Assessment of Nurses’ Knowledge, Attitude and Practice Regarding Physical Restraint: A Scoping Review

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
Zahra Alsomali, H. Elsayes, L. Sharif
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引用次数: 0

Abstract

The use of physical restraints (PR) in healthcare settings, especially in psychiatric units, is a controversial topic. The attitude, knowledge, and practices of nurses towards PR can influence its application, which raises concerns about the balance between patient safety and individual rights. With mental disorders being a leading cause of disability globally, understanding the complexities surrounding PR use becomes paramount. A comprehensive literature review was conducted using multiple databases, including PubMed, Medline, CINAHL, PsycINFO, ProQuest, The Cochrane Library, the Saudi Digital Library, and Google Scholar. The search spanned literature published up to December 2022, focusing on studies that explored the relationship between nurses’ knowledge, attitudes, and practices regarding PR in psychiatric settings. Inclusion and exclusion criteria were applied to filter out relevant studies. From 220 records initially retrieved, 12 articles were identified for the final review. The reviewed studies highlighted a moderate knowledge and attitude among nurses concerning PR. Many nurses were found to be uncertain about the reasons for PR application and its alternatives. Educational interventions were emphasized in several studies as beneficial in improving nurses’ knowledge, attitudes, and practices. However, inconsistencies were observed regarding the impact of these interventions on nurses’ attitudes. Experience, higher education, and continuous training sessions were found to be correlated with better knowledge and more favourable attitudes towards PR. This review emphasizes the critical need for consistent training and education for nurses regarding PR, given the profound implications for patient care and safety. While educational interventions show promise in enhancing knowledge and practice, their impact on attitudes remains contested. Future research should consider the gaps identified in this review, including the exploration of alternatives to PR, larger sample sizes and longitudinal studies to understand the long-term effects of interventions.
评估护士对人身约束的认识、态度和实践:范围审查
在医疗机构,尤其是在精神科病房中使用身体约束(PR)是一个有争议的话题。护士对强制手段的态度、知识和实践会影响强制手段的使用,从而引发对患者安全和个人权利之间平衡的担忧。精神障碍是全球致残的主要原因之一,因此了解使用 PR 的复杂性变得至关重要。我们使用多个数据库进行了全面的文献综述,包括 PubMed、Medline、CINAHL、PsycINFO、ProQuest、The Cochrane Library、Saudi Digital Library 和 Google Scholar。搜索范围涵盖截至 2022 年 12 月发表的文献,重点关注探讨精神病院中护士对公关的认识、态度和实践之间关系的研究。采用纳入和排除标准筛选出相关研究。从最初检索到的 220 条记录中,确定了 12 篇文章进行最终审查。综述研究强调了护士对 PR 的了解程度和态度。研究发现,许多护士不清楚实施 PR 的原因及其替代方案。一些研究强调教育干预有利于改善护士的知识、态度和实践。然而,这些干预措施对护士态度的影响并不一致。研究发现,经验、高等教育和持续的培训课程与对 PR 更好的了解和更有利的态度相关。鉴于公关对患者护理和安全的深远影响,本综述强调了对护士进行持续公关培训和教育的迫切需要。虽然教育干预措施在增强知识和实践方面大有可为,但其对态度的影响仍有争议。未来的研究应考虑本综述中发现的不足,包括探索公关的替代方法、扩大样本量和进行纵向研究,以了解干预措施的长期效果。
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来源期刊
Indian Journal of Palliative Care
Indian Journal of Palliative Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.30
自引率
0.00%
发文量
57
期刊介绍: Welcome to the website of the Indian Journal of Palliative Care. You have free full text access to recent issues of the journal. The links connect you to •guidelines and systematic reviews in palliative care and oncology •a directory of palliative care programmes in India and IAPC membership •Palliative Care Formulary, book reviews and other educational material •guidance on statistical tests and medical writing.
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