Assessment of Nurses' Performance Regarding Physical Restraining in Intensive Care Units

Main Article Content

Alaa Mahmoud Rabeh
Furat Hussien Mahmoud
Sabah Nazeh Mohammed Elderiny

Keywords

Intensive Care Units, Nurses' performance, Physical Restraining

Abstract

Background: Physical restraint is used to prevent therapy discontinuation, patients' falls or injuries, and to protect patients from removing tubes, drains, or any other medical equipment connected to their body.
Aim: The aim of this study was to assess nurses' performance regarding physical restraining in intensive care units.
Design: A descriptive exploratory design was utilized in this study.
Subject: A convenient subjects of all available nurses (N=60).
Setting: The study was carried out at general intensive care unit in Al-sheikh Zayed general and specialized hospital, at 6 October City in Giza Governorate.
Data collection tools: Three tools were used for data collection: (I) Self-administrated interview questionnaire related to physical restraining which included (a) Nurses' personal characteristics; (b) Nurses' knowledge and feedback related to physical restraining. (II) Physical restraint observational checklist. (III) Factors affecting nurses' performance regarding use of physical restraint.
Results: The study showed, two-thirds (60%) of the studied nurses had a poor level of knowledge, nearly three quarters (73.3%) of the studied nurses had a poor level of practice regarding physical restraint; and there was a highly statistically positive correlation between total of physical restraints knowledge and practice among the studied nurses.
Conclusion: The present study concluded that two-thirds of the studied nurses had an unsatisfactory level of general knowledge regarding physical restraint. Nearly three quarters of the studied nurses had a poor level of practice regarding physical restraint. Recommendations: In-service training programs are based on best practice guidelines for nurses working in ICU and integrating the physical restraint protocol into the plan of care to replace the traditional nursing care plan.

