The Relationship Between Intensive Care Nurses's Physical Restraint Practices and Care Behavior


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Authors

  • Hüseyin KIZILIRMAK Sarıyer Hamidiye Etfal Eğitim ve Araştırma Hastanesi
  • Süreyya BULUT Adnan Menderes Üniversitesi, Hemşirelik Fakültesi, Hemşirelik Esasları Anabilim Dalı

DOI:

https://doi.org/10.5281/zenodo.7391849

Keywords:

Caring Behaviors, Physical Detection, Nursing

Abstract

Physical restraint, which is preferred when patients in intensive care unit are likely to remove their equipment intentionally or unintentionally, is one of the most widely used methods to control safety in critically ill individuals. The nurse should evaluate the complications that may occur due to the applied physical restraint and prevent them with the care she will provide, or try to reduce the complications of the physical restraint effectively and accurately. This research was conducted in analytical cross-sectional type to determine the relationship between physical restraint practices and care behaviors of intensive care nurses. The study was conducted with 115 nurses (N=123) working in the intensive care unit of a Training and Research Hospital affiliated to the Ministry of Health in the city center of Istanbul between 01.04.2021 and 01.07.2021 who agreed to participate in the study. Data; It was collected based on nurses' self-reports using the Individual Characteristics Description Form, the Physical Detection Application and Evaluation Scale, and the Care Behaviors Scale-24. It was found that 87.9% of the nurses were in the 20-29 age group, 81.7% were women, 49.6% had 1-5 years of professional experience. There was a positive middle between the care behavior scale and its sub-dimensions and the Physical Restraint Practice and Evaluation Scale mean score. It was found that there was a significant relationship at a high level (p<0.05), and female nurses' caring behavior scale mean scores were higher than men’s. The research shows that intensive care nurses' physical restraint application and evaluation situations are related to their care behaviors.

References

Asadı, S.E., Shams, N.R. (2014). Nurses' perceptıon of Carıng Behavıors In Intensıve Care Unıts In Hospıtals of Lorestan Unıversıty. Med Surg Nurs, 3(3), 170-176.

Aydın, M., Kaşıkçı, M. (2019). Hastaların Hemşirelik Bakımını Algılayışları. Hemşirelikte Araştırma Geliştirme Dergisi; 21(3), 14-24.

Balcı H. Yoğun Bakım Hemşirelerinin Fiziksel Tespit Edici Kullanımına Yönelik Bilgi, Tutum ve Uygulamaları. Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı. Yüksek Lisans Tezi. Konya: Selçuk Üniversitesi; 2016.

Burtson, P.L., Stichler, J.F. (2010). Nursing work environment and nurse caring: relationship among motivational factors. Journal of Advanced Nursing, 66, 1819-1831.

Cerit, B., Çoşkun, S. (2018). Hasta ve Hemşirelerin Hemşirelik Bakım Kalitesine İlişkin Algıları. Turkish Journal of Clinics and Laboratory, 9(2), 103-109. doi: 10.18663/tjcl.380674

Çam, Z., Çavdar, D., Seydooğulları, S., Çok, F. (2012). Ahlak gelişimine klasik ve yeni kuramsal yaklaşımlar. Kuram ve Uygulamada Eğitim Bilimleri, 12(2), 1211-1225.

Çelik, S., Kavrazlı, S., Demircan, E., Güven, N., Durmuş, Ö., Duran, S.E. (2012). Yoğunbakım Hemşirelerinin Fiziksel Tespit Kullanımına İlişkin Bilgi, Tutum ve Uygulamaları. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 3(3), 176-183.

El-sol, A.E.S.H., Mohmmed, R.G.A. (2018). Assessment of nurse’s knowledge, attitudes, and practice regarding physical restraints among critical ill patients. Assessment, 4(1), 15-22.

Erenoğlu, R., Can, R., Tambağ, H. (2019). Hemşirelik Bakım Davranışları ve Bakım Davranışları ile İlgili Faktörler; Doğumevi Örneği. Sağlık ve Toplum, 29(1), 79-88.

Erol, F., Turk., G. (2019). Assessing the caring behaviours and occupational professional attitudes of nurses. Journal of Pakistan Medical Association, 69(6), 783-7.

