Physical restraint use with elderly patients: Perceptions of nurses and nursing assistants in Spanish acute care hospitals
Fariña-López, Emilio (Universidad de Las Palmas de Gran Canaria)
Estévez-Guerra, Gabriel J. (Universidad de Las Palmas de Gran Canaria)
Polo-Luque, María Luz (Universidad de Alcalá)
Hanzeliková Pogrányivá, Alica (Centro de Salud Buenavista Toledo)
Penelo Werner, Eva (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)

Data:	2018
Resum:	Background: Physical restraint is often used during the hospitalization of elderly people. However, this procedure is associated with many problems; therefore it is necessary to be aware of the circumstances that promote this practice, such as the perceptions of professionals who use it. Objectives: The purpose of the research was to determine the situations in which nursing staff considered the use of physical restraint most important and to evaluate the possible associations with the sociodemographic and professional variables. Methods: A descriptive cross-sectional multicenter study was carried out in 52 units of eight Spanish acute hospitals. A survey of registered nurses and nursing assistants was used to collect data related to sociodemographics, experience, training in restraint, and the PRUQ questionnaire, that assesses the perceived importance of reasons frequently given for the use of physical restraint. Results: The sample comprised 508 registered nurses and 347 nursing assistants. 98% had used physical restraint and 82% thought their training was insufficient. Nursing assistants scored higher (p < . 005; d = 0. 68) on PRUQ total score than registered nurses, as well as on individual item scores, suggesting they thought the factors were more important in restraint use. Both groups considered restraint most important in the prevention of falls and the removal of medical devices. No association was found between the PRUQ total score and the other variables considered. Discussion: The professionals considered restraint very important in preventing safety problems. In order to improve the quality of care it is essential to identify the factors that can have an effect on the application of physical restraint. Educational programs are of fundamental importance, but to be more effective in reducing the use of these procedures they should be accompanied by institutional policies promoting a restraint-free environment.
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Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Aged ; Hospital ; Nursing staff ; Perception ; Restraint ; Physical
Publicat a:	Nursing Research, Vol. 67, Núm. 1 (2018) , p. 55-59, ISSN 0029-6562

DOI: 10.1097/NNR.0000000000000252

Postprint 17 p, 394.9 KB

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