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)

《The Journal of Nursing Research》 12卷3期 (2004/09) Pp. 246-256

摘要

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.

關鍵字

約束縮減 ； 在職教育 ； 加護病房

並列摘要

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.

並列關鍵字

restraint reduction ； continuing education ； intensive care unit

參考文獻

Chang, Y. F.,Liu, L. F.,Liu, P. E.(2001).Improvement of restraint intervention in a psychiatric ward.VGH Nursing.18(1),72-79.

Chang, Y. S.(2000).Physical restraint use among residents of long-term care facilities.Graduate School of Health Policy and Management, National Taiwan University.

Chiang, M. C.,Hsu, L. N.,Chen, T. O.,Kao, M. L.(1999).An exploration of the nurses’ knowledge and attitudes of physical restraints.Chang Gung Nursing.10(1),42-50.

Chiou, S. F.,Chuang, C. Y.,Chen, C. H.,Yang, F. M.,Mao, G. Y.,Tang, C. I.(1996).The effects of orthopedic nursing continuing education program on nurses.VGH Nursing.13(3),332-342.

Coble, P.,Davis, J.(2001).Restraint reduction in a large tertiary medical center.Journal of Nursing Administration.31(7/8),344-345.