Nurses' Physical Restraint Knowledge, Attitudes, and Practices: The Effectiveness of an In-Service Education Program

護理人員身體約束知識、態度及行為之成效探討

黃惠子(Hui-Tzu Huang) ； 莊宇慧(Yeu-Hui Chuang) ； 江桂芬(Kuei-Feng Chiang)

《The Journal of Nursing Research》 17卷4期 (2009/12) Pp. 241-248

摘要

背景　身體約束經常應用在限制干擾醫療行為與保護病人安全，但臨床護理人員對於約束仍具有不當的認知及使用情形。因此教導其正確的約束知識、培養適當的態度與適當的執行約束，實為刻不容緩之事，如此方能提供病人更具品質的照護。
目的　探討短期身體約束在職教育對護理人員約束知識、態度及自評行為之成效。
方法　採類實驗設計，以方便取樣，針對南部某醫療體系下之兩家醫院內外科及加護病房護理人員進行收案。以隨機方式選擇一家醫院為實驗組，另一家為控制組，共收實驗組59位，控制組70位護理人員。實驗組接受90分鐘的約束在職教育；兩組於介入措施前及之後的二星期進行資料收集。研究工具包括人口學變項、以及身體約束知識、身體約束態度、身體約束行為三個量表。
結果　實驗組之約束知識(p=.000)、態度(p=.007)及自評行為(p=.048)有顯著改善，但兩組的約束態度則無顯著差異。
結論及應用　建議針對急性醫療院所護理人員規劃短期的約束在職教育，將能改善其約束知識及行為。

關鍵字

身體約束 ； 護理人員 ； 知識 ； 態度 ； 行為

並列摘要

Background: Physical restraints are commonly used to reduce treatment interference risk and protect patient safety. However, nurses still hold misconceptions about the use of physical restraints in acute care settings. Teaching nursing staff accurate knowledge and proper skills, cultivating positive attitudes, and rectifying irregularities in physical restraint use are all necessary to improve patient care.
Purpose: The aim of this study was to examine the effectiveness of a short-term in-service education program in improving nurses' knowledge, attitudes, and self-reported practices related to physical restraint use.
Methods: Convenience sampling was used in this quasi-experimental study at two different branches of one hospital in southern Taiwan. The two branches were randomly assigned as either the intervention or control group. Fifty-nine nurses at one branch were assigned to the intervention group, and 70 nurses in the other branch were assigned to the control group. The developed 90-minute in-service education program was given to nurses in the intervention group. The questionnaire included demographic data and three scales (Knowledge of Physical Restraint Use, Attitudes of Physical Restraint Use, and Practice of Physical Restraint Use). These scales were used to measure critical study variables prior to and 2 weeks after the intervention.
Results: Results found a significant improvement in the intervention group in terms of knowledge (p=.000), attitudes (p=.007), and self-reported practices (p=.048) related to physical restraint use after program completion. However, there were no significant differences in participant attitudes toward the use of physical restraints between intervention and control groups after program completion.
Conclusions and Implications for Practices: Physical restraint knowledge and skills improved after the 90-minute in-service education program. Findings highlight the need to provide a short-term in-service education program on physical restraint use in acute care settings.

並列關鍵字

physical restraints ； nurses ； knowledge ； attitudes ； practices

參考文獻

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