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Original Articles
Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals
Keumbong Choi, Jinsun Kim
J Korean Acad Nurs 2009;39(6):769-780.   Published online December 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.6.769
AbstractAbstract PDF
Purpose

The purposes of this study were to develop an educational program to reduce the use of physical restraints for caregivers in geriatric hospitals and to evaluate the effects of the program on cargivers' knowledge, attitude and nursing practice related to the use of physical restraints.

Methods

A quasi experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. Eighteen caregivers were assigned to the experimental group and 20 to the control group. The data were collected prior to the intervention and at 6 weeks after the intervention through the use of self-administered questionnaires. Descriptive statistics, χ2 test, Fisher's exact probability test, and Mann-Whitney U test were used to analyze the data.

Results

After the intervention, knowledge about physical restraints increased significantly in experimental group compared to the control group. However, there were no statistically significant differences between the groups for attitude and nursing practice involving physical restraints.

Conclusion

Findings indicate that it is necessary to apply knowledge acquired through educational programs to nursing practice to reduce the use of physical restraints. User friendly guidelines for physical restraints, administrative support of institutions, and multidisciplinary approaches are required to achieve this goal.

Citations

Citations to this article as recorded by  
  • Information-Motivation-Behavioral Skill model-based physical restraint education program for nursing care providers in long-term care hospitals: A quasi-experimental repeated measures non-equivalent control group design
    Sukhyun Jun, Haejung Lee
    Journal of Korean Gerontological Nursing.2024; 26(3): 288.     CrossRef
  • Factors affecting nursing practice of patient physical restraint among nurses
    Jihyun Kim, Yaki Yang
    Archives of Public Health.2024;[Epub]     CrossRef
  • Interventions for preventing and reducing the use of physical restraints for older people in all long-term care settings
    Ralph Möhler, Tanja Richter, Sascha Köpke, Gabriele Meyer
    Cochrane Database of Systematic Reviews.2023;[Epub]     CrossRef
  • Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit
    Da Eun Kim, Hye Sook Min
    Journal of Korean Critical Care Nursing.2022; 15(3): 62.     CrossRef
  • Effect of Interventional Educational Programs on Intensive Care Nurses' Perception, Knowledge, Attitude, and Practice About Physical Restraints
    Mohamad Ahmadi, Mohammad Iraj Bagheri-Saweh, Bijan Nouri, Omid Mohamadamini, Sina Valiee
    Critical Care Nursing Quarterly.2019; 42(1): 106.     CrossRef
  • Improving ICU Nurses’ Practices of Physical Restraints in Jordan: Effect of an Educational Program
    Heba Nasrate, Aseel Shamlawi, Muhammad W. Darawad
    Health.2017; 09(12): 1632.     CrossRef
  • The Effect of Elderly Nursing Care Education Programs on Nurses' Knowledge, Attitudes and Nursing Performance Toward the Elderly
    Keum Bong Choi
    The Journal of Korean Academic Society of Nursing Education.2012; 18(3): 522.     CrossRef
  • Development and Effects of an e-Learning Program in Operating Room Nursing for Nursing Students
    Eun Hee Park, Seon Young Hwang
    Journal of Korean Academy of Nursing.2011; 41(1): 36.     CrossRef
  • Interventions for preventing and reducing the use of physical restraints in long-term geriatric care
    Ralph Möhler, Tanja Richter, Sascha Köpke, Gabriele Meyer
    Cochrane Database of Systematic Reviews.2011;[Epub]     CrossRef
  • 279 View
  • 7 Download
  • 9 Crossref
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Development and Testing of an Instrument to Measure Family’s Emotional Response toward Physically Restrained Patients
Eun-Nam Lee, Su-Jin Ha, Ji-Yeon Kang
J Korean Acad Nurs 2008;38(4):629-638.   Published online August 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.4.629
AbstractAbstract PDF
Purpose

This was a methodological research to develop an instrument to assess the emotional response of family members of physically restrained patients.

Methods

A primary instrument with 68 questions was developed based on literature review and semi-structured interviews with family members. A group of experts revised individual questions and removed 4 irrelevant questions. This secondary instrument, then, was tested with 199 family members of physically restrained patients in intensive care units of a university hospital. The validity and reliability of the instrument were tested by factor analysis.