Ertugrul, B., Özden, D. (2020). The effect of physical restraint on neurovascular complications in intensive care units. Australian Critical Care, 33, 30-38.

Eskandari, F., Abdullah, K. L., Zainal, N. Z., & Wong, L. P. (2017). Use of physical restraint: Nurses’ knowledge, attitude, intention and practice and influencing factors. Journal of clinical nursing, 26(23-24), 4479-4488

Farina-Lopez, E., Estevez-Guerra, G.J., Gandoy-Crego, M., Polo-Luque, L.M., Go´mez-Cantorna, C., Capezuti, E.A. (2014). Perception of spanish nursing staff on the use of physical restraints. Journal of Nursing Scholarship. 46, 322-30.

Funayama, M., Takata, T. (2020). Psychiatric inpatients subjected to physical restraint have a higher risk of deep vein thrombosis and aspiration pneumonia. General Hospital Psychiatry, 62, 1-5.

Gandhi, S., Poreddi, V., Nagarajaiah, Palaniappan, M, Reddy, S.S.N., BadaMath, S. (2018). Indian nurses' Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients. Invest Educ Enferm, 36(1), e10. doi: 10.17533/udea.iee.v36n1e10. PMID: 29898349.

Göktaş, A., Buldukoğlu, K. (2017). Psikiyatri kliniklerinde fiziksel tespit uygulaması ve psikiyatri hemşireliği yaklaşımı. Journal of Human Sciences, 14(4), 4206-4218. doi:10.14687/jhs.v14i4.4819

Gu, T., Wang, X., Deng, N., Weng, W. (2019). Investigating influencing factors of physical restraint use in China intensive care units: A prospective, cross-sectional, observational study. Australian Critical Care, 32, 193-198.

Gül, Ş. (2019). Bakım Kavramı Işığında Hemşirelik Bakımı ve Etkileyen Faktorler. ACU Sağlık Bil Derg, 10(2), 129-134.

Gül, Ü., Kavak, F. (2019). Hemşirelerin Fiziksel Tespite Yönelik Bilgi Düzeyi, Tutum ve Uygulamalarının Değerlendirilmesi. ACU Sağlık Bil Derg, 10(4), 657-662.

Gürdoğan, E.P., Uğur, E., Kınıcı, E., Aksoy, B. (2016). Yoğun Bakım Hemşirelerinin Fiziksel Tespite İlişkin Bilgi, Tutum ve Uygulamaları ve Etkileyen Faktörler. Yoğun Bakım Derg, 7, 83-88.

Hamers, J., Huizing, A. (2005). Why do we use physical restraints in the elderly? Z. Gerontol Geriat, 38(19), 19-25. doi:10.1007/s00391-005-0286-x

Ibanez, J.M.F., Ballesteros, C.M., Moreno, M.M., Sanchez, E.M., Arias, A.A., Gonzalez, yO.R. (2020). Uso de sujeciones físicas en relación con el riesgo de caídas en una residencia de ancianos. Revista Española de Geriatría y Gerontología, 55(1), 3-10.

Inocian, E.P., Cruz, J.P., Saeed, A.A., Alshamlani, Y., Ignacio, E.H., Tumala, R.B. (2021). Professional quality of life and caring behaviours among clinical nurses during the COVID‐ 19 pandemic. Journal of Clinical Nursing, 1-13. https://doi.org/10.1111/jocn.15937

Karabacak, Ü., Uğur, E., Kocatepe, V. (2017). Yoğun Bakım ve Palyatif Bakım Ünitelerinde Çalışan Hemşirelerin Sürekli Öfke ve Öfke İfade Tarzları ile Bakım Davranışları Arasındaki İlişki. Florence Nightingale Hemşirelik Dergisi, 1(25), 13-20.

Karagözoğlu, Ş., Özden, D. (2013). Bir Üniversite Hastanesinde Çalışan Hemşirelerin Fiziksel Kısıtlamaya İlişkin Bilgi ve Uygulamaları. Hemşirelik Geliştirme ve Araştırma Dergisi, 1, 11-22.

