Knowledge, Attitude, and Practice of Nursing Home Staff Regarding Physical Restraint in China: A Cross-Sectional Multicenter Study

Frontiers in Public Health

article

Yaqin Li¹  YaWen Wang¹  Yechun Gu²  Daqiang Gong³  Sisi Jiang¹  Jufang Li¹  Hongbo Xu¹ 

[1] School of Nursing, Wenzhou Medical University;General Surgery Department, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine;Zhejiang Dongfang Polytechnic

关键词: physical restraint;    nursing staff;    knowledge;    attitude;    practice;   

DOI  :  10.3389/fpubh.2022.815964

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Restraint is widely used in nursing homes to address safety concerns. However, many studies have shown that improper restraint can lead to many adverse outcomes. Nursing staff are the main practitioners of physical restraint in nursing homes and play an important role in restraint decision-making and management. In China, there is still a lack of large-scale surveys on the current situation regarding the use of restraint. This study aimed to identify this situation and the influencing factors of the knowledge, attitude, and practice of nursing staff regarding physical restraint in elderly care institutions. Methods A cross-sectional multicenter descriptive study was conducted. A total of 311 staff in 25 elderly care institutions in Zhejiang Province were recruited using a quota sampling method. A homemade questionnaire was administered to collect general information and information on knowledge, attitude and practice regarding physical restraint. Results The average scoring rates of the knowledge and attitude dimensions of the 311 staff were 48.7 and 75.6%, respectively. The average scoring rate of the practice dimension of 140 staff who implemented restraint was 80.1%. Educational background and training experience were the influencing factors of restraint knowledge. Training experience, educational background and professional title were the influencing factors of restraint attitude. Restraint knowledge and length of service were the influencing factors of restraint practice. Conclusions Knowledge of physical restraint among nursing staff is not promising. Their attitude toward restraint was inappropriate or irresponsible in some aspects. Restraint practice is not sufficiently standardized. It is necessary to strengthen restraint training for nursing staff to improve their overall level of restraint knowledge, attitude and practice.

【 授权许可】

CC BY