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機構正式照顧者之約束知識、態度和使用理由之關係

The Relationship between Knowledge and Attitude Toward Restraint and Reasons for Restraint Use in Formal Caregivers in Institutions

摘要


The purpose of this study was to investigate the relationship between knowledge of restraint and attitude toward restraint and reasons for restraint usage observed in formal caregivers in institutions. A total of 68 care-givers comprising registered professional nurses, registered nurses and nursing assistants were chosen from 16 intermediate care facilities in Taipei and 2 nursing homes in Kaohsiung. The research findings showed that registered professional nurses had higher scores in knowledge of restraint usage than nursing assistants. There were significant differences in knowledge of restraint found according to formal caregivers’ job positions, age, licensure status, seniority, and restraint information obtained from various resources (ps<.05). In attitude towards restraint, the registered professional nurses and registered nurses had higher scores than nursing assistants. There were significant differences in attitude towards restraint according to different formal caregivers' licensure status and seniority (ps< .05). Analysis of the reasons for restraint usage revealed that nurses were less in favor of the reasons to use restraints than nursing assistants. There were significant correlations between formal caregivers knowledge of restraint and age (r=-0.24), seniority (r=0.29) and attitude toward restraint (t=0.3l). Attitude toward restraint had a significant positive relationship with seniority (r=0.24). However, there were no significant relationships between knowledge of restraint and attitude toward restraint and reasons for restraint use. The above results expressed that the older and lower seniority level formal caregivers had lower scores of knowledge about restraint. The higher the seniority and the more knowledge about restraint formal caregivers had, the more unfavorable attitude toward restraint they had. No relationships existed between knowledge of restraint and attitude toward restraint and reasons for restraint use. Recommendations for further study are to improve formal caregivers’ knowledge of restraint so as to change their attitude toward restraint in clinical settings, and to develop alternative methodologies geared toward reducing the frequency of restraint.

並列摘要


The purpose of this study was to investigate the relationship between knowledge of restraint and attitude toward restraint and reasons for restraint usage observed in formal caregivers in institutions. A total of 68 care-givers comprising registered professional nurses, registered nurses and nursing assistants were chosen from 16 intermediate care facilities in Taipei and 2 nursing homes in Kaohsiung. The research findings showed that registered professional nurses had higher scores in knowledge of restraint usage than nursing assistants. There were significant differences in knowledge of restraint found according to formal caregivers’ job positions, age, licensure status, seniority, and restraint information obtained from various resources (ps<.05). In attitude towards restraint, the registered professional nurses and registered nurses had higher scores than nursing assistants. There were significant differences in attitude towards restraint according to different formal caregivers' licensure status and seniority (ps< .05). Analysis of the reasons for restraint usage revealed that nurses were less in favor of the reasons to use restraints than nursing assistants. There were significant correlations between formal caregivers knowledge of restraint and age (r=-0.24), seniority (r=0.29) and attitude toward restraint (t=0.3l). Attitude toward restraint had a significant positive relationship with seniority (r=0.24). However, there were no significant relationships between knowledge of restraint and attitude toward restraint and reasons for restraint use. The above results expressed that the older and lower seniority level formal caregivers had lower scores of knowledge about restraint. The higher the seniority and the more knowledge about restraint formal caregivers had, the more unfavorable attitude toward restraint they had. No relationships existed between knowledge of restraint and attitude toward restraint and reasons for restraint use. Recommendations for further study are to improve formal caregivers’ knowledge of restraint so as to change their attitude toward restraint in clinical settings, and to develop alternative methodologies geared toward reducing the frequency of restraint.

被引用紀錄


尤素芬、林聰益、張哲豪、趙品淳、曾明基(2021)。新型移位機之技術商品化探討:以職業健康作為價值主張台灣公共衛生雜誌40(6),642-659。https://doi.org/10.6288%2fTJPH.202112_40(6).110111
謝佳容、盧美秀、林秋芬(2014)。身體約束教育方案對護理人員的知識、態度與行為成效之探討護理暨健康照護研究10(4),265-275。https://doi.org/10.6225%2fJNHR.10.4.265
凌家如(2008)。長期照護機構住民安全指標項目之探討-以機構實務工作者為對象〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-0807200916273700
楊秋萍(2010)。台灣地區失能老人使用醫療及長期照顧服務之相關因素探討〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-1511201215464802
藍紹桓(2018)。(一)探討KIAA0101基因在人類非小細胞肺癌中所扮演的角色 (二)統合分析長期照護管灌及身體約 束之照護模式〔博士論文,中山醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0003-1302201811381500

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