Kaya, H., Dogu, O. (2018). Intensive Care Unit Nurses’ Knowledge, Attitudes And Practices Related To Using Physical Restraints. International Journal of Caring Sciences, 11(1), 61-70.

Kersu, Ö., Boğa, S.M., Köşgeroğlu, N., Sayılan, A.A., İlter, G., Baydemir, C. (2020). Cerrahi Servislerinde Yatan Hastaların Hemşirelik Bakım Kalitesi Algılamaları ile Memnuniyet Durumları Arasındaki İlişkinin Belirlenmesi. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi, 17(1), 32-39. Doi: 10.5222/HEAD.2020.032

Khademian, Z., & Vizeshfar, F. (2008). Nursing students’ perceptions of the importance of caring behaviors. Journal of advanced nursing, 61(4), 456-462.

Kılıç, G., Kutlutürkan, S., Çevik, B., Erdoğan, B. (2018). Yoğun Bakım Ünitelerinde Çalışan Hemşirelerin Fiziksel Tespit Uygulamasına Yönelik Görüşlerinin Değerlendirilmesi. Van Tıp Derg, 25(1), 11-16.

Kısacık, Ö.G., Coşğun, T. (2019). Yoğun Bakım Hastalarında Kısıtlama Uygulamalarının ve Nörovasküler Etkilerinin İncelenmesi. Yoğun Bakım Derg, 10, 53−62.

Kong, E.H., Kim, M., Kim, S. (2021). Effects of a Web-Based Educational Program Regarding Physical Restraint Reduction in Long-Term Care Settings on Nursing Students: A Cluster Randomized Controlled Trial. Int J Environ Res Public Health18(13), 6698. doi: 10.3390/ijerph18136698.

Kotronoulas, G., Papadopoulou, C., Patiraki, E. (2009). Nurses' knowledge, attitudes, and practices regarding provision of sexual health care in patients with cancer: critical review of the evidence. Support Care Cancer.17(5):479-501. doi: 10.1007/s00520-008-0563-5.

Köse, G., Taştan, S., Çatalbaş, A., Akkaya, H., Seyfi, M., Avşar, Ö. (2020). Bir Üniversite Hastanesinde Çalışan Hemşirelerin Fiziksel Kısıtlama Kullanımına İlişkin Bilgi, Tutum ve Uygulamalarının Belirlenmesi. Kocaeli Med J, 9(2), 39-48.

Lach, H.W., Leach, K.M., Butcher, H.K. (2016). Changing The Practice Of Physical Restraint Use İn Acute Care. J Gerontol Nurs, 42(2), 17-26.

Laila, N.H., Mahkota, R., Shivalli, S., Bantas, K., Krianto, T. (2017). Factors associated with pasung physical restraint and confinement of schizophrenia patients in bogor regency, west java province, Indonesia. BMC Psychiatry, 19(162), 1-8.

Lan, S.H., Lu, L.C., Lan, S.J., Chen, J.C., Wu, W.J., Chang, S.P., Lin, L.Y. (2017). Educational intervention on physical restraint use in long-term care facilities Systematic review and meta-analysis. Kaohsiung J Med Sci, 33(8), 411-421.

Luk, E., Sneyers, B., Rose, L. (2014). Predictors of physical restraint use in Canadian intensive care units. Crit Care 18, R46. https://doi.org/10.1186/cc13789

Lynn, P. (2011). Taylor’s Clinical Nursing Skills A Nursing Process Approach (3en ed.). Lippincott Williams & Wilkins.

Möhler, R., Nürnberger, C., Abraham, J., Köpke, S., Meyer, G. (2016). Interventions for preventing and reducing the use of physical restraints of older people in general hospital settings. The Cochrane Database of Systematic Reviews, 2016(12): CD012476.

Orhan, M.F., Yakut, H.İ. (2012). Çocuk Yoğun Bakım Hemşirelerinin Fiziksel Tespit Edicilerin Kullanımına İlişkin Bilgi, Tutum ve Uygulama Düzeylerinin Belirlenmesi. Türkiye Çocuk Hast. Derg, 6(3), 155-160.

