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Workshop and package education intervention to knowledge, attitude and practice of ICU nurses on the use of physical restraints

  • Mohammad Khajeh , Milad Bazghaleh , Yaser Tabarraie , Reza Mohammadpourhodki and Mohsen Koushan EMAIL logo

Abstract

Background

The purpose of this study was to compare the effect of the two training methods: educational workshop and electronic package on the knowledge, attitude and practice of nurses in intensive care units (ICUs).

Materials and Methods

In this experimental study, 64 nurses working in ICU at Imam Hossein and Bahar Hospitals in 2017 in Shahroud were randomly selected into two groups of training: workshops and educational package. At first, knowledge, attitude and performance of the two groups were measured and then 2 weeks after the post-test training. Data were analyzed by Fisher exact, Wilcoxon, independent t-test, Mann–Whitney test with a significance level ≤0.05.

Results

A significant difference was found between knowledge score in the workshop (10.40 ± 1.41) and educational package (11.25 ± 0.95) (p=0.007). However, No significant difference was found between the nurses attitude in the workshop group (28.59 ± 2.74) and the trained by educational package (28.25 ± 2.85) (p=0.617). Also, no significant difference was found between the mean practice scores in two groups (p=0/143).

Conclusion

The results of this study indicated that the educational package was more effective than the workshop on improving the level of knowledge of nurses about physical restriction, but both methods increased the attitude and practice of nurses.

Acknowledgments

This article is the result of a student dissertation for obtaining a Master’s Degree in Internal Surgery Nursing approved by Sabzevar University of Medical Sciences. This is to be commended for the cooperation of the officials and members of the Research Council of Sabzevar Nursing and Midwifery Faculty, as well as the authorities and nurses of the intensive care unit of Imam Hossein Research Center and BaharShahrood.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

[1] Perrin KO, MacLeod CE. Understanding the essentials of critical care nursing. Pearson Higher Ed 2009;14:276.Search in Google Scholar

[2] Moradimajd P, Noghabi AA, Zolfaghari M, Mehran A. Physical restraint use in intensive care units. J Crit Care Nurs 2015 [cited 2017 Jan 28];8:173–8. [persion].Search in Google Scholar

[3] Akansel N. Physical restraint practices among ICU nurses in one university hospital in Weastern Turkey. Heal Sci J 2007;4:1–7.Search in Google Scholar

[4] Huang H-T, Chuang Y-H, Chiang K-F. Nurses’ physical restraint knowledge, attitudes, and practices. J Nurs Res 2009;17:241–8.10.1097/JNR.0b013e3181c1215dSearch in Google Scholar PubMed

[5] Choi E, Song M. Physical restraint use in a Korean ICU. J ClinNurs 2003;12:651–9.10.1046/j.1365-2702.2003.00789.xSearch in Google Scholar PubMed

[6] Hyman Steven E. Manuel of psychiatric emergenceis, 2nd ed. Boston: Brown and company, 1988.Search in Google Scholar

[7] Taha NM, Ali ZH. Physical restraints in critical care units: Impact of a training program on nurses’ knowledge and practice and on patients’ outcomes. J Nurs Care 2013;2:1–9.Search in Google Scholar

[8] Karagozoglu S, Ozden D, Yildiz FT. Knowledge, attitudes, and practices of Turkish intern nurses regarding physical restraints. Clin Nurse Spec 2013;27:262–71.10.1097/NUR.0b013e3182a0baecSearch in Google Scholar PubMed

[9] Mohr WK, Petti TA, Mohr BD. Adverse effects associated with physical restraint. Can J Psychiatry 2003;48:330–7.10.1177/070674370304800509Search in Google Scholar PubMed

[10] Lai CK, Chow SK, Suen LK, Wong IY. The effect of a restraint reduction program on physical restraint rates in rehabilitation settings in Hong Kong. Rehabil Res Pract 2011;2011:9.10.1155/2011/284604Search in Google Scholar PubMed PubMed Central

[11] Swauger KC, Tomlin CC. Moving toward restraint-free patient care. J Nurs Adm 2000;30:325–9.5p.10.1097/00005110-200006000-00011Search in Google Scholar PubMed

[12] Taylor C. Fundamental of nursing : The art and science of nursing care. Dimens Crit Care Nurs 1997;9:28.10.1097/00003465-199001000-00006Search in Google Scholar

[13] Potter PA, Perry AG, Stockert PH. Fundamentals of nursing Vol. 2. Edwardsville: Elsevier Health Sciences. Nurse educator 2016:4–5.Search in Google Scholar

[14] Kaplan HS. Synopsis of psychiatry, 10th ed. USA: Argomand, 2007:674–675.Search in Google Scholar

[15] Huang HT, Ma FC. A correlational study among nurses’ knowledge, attitudes and practice toward physical restraints. Tzu Chi Nurs J 2003;2:32–41.Search in Google Scholar

