Use of Physical Restraints in Critical Care Units: Nurses’ Knowledge, Attitudes, and Practices

2020 ◽  
Vol 40 (3) ◽  
pp. 37-47
Author(s):  
Öznur Gürlek Kısacık ◽  
Münevver Sönmez ◽  
Tuğba Coşğun
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Working Hours ◽  
Physical Restraints ◽  
University Hospitals ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Inadequate Knowledge ◽  
Knowledge Attitudes And Practices ◽  
Nurses Knowledge

Background Various factors affect the use of physical restraints in the intensive care unit, with nurses’ knowledge and attitudes being the strongest determinants. Objective To determine Turkish intensive care unit nurses’ knowledge, attitudes, and practices regarding physical restraints and factors influencing them. Methods This cross-sectional, correlational study was conducted in the intensive care units of state and university hospitals. A total of 191 nurses provided information on their sociodemographic and professional characteristics and completed a questionnaire on their knowledge, attitudes, and practices regarding physical restraints. Results Statistically significant differences were found between average knowledge scores according to type of intensive care unit, weekly working hours, work shift, and frequency of using physical restraints, with the highest scores found in nurses who worked in the surgical unit, worked 40 hours a week, worked only during the day, and used physical restraints every day. Significant differences were found between average attitude scores according to type of intensive care unit, with the highest scores found in nurses who worked in the cardiology unit. Significant differences were found between average practice scores according to level of education and use of physical restraints without a physician’s order, with the highest scores found in nurses with undergraduate and postgraduate degrees and those who did not use physical restraints without a physician’s order. Conclusions This study revealed inadequate knowledge about physical restraints and some unsafe practices among participants. Evidence-based guidelines and laws regarding physical restraints are needed, as well as regular training programs for involved personnel.

scholarly journals 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

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Lielt Mersha Woldekirkos ◽  
Tilahun Jiru ◽  
Heyria Hussien ◽  
Belayneh Shetie
Keyword(s):  
Associated Factors ◽  
Addis Ababa ◽  
Physical Restraint ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Physical Restraints ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices ◽  
Nurses Knowledge

Background. Physical restraint is any chemical or physical involuntary method restricting an individual’s movement, physical activity, or normal access to the body. Physical restraints are prescribed by the physician, but the ICU nurse remains the decision maker responsible in assessing the need, application, and removal of PR on patients in the ICU setting. Objectives. This cross-sectional descriptive study was carried out to determine the knowledge, attitudes, and practices of nurses working in adult ICU and associated factors towards the use of physical restraints in federally administered hospitals in Addis Ababa, Ethiopia, 2019. Methods. The study was conducted in ICUs of Federal Hospitals in Addis Ababa, Ethiopia, 2019. A hospital-based descriptive cross-sectional study design was carried out. By census, a total of 126 nurses were included. The data were checked for their completeness and were entered to EpiData version 4.2 and analyzed using SPSS version 25 software with 95% CI. Also, the Pearson correlation coefficient and binary logistic regression analysis were used to find an association. Result. Majority of nurses was found to be aged between 21 and 30 years, (62.5%) have worked 2–5 years, and (83%) were degree graduates. The nurses’ knowledge score was 6.1 ± 2.6 (50.8%) with possible range 0–11, the attitude score was 14.1 ± 3.1 (64%) with possible range 0–22, and the practice score was 13.9 ± 3.8 (63.18%) with possible range 0–22. Their demographical characteristics such as gender, working year, and education levels were not significantly associated with knowledge, attitudes, and practices ( P  > 0.05). Only age significantly associated with practice. Lack of a written policy or guideline and not being trained on application of physical restraint were significantly associated with knowledge. Also, practice was associated with knowledge and attitude. Conclusion. According to the study, there was a poor level of nurses’ knowledge, proper attitude, and satisfactory practice toward the use of physical restraints.

scholarly journals Knowledge, attitudes and practices of intensive care unit nurses towards nutritional care in critically ill patients: A descriptive cross-sectional study

2021 ◽  
Vol 9 (1) ◽  
pp. 35-35
Author(s):  
Ata Mahmoodpoor ◽  
Sarvin Sanaie ◽  
Fatemeh Momen ◽  
Mohammad Ata Pourmoghaddam ◽  
Seied Hadi Saghaleini
Keyword(s):  
Intensive Care ◽  
Positive Attitude ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nutritional Care ◽  
Level Of Education ◽  
Attitudes And Practices ◽  
High Knowledge ◽  
Knowledge Attitudes And Practices