Rostami, S., Esmaeali, R., Jafari, H., Cherati, J.Y. (2019). Perception of futile care and caring behaviors of nurses in intensive care units. Nurs Ethics, 26(1): 248-255.

Salimi, S., Azimpour, A., Fesharaki, M., & Mohammadzadeh, S. H. (2012). Nurses' Perception of Importance of Caring Behaviors and Its Determinant factors. Journal of Urmia Nursing & Midwifery Faculty, 10(1).

Santos, G.F.D., Oliveira, E.G., Souza, R.C.S. (2021). Good practices for physical restraint in intensive care units: integrative review. Rev Bras Enferm. 74(3), e20201166. doi: 10.1590/0034-7167-2020-1166.

Sharifi, A., Arsalani, N., Fallahi-Khoshknab, M., Mohammadi-Shahbolaghi, F., Ebadi, A. (2020). Iranian nurses’ perceptions about using physical restraint for hospitalized elderly people: a cross-sectional descriptivecorrelational study. BMC Geriatrics, 20(233), 1-7.

Stinson, K.J. (2016). Nurses' attitudes, clinical experience, and practice issues with use of physical restraints in critical care units. Am J Crit Care, 25(1), 21-26.

Taha, NM ve Ali, ZH (2013). Yoğun bakım ünitelerinde fiziksel kısıtlamalar: Bir eğitim programının hemşirelerin bilgi ve uygulamalarına ve hastaların sonuçlarına etkisi. Hemşirelik ve Bakım Dergisi, 2 (2), 1–9. 10.4172/2167-1168.1000135

Taylor, C., Lynn, P. (2015). Güvenlik. Bektaş, H. (Ed.), Taylor Klinik Hemşirelik Becerileri içinde (s. 100-122). Ankara: Nobel Akademik Yayıncılık.

Turna, Ö., Gürsoy, A. (2021). Yoğun bakım ünitelerinde fiziksel tespit kullanımı: nedenler ve sonuçlar. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 8(2), 127-133.

Voigtländer, B.S., Barth, T. (2013). Does an increase of staff number contribute to changes in physical restraint rates? a longitudinal measurement in a geropsychiatry unit. European Psychiatry, 28(S1), 1-1.

von Vogelsang, A.C., Göransson, K.E., Falk, A.C., Nymark, C. (2021). Missed nursing care during the COVID-19 pandemic: A comparative observational study. Journal of Nursing Management, 29, 2343-2352. https://doi. org/10.1111/jonm.13392

Wang, L., Zhu, X.P., Zeng, X.T., Xiong, P. (2019). Nurses' knowledge, attitudes and practices related to physical restraint: A cross‐sectional study. International nursing review, 66(1), 122-129.

Woldekirkos, L.M., Jiru, T., Hussien, H., Shetie, B. (2021). Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study. Crit Care Res Pract. 24, 1-11. doi: 10.1155/2021/5585140. PMID: 34123421; PMCID: PMC8169276.

Yau, X. C., Tam, W. S. W., Seah, H. W. V., & Siah, C. J. R. (2019). An exploration of factors influencing inpatient nurses’ care behaviour in an acute hospital setting. International Journal for Quality in Health Care, 31(6), 473-479. doi: 10.1093/intqhc/mzy199

Ye, J., Wang, C., Xiao, A., Xia, Z., Yu, L., Lin, J., Liao, Y., Xu, Y., Zhang, Y. (2019). Physical restraint in mental health nursing: A concept analysis. International Journal of Nursing Sciences, 6, 343-348.

Yilmaz, D.U., Korhan, E.A., Khorshid, L. (2017). Evulation of nursing care quality in a palliative care clinic Bir palyatif bakım kliniğinde hemşirelik bakım kalitesinin değerlendirilmesi. Journal of Human Sciences, 14(3), 2968-2980.

Younis, G.A., Ahmed, S.E. (2017). 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-JNHS, 6(4), 6-21.

Published

2022-12-05

How to Cite

KIZILIRMAK, H., & BULUT, S. (2022). The Relationship Between Intensive Care Nurses’s Physical Restraint Practices and Care Behavior. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 7(21), 129–140. https://doi.org/10.5281/zenodo.7391849

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