The efficacy of an in-service education program designed to enhance the effectiveness of physical restraints

Yin Yin Chang, Hsiu Hui Yu, El Wui Loh, Li Yin Chang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Physical restraints are used to enhance the safety of patients and to avoid injury. However, physical restraints may cause injuries if improperly used or if they are used in the absence of continuous monitoring. Nursing staff who use physical restraints often lack sufficient related knowledge, which may increase the risk to patient safety. Purpose: This study investigates the impact of an in-service education program for nursing staff that is designed to improve physical-restraint-related knowledge, attitudes, behaviors, and techniques. Methods: A pretest-posttest design and a quasi-experimental method were employed to evaluate the effectiveness of the in-service education program. One hundred thirty-six nursing staff from four adult intensive care units (ICUs), including two medical ICUs and two surgical ICUs, in a medical center in central Taiwan were enrolled as participants. The experimental group (EG) and the control group (CG) were composed of patients from one randomly assigned medical ICU and one randomly assigned surgical ICU each. The pretest data on physical-restraint-related knowledge, attitudes, behaviors, and techniques were collected before the in-service education program. The EG received 2 hours of classroom education on guidelines and techniques related to physical restraints. The posttest data for the two groups were collected a month after implementation of the in-service education program. General Estimation Equation was used to measure and analyze the data repeatedly. Results: The posttest scores of the EG for knowledge and technique were significantly higher than the pretest scores (p <.0001). However, the posttest scores of the EG for attitudes and behaviors did not significantly differ from the pretest scores. Conclusions/Implications for Practice: In-service education for physical restraints enhances relevant knowledge and techniquesbut does not significantly affect attitudes or behaviors. Correct implementation of physical restraints not only promotes the quality of nursing care for patients in the ICU but also reduces the risk of physical-restraint-related complications. This study highlights the importance of changing the thoughts and concepts related to the use of physical restraints within the overall caring strategy of hospitals.

Original languageEnglish
Pages (from-to)79-86
Number of pages8
JournalJournal of Nursing Research
Volume24
Issue number1
DOIs
Publication statusPublished - Mar 1 2016
Externally publishedYes

Fingerprint

Physical Restraint
Education
Intensive Care Units
Nursing Staff
Critical Care
Patient Safety
Quality of Health Care
Wounds and Injuries
Nursing Care
Taiwan
Guidelines

Keywords

  • in-service education
  • intensive care unit (ICU)
  • physical restraint

ASJC Scopus subject areas

  • Nursing(all)

Cite this

The efficacy of an in-service education program designed to enhance the effectiveness of physical restraints. / Chang, Yin Yin; Yu, Hsiu Hui; Loh, El Wui; Chang, Li Yin.

In: Journal of Nursing Research, Vol. 24, No. 1, 01.03.2016, p. 79-86.

Research output: Contribution to journalArticle

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