.
• Burk R, Grap M, Munro C, Schubert C, Sessler C. Predictors of agitation in critically ill adults. Am J Crit Care. 2013;23(5):414-422.
• Kandeel NA, Attia AK. Physical restraints practice in adult intensive care units in Egypt. Nurs. Health Sci. 2013;15(1):79-85.
• Stinson KJ. Nurses' attitudes, clinical experience, and practice issues with use of physical restraints in critical care units. Am J Crit Care. 2016;25(1):21-26.
• Bai X, Kwok TCY, Ip IN, Woo J, Chui MYP, Ho FKY. Physical restraint use and older patients’ length of hospital stay. Health Psychol Behav Med. 2014;2(1):160–170.
• Hamers JPH, Huizing AR. Why do we use physical restraints in the elderly? Z Gerontol Geriat. 2005;38(1):19-25.
• Scheepmans K, Dierckx de Casterlé B, Paquay L, Milisen K. Restraint use in older adults in homecare: A systematic review. Int J Nurs Stud. 2018;79:122-136.
• Chuang YH, Huang HT. Nurses’ feelings and thoughts about using physical restraints on hospitalized older patients. J Clin Nurs., 2007;16(3):486-494.
• Hamers JPH. Review: Nurses predominantly have negative feelings towards the use of physical restraints in care of older patient, though some still perceive a need in clinical practice. Evid Based Nurs. 2015;18(2):64.
• Ralph M, Gabrielea M. Attitudes of nurses towards the use of physical restraints in care of older patient: A systematic review of qualitative and quantitative studies. Int J Nurs Stud., 2014;51(2):274-288.
• Eskandari F, Abdullah KL, Zainal NZ, Wong LP. Use of physical restraint: Nurses’ knowledge, attitude, intention and practice and influencing factors. J Clin Nurs. 2017;26 (23-24):4479–4488.
• Salehi Z, Joolaee S, Hajibabaee F, Ghezeljeh TN. The challenges of using physical restraint in intensive care units in Iran: A qualitative study. J Intensive Care Soc. 2021;22(1):34-40.
• Coşgun T, Kısacık GÖ, Stinson KJ. Evaluation of physical restraint practices and their neurovascular effect on intensive care unit patients. Yoğun Bakım Dergisi. 2019;10(2):1-10.
• Liu Y, Norman IJ, While AE. Nurses’ attitudes towards older people: A systematic review. Int J Nurs Stud. 2013;50(9):1271-1282.
• Özer ZC, Terkeş N. Evaluation of nursing students’ attitudes towards ageism in Turkey. Procedia Soc Behav Sci. 2014;116:2512-2515.
• Ünalan D, Soyuer F, Elmalı F. Evaluation of the attitudes of the care of older patient center workers towards elderly patient. Kafkas J Med Sci. 2012;2(3):115-120.
• Hanson RM. Is elderly care affected by nurse attitudes? A systematic review. Br J Nurs. 2014;23(4):225-229.
• Kydd A, Engstrom G, Touhy T, Newman D. Attitudes of nurses, and student nurses towards working with older people and to gerontological nursing as a career in Germany, Scotland, Slovenia, Sweden, Japan and the United States. Int. J Nurs Stud. 2014;6:182-190.
• Saarnio R, Isola A. Nursing staff perceptions of the use of physical restraint in institutional care of older people in Finland. J Clin Nurs. 2010;19 (21-22): 3197-3207.
• Helmuth AM. Nurses’ attitudes toward older persons on their use of physical restraints. Orthop Nurs. 1995;14:43–51.
• Myers H, Nikolett S, Hill A. Nurses’ use of restraints and their attitudes toward restraint use and the elderly in an acute care setting. Nurs Health Sci. 2008;3(1):29-34.
• Kaya H, Aşti T, Acaroğlu R, Erol S, Savcı C. Hemşirelerin fiziksel tespit edici kullanımına ilişkin bilgi tutum ve uygulamaları. MaltepeÜniversitesi Hemşirelik Bilim ve Sanat Dergisi. 2008;1(2): 21-29.
• Moradimajd P, Noghabi AA, Zolfaghari M, Mehran A. Physical restraint use in intensive care units. Journal of Critical Care Nursing. 2015; 8(3):173-178.
• Celik S, Kavrazlı S, Demircan E, Güven N, Durmuş Ö, Duran ES. Yoğun bakım hemşirelerinin fiziksel tespit kullanımına ilişkin bilgi, tutum ve uygulamaları. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2012;3:176-183.
• Suen LKP. Knowledge, attitudes and practice of nursing home staff towards physical restraints in Hong Kong nursing homes. Asian J Nurs Stud, 1999;5:73-86.
• Vefikuluçay D. Üniversitede öğrenim gören öğrencilerin yaşlı ayrımcılığına ilişkin tutumları (Doktora Tezi). Ankara, Hacettepe Üniversitesi, 2008.
• Suen LKP, Lai CKY, Wong TKS, Chow SKY, Kong SKF, Ho JYL. et al. Use of physical restraints in rehabilitation settings: staff knowledge, attitudes and predictors. J Adv Nurs. 2006;55(1):20–28.
• Agens EJ. Chemical and physical restraint use in the older person. Br J Med Prac. 2010;3(1):302-307.
• Fashafsheh I, Mohamed S, Ayed A, Al –Rababah D. A descriptive cross-sectional study to assess the perception and knowledge of staff nurses regarding physical restrains. Open J Nurs. 2019;7(9): 239-248.
• Jiang H, Li C, Gu Y, He Y. Nurses’ perceptions and practice of physical restraint in China. Nursing Ethics. 2015;22(6): 652-660.
• Köpke S, Mühlhauser I, Gerlach A, Haut A, Haastert B, Möhler R, Meyer G. Effect of a guideline-based multi component intervention on use of physical restraints in nursing homes: A randomized controlled trial. JAMA. 2012;307(20):2177-2184.
• Balcı H, Arslan S. Nurses' ınformation, attitude and practices towards use of physical restraint in ıntensive care units. J Caring Sci. 2018;7(2):75-81.
• Lai, CK. “Nurses using physical restraints: are the accused also the victims? -A study using focus group interviews”. BMC Nursing. 2007; 6(1):5.
• Higgins I, Van Der Riet P, Slater L, Peek C. The negative attitudes of nurses towards older patients in the acute hospital setting: a qualitative descriptive study. Contemp Nurse. 2007;26(2): 225-237.
• Natan BM, Akrish O, Zaltkina B, Noy RH. Physically restraining elder residents of long-term care facilities from a nurses' perspective. Int J Nurs Pract. 2010;16(5): 499-507