NURSES' ATTITUDES, CLINICAL EXPERIENCE, AND PRACTICE ISSUES WITH USE OF PHYSICAL RESTRAINTS IN CRITICAL CARE UNITS.

Background Physical restraints are more likely to be used in critical care units than in other hospital units because use of invasive procedures and mechanical ventilation is more common in critical care units. Initiation and maintenance of physical restraint devices is largely a nursing responsibil...

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Publicado en:American Journal of Critical Care Vol. 25; no. 1; pp. 21 - 27
Autor principal: Stinson, Kristi J.
Formato: research tables/charts Journal Article
Publicado: American Association of Critical-Care Nurses Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2016
      vid: 25
      iid: 1
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        10.4037/ajcc2016428
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        atl: NURSES' ATTITUDES, CLINICAL EXPERIENCE, AND PRACTICE ISSUES WITH USE OF PHYSICAL RESTRAINTS IN CRITICAL CARE UNITS.
      aug:
        au: Stinson, Kristi J.
        affil: Assistant professor, College of Nursing at Seton Hall University, South Orange, New Jersey
      sug:
        subj:
          Nurse Attitudes Evaluation
          Restraint, Physical Utilization
          Critical Care Nursing
          Human
          Intensive Care Units
          Registered Nurses
          Job Experience
          Descriptive Research
          Correlational Studies
          Questionnaires
          Internet Utilization
          Conceptual Framework
          Benner's Professional Advancement Model
          New Jersey
          Summated Rating Scaling
          Coefficient alpha
          One-Way Analysis of Variance
          Step-Wise Multiple Regression
          Descriptive Statistics
          Multiple Regression
          Spearman's Rank Correlation Coefficient
          Bivariate Statistics
          Convenience Sample
      ab: Background Physical restraints are more likely to be used in critical care units than in other hospital units because use of invasive procedures and mechanical ventilation is more common in critical care units. Initiation and maintenance of physical restraint devices is largely a nursing responsibility. Previous clinical experience is a variable often suggested to be related to intensive care nurses' use of physical restraints. Objective To examine the relationships between registered nurses' clinical experience, their practice issues (nurses' actions while caring for patients who are physically restrained), and their attitudes toward the use of physical restraints (feelings about use of restraints and about caring for patients who are restrained) in critical care units. Methods In a descriptive correlational study, data were collected online via the Physical Restraint Questionnaire. Participants' (n = 413) clinical experience was classified by using Patricia Benner's novice to expert framework. Results No strong correlation was found to explain any variance between attitudes toward use of physical restraints in critical care and clinical experience in nursing in general, clinical experience in critical care, and nursing practice issues with use of physical restraints. However, nurses with more clinical experience were more likely to have learned about use of physical restraints in their basic nursing curriculum. Conclusions The reported lack of content addressing use of physical restraints in today's nursing curricula is a concern, as physical restraints are commonly used in critical care units.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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