Validity and measurement invariance of the Physical Restraint Use Questionnaire (PRUQ) in nursing staff
Penelo Werner, Eva (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Estévez-Guerra, Gabriel J. (Universidad de Las Palmas de Gran Canaria)
Fariña-López, Emilio (Universidad de Las Palmas de Gran Canaria)

Fecha:	2018
Resumen:	Aims and objectives: We aimed to study the internal structure and measurement invariance of the Physical Restraint Use Questionnaire (PRUQ) and to compare perceptions, experience, and training, regarding use of physical restraint on the elderly between nursing-staff working in hospitals and nursing homes. Background: Physical restraint of patients is still common in many countries, thus it is important to study the attitudes of nursing staff. One of the most commonly tools used to assess perceptions regarding its use is the PRUQ. However, gaps exist in its internal structure and measurement invariance across different groups of respondents. Design: Cross-sectional multicenter survey. Methods: Data were collected from nurses working in eight Spanish hospitals and 19 nursing homes. All registered nurses and nurse assistants (N=3838) were contacted, of whom 1635 agreed to participate. Confirmatory factor analysis was performed to determine internal structure and measurement invariance of PRUQ, after which scale scores and other measures of experience and training were compared between hospital-based (n=855) and nursing homes-based (n=780) nurses. Results: The PRUQ showed three invariant factors across type of facility, and also professional category and sex. Nursing staff working in both types of facility scored similarly; prevention of therapy disruption and prevention of falls were rated more important. Nurses working in nursing homes reported using restraint "many times" more frequently (52. 9% vs 38. 6%), less severe lack of training (18. 2% vs 58. 7%) being perceived as more adequate (33. 4% vs 17. 7%), than hospitalbased nurses. Conclusions: These findings support PRUQ as a valid and reliable tool for assessing the importance given to the use of physical restraint in the elderly by nursing professionals, regardless of the setting being studied. Relevance to clinical practice: The information would help design more specifically the physical restraint training of nursing staff, and to plan institutional interventions aimed at reducing its use.
Nota:	Altres ajuts: Fundación Canaria de Investigación (Exp. 04-2014)
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Lengua:	Anglès
Documento:	Article ; recerca ; Versió acceptada per publicar
Materia:	Confirmatory factor analysis ; Elderly ; Measurement invariance ; Nursing ; Physical restraint
Publicado en:	Journal of Clinical Nursing, Vol. 27, Núm. 5-6 (March 2018) , p. e1179-e1188, ISSN 0962-1067

DOI: 10.1111/jocn.14253

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