Introduction: In recent years, there has been a growing concern about the lack of adequate nutrition Knowledge among nurses. Nutrition training in the medical curriculum and for healthcare professionals is contradictory, inadequate, and weak. Nurses are one of the most reliable sources of nutritional information for patients; and yet, little research has been done so far on nurses’ information regarding their important role in nutritional care. Our study is designed to assess the current level of Knowledge, attitudes, and practices of nurses in intensive care units (ICUs). Methods: A four-part questionnaire was used in this study. This descriptive cross-sectional study was conducted from July 2019 to July 2020. The sample size consisted of 110 nurses based on the statistical data obtained from the nursing offices of two hospitals of Tabriz University of medical science including all the nurses working in the ICUs. Thereafter, all questionnaires were re-collected and data were finally analyzed. Results: Results showed that from 110 nurses which were included in this study, 73.6% had high Knowledge, 45.5% had moderate practices, and 58.2% had a positive attitude about nutritional support. Age and level of education had a significant correlation with their knowledge (P=0.005 and P=0.001, respectively). Nursing attitude had a significant correlation with age and the level of education (P=0.03 and P=0.003). And also, nursing practice had a significant relationship with age, work experience in the ICU, and the level of education (P=0.001, P=0.001 and P=0.004, P<0.05). Conclusion: Nurses surveyed in this study had a high knowledge, moderate practice and a positive attitude regarding nutritional care in patients admitted to the ICU.

scholarly journals Knowledge, Attitudes, and Practices Regarding Brucellosis among Parents in Aseer Region, Southwestern Saudi Arabia

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1541
Author(s):  
Youssef A. Alqahtani ◽  
Ayed A. Shati ◽  
Saleh M. Al-Qahtani ◽  
Ali A. Asseri ◽  
Ahmad A. Alhanshani ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Gender And Education ◽  
Inadequate Knowledge ◽  
Education Levels ◽  
Positive Knowledge ◽  
Knowledge Attitudes And Practices

This study aimed to investigate the knowledge, attitudes, and practices regarding brucellosis among parents in the Aseer region of southwestern Saudi Arabia in order to estimate the population sectors that are at high risk for accidental exposure to brucellosis. This was a cross-sectional survey conducted in 2018, including 311 participants representing various genders, ages, and levels of education. Bivariate analysis showed a significant association of good awareness of the disease with the male gender and higher education levels. Of the 311 participants, 90.0% had good knowledge, whereas 10.0% showed inadequate knowledge about brucellosis. Practices and attitudes regarding brucellosis were satisfactory as participants did not eat meat from their own animals (52.7%), did not practice slaughtering (71.4%), did not participate in the birth of animals (91.3%), were not exposed to abortion in animals (93.2%), and practiced burial of aborted animal fetuses (59.2%). The practice regarding brucellosis was unsatisfactory as 66.6% never wore gloves when dealing with animals. The study concluded that the majority of parents showed fair and positive knowledge, attitudes, and practices regarding brucellosis and found that gender and education were determinants of satisfactory awareness.

scholarly journals Assessing Knowledge, Attitudes and Practices on Antibiotics amongst University Graduates in Bhutan: A Cross-Sectional Survey

2020 ◽  
pp. 35-45
Author(s):  
Tshokey Tshokey ◽  
Deepika Adhikari ◽  
Thinley Jamtsho ◽  
Kinley Wangdi
Keyword(s):  
Attitude Score ◽  
University Graduates ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Health Authorities ◽  
Inadequate Knowledge ◽  
Source Of Information ◽  
Knowledge Attitudes And Practices

