Nurses' Knowledge and Practice Regarding Restraints at Intensive Care Units in Egypt Health Care Authority Hospitals

Muhammed Dyab, Rasha Gamal; Mahmoud, Amal Sobhy; Shahin, Eman  Saleh Mohamed; Abd El Reheem, Heba Abd El Reheem

doi:10.21608/pssjn.2024.232329.1291

Nurses' Knowledge and Practice Regarding Restraints at Intensive Care Units in Egypt Health Care Authority Hospitals

Document Type : Original Article

Authors

¹ medical and surgical, nursing ,port said university .port said , Egypt

² Psychiatric Nursing and Mental Health,nursing,portsaid university.portsaid,egypt

³ Medical surgical nursing

10.21608/pssjn.2024.232329.1291

Abstract

Background: Restraint knowledge and practise by nurses are vital in providing nursing care to restrained patients and preventing problems. The evaluation of nurses' knowledge and practise in relation to the applied constraint impact on nursing care, as well as its weaknesses and strengths. Aim: The aim of this study is to assess nurses' knowledge and practice regarding restraints at intensive care units in Egypt Health Care Authority hospitals. Subjects and Methods: Design: Descriptive correlational study design was applied. Setting: This study was performed at ICU in the Egypt Health Care Authority Hospitals in Port Said Governorate. Sample:Convenience sample of nurses, with total number of 129 working at ICU in the time of data gathering. Tools of Data Collection: Two tools were employed for getting data: Tool I: A self-administered Nurses’ Knowledge Questionnaire, Tool II: Nurses' Practice Observational Checklist. Results: The study findings showed that 68.5% of the surveyed nurses had satisfactory knowledge, highes percentage of them (93.8% ) had satisfactory practice concerning restraints; and there was a statistically significant relation among satisfactory level of nurses’ knowledge and satisfactory level of nurses’ practice regarding restraint for patients in ICU. Conclusion: This study finding included that satisfactory level of knowledge and practice among nurses regarding restraints at ICU. Recommendations: Continues orientation an regular in serves restraining programs for nurses in ICU regarding restraint for continues updating their knowledge.

Keywords

Main Subjects

Medical Surgical Nursing

References

Al-Khaled, T., Zahran, E., & El-Soussi, A. (2017). Nurses’ related factors influencing the use of physical restraint in critical care units. Journal of American Science, 7(8), 13-22.

Ang, S. Y., Bakar, A., F., Perera, K., Wee, S. L., Manickam, A., Lee, J. H. & Chan, J. K. (2016). Physical restraints among the elderly in the acute care setting: Prevalence, complications and its association with patients’ characteristics. Proceedings of Singapore Healthcare, 24(3), 137-143.

Backes, M.T.S., Erdmann, A.L., Büscher, A. (2019). The living, dynamic and complex environment care in intensive care unit. Rev Latino-Am Enfermagem, 23(3),411–8. https://doi.org/10.1590/0104-1169.0568.2570.

Balci, H. & Arslan, S. (2018). Nurses' informatıon, attıtude and practıce towards physıcal restraınt in intensıve care units. Journal of Caring Sciences, 7 (2), 75.

Bharmal, M., Danivas, V., Keenan, P., Jones, S., Karat, S. C., Kalyanaraman, K., & Krishna, M. (2016). An interpretative phenomenological analysis (IPA) of coercion towards community dwelling older adults with dementia: Findings from Mysore studies of natal effects on ageing and health (MYNAH). Social psychiatry and psychiatric epidemiology, 51(12), 1659-1664.‏

Cadore, E. L., Moneo, A. B. B., Mensat, M. M., Muñoz, A. R., Casas-Herrero, A., Rodriguez-Mañas, L., & Izquierdo, M. (2014). Positive effects of resistance training in frail elderly patients with dementia after long-term physical restraint. Age, 36(2), 801-811.‏

Cannon, M. E., Sprivulis, P., & Mccarthy, J. (2001). Restraint practices in Australasian emergency departments. Australian & New Zealand Journal of Psychiatry, 35(4), 464-467.‏

Danivas, V., Lepping, P., Punitharani, S., Gowrishree, H., Ashwini, K., Raveesh, B. N., & Palmstierna, T. (2016). Observational study of aggressive behaviour and coercion on an Indian acute ward. Asian journal of psychiatry, 22 (1), 150-156.‏

De Jonghe, B., Constantin, J. M., Chanques, G., Capdevila, X., Lefrant, J. Y., Outin, H., & Mantz, J. (2016). Physical restraint in mechanically ventilated ICU patients: A survey of French practice. Intensive care medicine, 39(1), 31-37.‏

Elsatar, A., & El-latief, O. M. A. (2020). Nurses’ knowledge, attitude and practice towards safety physical restraints use in intensive care unit. Zagazig Nursing Journal, 11(1), 33-48.

Eskandari, F., Abdullah, K. & Zainal, N. (2017). Use of physical restraint: Nurses‟ knowledge, attitude, intention and practice and influencing factors. J Clin Nurs, 26(23), 1-10.

Janelli, M., Scherer, K., & Kuhn, M. (2019). Acutr- critical care nurses' knowledge of physical restraints; implications for staff development. Journal of Nursing Staff Development, 10(1), 6- 11

Ji, Y., Yang, X., Wang, J., Cai, W., Gao, F., & Wang, H. (2022). Factors influencing the physical restraint of patients in the neurosurgical intensive care unit. Clinical Nursing Research, 31(1), 46-54.

Mohamed, S., & 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.

Nasrate, H., Shamlawi, A., & Darawad, M. W. (2017). Improving ICU nurses’ practices of physical restraints in Jordan: Effect of an educational program. Health, 9 (12), 1632-1643.‏

Perez, D., Peters, K., Wilkes, L., & Murphy, G. (2019). Physical restraints in intensive care–An integrative review. Australian critical care, 32(2), 165-174.

Perkins, E., Prosser, H., Riley, D., &Whittington, R. (2016). Physical restraint in a therapeutic setting; a necessary evil? International journal of law and Psychiatry, 35(1),43.

Scheepmans K, Dierckx de Casterlé B, Paquay L, Van Gansbeke H, Milisen K. Restraint use in older adults receiving home care. J Am Geriatr Soc. 2020;65(8):1769–76.

Suliman, M., Aloush, S., & Al-Awamreh, K. (2020). Knowledge, attitude and practice of intensive care unit nurses about physical restraint. Nursing in Critical Care, 22(5), 264–269. https://doi.org/10.1111/nicc.12303.

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. 10(5). 307-351.

Taha, N. M., & Ali, Z. H. (2017). Physical restraints in critical care units: impact of a training program on nurses’ knowledge and practice and on patients’ outcomes. J Nurse Care, 2(2), 1-9.

Tanaka, M. (2023). Exploring the ethics of physical restraints: Students’ questioning. Nursing ethics, 30(3), 408-422.

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, 4(6), 06-21.