[16] Hsu SC, Huang SM, Chen YL. Factors associated with behavior of physical restraint among nurses in the intensive care unit. Chang Gung Nurs 2006;17:399–407.Search in Google Scholar

[17] Karlsson S, Bucht G, Sandman PO. Physical restraints in geriatric care: Knowledge, attitudes and use. Scand J Caring Sci 1998;12:48–56.10.1111/j.1471-6712.1998.tb00474.xSearch in Google Scholar

[18] Hamers JP, Meyer G, Köpke S, Lindenmann R, Groven R, Huizing AR. Attitudes of Dutch, German and Swiss nursing staff towards physical restraint use in nursing home residents, a cross-sectional study. Int J Nurs Stud 2009;46:248–55.10.1016/j.ijnurstu.2008.06.007Search in Google Scholar PubMed

[19] Saeidi SZ, Khatiban* M, Khazaei A, Soltanian AR, RahimiBashar F. Assessment of intensive care unit nurses’ knowledge, attitude, and practice of physical restraint use. Sci J Hamadan Nurs Midwifery Fac 2015;23:40–9. [persion].Search in Google Scholar

[20] Yeh S-H, Hsiao C-Y, Ho T-H, Chiang M-C, Lin L-W, Hsu C-Y, et al. The effects of continuing education in restraint reduction on novice nurses in intensive care units. JNurs Res 2004;12:246–56.10.1097/01.JNR.0000387508.44620.0eSearch in Google Scholar PubMed

[21] Majlesi F, Mahmoodi M, Rahimi A. The impact of lecture and educational package methods in knowledge and attitude of teenage girls on puberty. Hormozgan Med J 1390;4:327–32. [persion].Search in Google Scholar

[22] Hooseinrezaee H, Nouhi E. The effect of education on trauma critical care nurses attitudes towards and knowledge and practices from the viewpoint of their about application of physical restraint. J Nurs Educ 2015;4:38–48. [persion].Search in Google Scholar

[23] Au J, Perriman DM, Bolton C, Abbott L, Neeman T, Smith PN. AO pelvic fracture classification: can an educational package improve orthopaedic registrar performance? ANZ J Surg 2016;86:1019–23.10.1111/ans.13761Search in Google Scholar PubMed

[24] Fard MK, Mirghafourvand M, Mohammad Alizadecharandabi S, Khodabandeh F, Jafarabadi MA, Mansoori A. Effect of lifestyle educational package on prevention of postpartum health problems in nulliparous mothers: A randomized clinical trial. J MazUniv Med Sci 2016;25:33–48. [persion].Search in Google Scholar

[25] Considine J, Botti M, Thomas S. Effect of a self-directed learning package on emergency nurses’ knowledge of assessment of oxygenation and use of supplemental oxygen. Nurs Heal Sci 2005;7:199–208.10.1111/j.1442-2018.2005.00236.xSearch in Google Scholar PubMed

[26] Ahmadijouybary T, Almasi A, Ataie M, Moosazadeh M, Moradinazar M, Aghaei I. Survey the effect of two educational methods of work shop and speech in increasing the awareness level of general practitioner in continuing education programs in Kermanshah City. Res Med Educ 2012;4:47–53. [persion].10.18869/acadpub.rme.4.2.47Search in Google Scholar

[27] Suen LK, Lai CK, Wong TK, Chow SK, Kong SK, Ho JY, et al. Use of physical restraints in rehabilitation settings: staff knowledge, attitudes and predictors. J Adv Nurs 2007;55:20–8.10.1111/j.1365-2648.2006.03883.xSearch in Google Scholar PubMed

[28] Sonya MS, Negm LA. Use of physical restraint in intensive care units (ICUs) at Ain Shams University Hospitals, Cairo. J Am Sci 2013;9:230–40.Search in Google Scholar

[29] Khademi M, Safai N, Ashtiani SN, Panaghi L. Comparison of effect of workshop and training package teaching methods on changing primary school teachers’ knowledge and attitudes toward attention deficit hyperactivity disorder. Life Am J Res Sci 2015;3:210–21. [persion].Search in Google Scholar

[30] Sammie Rad F, Talebi F, Mohitabadim Z, Barikani A. Comparison the effect of two educational methods of neonatal resuscitation on the knowledge and practice of clinical staff working in Kowsar Hospital in 2013. Kowsar Hosp Dev Clin Res Cent 2013;5:32–8. [persion].10.18869/acadpub.rme.5.2.32Search in Google Scholar

[31] McCaffrey R, Hayes RM, Cassell A, Miller-Reyes S, Donaldson A, Ferrell C. The effect of an educational programme on attitudes of nurses and medical residents towards the benefits of positive communication and collaboration. J Adv Nurs 2012;68:293–301.10.1111/j.1365-2648.2011.05736.xSearch in Google Scholar PubMed

Received: 2019-03-10
Accepted: 2019-05-22
Published Online: 2020-02-28

© 2019 Walter de Gruyter GmbH, Berlin/Boston

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