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References

1. Al - Khaled, T., Zahran, E., and El - Soussi, A. (2011): Nurses related factors influencing the lase of physical restraint in critical care units. Journal of American Science 7(8), 13-22. http ://www.americanscience.org
2. Ali, S., Gillani, S.A., Afzal, M., and Perveen, K. (2020): Assessment of nurse’s management skills for critically ill patients. Biol. Clin. Sci. Res. J., 2020: 13 doi: https://doi.org/10.54112/bcsrj.v2020i1.3
3. Al-Momani, H., Khater, A., Qasem, L., and Joseph, A. (2021): Nurses' knowledge and practices of physical restraints in intensive care units: An observational study. Nursing Open, 8(1), 262-272.
4. Bakhsh, E., Shaban, M., Alzoum, M. A., AlNassir, A. M., Bin Hamad, A. A., Alqahtani, M. S., AlAyoubi, L. A. F., Alamri, R. M., & Alamri, N. F. (2023). Neurological Consequences of Pulmonary Emboli in COVID-19 Patients: AStudy of Incidence and Outcomes in the Kingdom of Saudi Arabia. Brain Sciences, 13(2), 343. https://doi.org/10.3390/brainsci13020343
5. Balci, H., and Arslan, S. (2019): Nurses' Information, Attitude and Practices towards Use of Physical Restraint in Intensive Care Units J Caring Sci; 7(2): 75–81.
6. Brown, D., Edwards, H., Seaton, L., and Buckley, T. (2019): Lweis’ Medical- Surgical Nursing: Assessment and Management of Clinical Problems. China: Elsevier Health Nursing.
7. Chien, T., Chan, H., Lam, W., and Kam C. (2019): Psychiatric inpatients’ perceptions of positive/ negative aspects of physical restraint. Patient Education/ Counseling; 59(1): 80-86.
8. Cui, Q., Zhang, Y., Li, Q., Tang, J., Li, Y., Zhang, H., and Chen, D. (2021): Quality appraisal of guidelines on physical restraints in intensive care units: A systematic review Intensive and Critical Care Nursing; BMJ Open 2021;11:e055073. doi: 10.1136/bmjopen-2021-055073
9. Duwadi, S., Budal, S., and Hua, Z. (2019): Reducing Physical Restraint Use in Critically Ill Patients. International Journal of Endorsing Health Science Research (Ijehsr) 6(1):39.
10. Evans, D., Wood, J., Lambert, L., and Fitz-Gerald, M. (2020): Physical restraint in acute and residential care, A systematic review No. 22. The Joanna Briggs Institute, Adelaide, South Australia.
11. Freeman, S., Yorke, J., and Dark, P. (2019): Patient agitation and its management in adult critical care: A integrative review and narrative synthesis. Journal of Clinical Nursing, 27(7-8), 1284:1308.
12. Guenna, T., Wang, X., Deng, N., and Weng. W. (2021): Investigating influencing factors of physical restraint use in China intensive care units: A prospective, cross sectional, observational study. Australian Critical Care, 1(6), 1-6.
13. Janelli, M., Scherer, K., and Kuhn, M. (2019): acutr- critical care nurses' knowledge of physical restraints; Implications for staff development. Journal of Nursing Staff Development; 10(1): 6-11.
14. Joint Commission on Accreditation of Healthcare Organizations. (2019): Restraint and Seclusion: Complying with joint commission standards Joint Commission Resources, 1-121.
15. Lewis, L., Mclean, M., Ruff, S., Graber, P., and Bucher, L. (2019): Assessment and Management of Clinical Problems, 7 ed, Philadelphia, Mospy Elsevier, PP; 82-85.
16. Mohamed, S., and Ali, H. (2020): Nurses Practice to Physical Restraint Practices in ICU Units at Three Teaching Hospitals in Baghdad. KUFA Journal for Nursing Sciences; 5(1), 1-9.
17. Bakhsh, E., Shaban, M., Alzoum, M. A., AlNassir, A. M., Bin Hamad, A. A., Alqahtani, M. S., AlAyoubi, L. A. F., Alamri, R. M., & Alamri, N. F. (2023). Neurological Consequences of Pulmonary Emboli in COVID-19 Patients: A Study of Incidence and Outcomes in the Kingdom of Saudi Arabia. Brain Sciences, 13(2), 343. https://doi.org/10.3390/brainsci1302034
18. Nasrate, H., Shamlawi, A., and Darawad, D. (2019): Improving ICU Nurses’ Practices of Physical Restraints in Jordan: Effect of an Educational Program. Health; 9, 1632-1643.
19. Nettina, S., Msn, A. (2013): Lippincott Manual of Nursing Practice, (10th ed.), Philadelphia: Wolters Kluwer health, 729-33.
20. Phillips, S. (2020): Countering workplace aggression - An urban tertiary care institutional exemplar. Nursing Administration Quarterly; 31 (3): 209-218.
21. Rahi, S. (2020): Research Design and Methods: A Systematic Review of Research Paradigms, Sampling Issues and Instruments Development. Int J Econ Manag Sci 6: 403. 2020.
22. Schieb, D., Protas, L., and Hasson, M. (2021): special feature implications of physical restraint and restraint reduction of older persons. Topics in Geriatric Rehabilitation, 12(2): 526-529.
23. Sze, T. (2019): The effectiveness of physical restraints in reducing falls among adults in acute care hospitals and nursing homes: a systematic review. JBI Libr Syst Rev. 2019; 10(5): 307-351.
24. Taha, N. and Ali, Z. (2013): Physical Restraints in Critical Care Units: Impact of a Training Program on Nurses’ Knowledge and Practice and On Patients’ Outcomes. J Nurse Care 2:135. doi:10.4172/21671168.1000135.
25. Younis, G., and Ahmed, E. (2019): Physical Restraint and Maintenance of critically ill patient's safety in Intensive Care Unit: Effect of Clinical practice guidelines on nurse's practice and attitude. IOSR Journal of Nursing and Health Science (IOSR-JNHS); 2320–1940. 4(6): 06-21.