Introduction: Concerns about antibiotic resistances is increasing. Antibiotic misuses mostly result from inadequate knowledge impacting attitudes and practices. The literature on this subject is limited in Bhutan.  It is of immense importance to understand the gap and target interventions. Therefore, we assessed the knowledge, attitudes and practices (KAP) on antibiotics amongst Bhutanese university graduates in 2016. Methods: The survey was conducted through a self-administered online questionnaire after seeking consent. The questionnaire was developed by the investigators using past literature.   Results: Of the 2,229 invited graduates, only 220 (≈10%), 52.3% (115) males, completed the survey. Internet was the commonest source of information on antibiotics. Only 51% (113) showed good knowledge with a mean score of 15.5 (range 2-30). Penicillin, amoxicillin and cotrimoxazole were correctly identified as antibiotics by 63.6%, 78.7% and 21.4% but 11.4%, 35% and 31.8% misidentified atenolol, paracetamol and ibuprofen as antibiotics respectively. Side effects of antibiotics were poorly recognized. Fifty-four percent (119) showed good attitude score. About 39% (85), 35% (76) and 46% (101) misconceived that antibiotics would be required for common cold, all fevers and all small clean-cut wounds respectively. Almost 91% knew that antibiotic courses should be completed, 12% thought that antibiotics can be stopped when patients improve and 31.8% repeated antibiotics for similar illnesses. Although 76% knew that antibiotics shouldn’t be bought without a prescription, 28% were able to get them. About 44.1% revealed that the dispensing pharmacists did not explain adequately about antibiotics. Unfortunately, 43.6% suggested others to take antibiotics during illnesses and 60% used topical antibiotics. Conclusion: KAP on antibiotics amongst Bhutanese graduates was unsatisfactory except few good specific practices. Health authorities should educate public on antibiotics and other medicines.

scholarly journals Parental knowledge, attitudes, and practices towards self-medication for their children: a cross-sectional study from Palestine

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Sa'ed Zyoud ◽  
Rawan M. Shtaya ◽  
Dana Q. Hamadneh ◽  
Shyma N. Sawalmeh ◽  
Hiba A. Khadrah ◽  
...  
Keyword(s):  
Parental Knowledge ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
High Tendency ◽  
Face To Face ◽  
Attitudes And Practices ◽  
Inadequate Knowledge ◽  
Knowledge Attitudes And Practices

Abstract Background Self-therapy with various medications is a commonly practised form of children self-care among parents throughout the world, with the prevalence and pattern differing from country to country. Parental knowledge, attitudes, and practices (KAP) regarding self-medication of their children need to be taken into consideration because children are more sensitive to adverse consequences of medication. This study was designed to assess Palestinian parents’ KAP towards self-medication for their children. Methods A descriptive, cross-sectional study was conducted in Palestine from October 2016 to February 2017, using a face-to-face interview questionnaire format, which was adapted from previous studies in this field. Data was collected by convenient sampling. The parents answered a questionnaire covering socio-demographic and economic variables; medication information; knowledge, attitudes, and practices regarding self-medication; and the toxicity of medications used for self-therapy. Results Among the 500 respondents interviewed, the total parents of 357 (73.4%) accepted using medications as self-therapy for their children. The most common reason for using self-medication was previous experience (54.6%). The medications most often used in such self-therapy are antipyretics (95%), followed by skin creams (46%) and anti-cough and anti-influenza medication (44.2%). Parental knowledge about toxicity was found to be inadequate knowledge. For example, around 70% of parents believe that paracetamol and multivitamin are not fatal in cases of overdose. Conclusions Self-medication of children is common among parents in Palestine. There has been a high tendency for parents to self-medicate their children, in particular with antipyretics. Moreover, antibiotics have been used without prescriptions by a large proportion of parents. As such, specific guidelines for appropriate self-therapy should be established. We must encourage pharmacists to educate parents on how to self-medicate medicine in proper doses and at the correct time, as well when the dose reaches a toxic level.

scholarly journals Knowledge, Attitude and Practices of Standard Precaution among Nurses in Middle-East Hospital

2019 ◽  
Vol 1 (4) ◽  
pp. 189-198 ◽  
Author(s):  
Noorasyikin Mohd-Nor ◽  
Yee Bit-Lian
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Middle East ◽  
Infection Control ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Standard Precaution ◽  
Level Of Knowledge ◽  
High Level

Introduction: Staff nurses are exposed to many blood and other fluids in the course of their day to day activities in Intensive Care Unit. Purpose of this survey is to assess the level of knowledge, attitudes and practices of standard precaution among nurses in Intensive Care unit, in Middle East Hospital. Method: This was a cross-sectional study and undertaken among nurses by self-administered and anonymous questionnaire that randomly selected in Intensive Care Unit, Middle East Hospital. Results: Female nurses accounted for majority of the respondents which covered 66.7% (n = 44) while male nurses make up around 33.3% (n = 22) of the nursing workforce in the study. 53% (n = 35) of the respondents reported not having any basic exposure or training in infection control practices, while the other 47% (n = 31) respondents received their training or basic exposure in infection control practices. Majority of the participants had high level of knowledge. Conclusion: In accordance to the self-reported questionnaires, 77% (n = 51) of the respondents practice good practices of standard precaution. The knowledge, attitude and compliance among ICU nurses in the middle-east hospital towards standard precaution was adequate.  

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