Results

After item analysis, 3 questions with a correlation coefficient under .30 were discarded and the questions with a factor loading under .45 on Varimax Rotation were also removed. After factor analysis on the final 37 questions, 7 factors were identified; avoidance, shock, helplessness, grudge, depression, anxiousness, and acceptance. The total variance explained was 55.63%. The reliability of this instrument was 0.93 of Cronbach's alpha.

Conclusion

This instrument was statistically reliable and valid to measure family’s emotional response to physical restraints of the patients. This instrument can be useful in assessing the effects of nursing interventions for family members of restrained patients.

Citations

Citations to this article as recorded by  
  • Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
    So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef
  • Korean Version of the 14-Item Resilience Scale (RS-14) for University Students: A Validity and Reliability Study
    Hye Jin Kwon, Soo Jin Kwon
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(4): 226.     CrossRef
  • Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology
    Eun Ja Yeun, Jeong Hwa An, Jung A Kim, Mi Soon Jeon
    Korean Journal of Adult Nursing.2013; 25(3): 344.     CrossRef
  • Emotional Response of ICU Patients Family toward Physical Restraints
    Jiyeon Kang, Eun-Nam Lee, Eun Young Park, Youngock Lee, Mi Mi Lee
    Korean Journal of Adult Nursing.2013; 25(2): 148.     CrossRef
  • Development and Application of the Sleeve-type Restraints for Intensive Care Unit Patients
    Hyun-young Ko, Jiyeon Kang
    Korean Journal of Adult Nursing.2013; 25(6): 665.     CrossRef
  • Constructing a Questionnaire on Male Workers' Sobriety Behavior: Based on Ajzen's Theory of Planned Behavior
    Inhyae Park, Younkyoung Kim
    Journal of Korean Academy of Community Health Nursing.2010; 21(2): 156.     CrossRef
  • 152 View
  • 1 Download
  • 6 Crossref
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Effects of on Education Program for Nurses on the Use of Restraints
Jeong Min Yeo, Myong Hwa Park
Journal of Korean Academy of Nursing 2006;36(3):532-541.   Published online June 30, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.3.532
AbstractAbstract PDF
Purpose

This study was conducted to verify the effects of an education program of restraints use on nurses' knowledge, attitude and nursing performance related to restraints use.

Method

A quasi experimental study with a pre and post non-equivalent design was used. The subjects were nurses who met the selection criteria and worked in intensive care units of two university hospitals located at K-city, Gyeongbuk. Twenty nurses in A hospital were designated as the experimental group and 20 nurses in B hospital as the control group.

Result

The first hypothesis which assumed that the experimental group would have higher scores of knowledge than the control group was supported(F=62.66, p=0.000). The second hypothesis which assumed that the experimental group would have lower scores of attitude toward using restraints than the control group was supported(F=23.77, p=0.000). The third hypothesis which assumed that the experimental group would have higher scores of nursing performance than the control group was supported(F=3.28, p=0.032).

Conclusion

An education program for nurses' on the use of restraints needs to be introduced to decrease inappropriate use of restraints.

Citations

Citations to this article as recorded by  
  • Factors affecting nursing practice of patient physical restraint among nurses
    Jihyun Kim, Yaki Yang
    Archives of Public Health.2024;[Epub]     CrossRef
  • Information-Motivation-Behavioral Skill model-based physical restraint education program for nursing care providers in long-term care hospitals: A quasi-experimental repeated measures non-equivalent control group design
    Sukhyun Jun, Haejung Lee
    Journal of Korean Gerontological Nursing.2024; 26(3): 288.     CrossRef
  • Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
    So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef
  • Study on an Unplanned Extubation Prevention Program (UEPP) for Intubated Patients in Intensive Care Unit
    Kyung-Ja Kang, Mi Yu
    Journal of Digital Convergence.2014; 12(3): 331.     CrossRef
  • Development of physical restraints guidelines and use effect
    Yooun-Joong Jung, Hea-Hyun Kim, Eun-Han Kim, Ji-Yeoun Kim, Se-Jung Cha, You-Jin Kim, Jung-Eun Kang, Yeon-Hwa Chung, Young-Sun Jung, Young-Hwan Kim, Kyu-Hyouck Kyoung, Suk-Kyung Hong
    Quality Improvement in Health Care.2014; 20(1): 42.     CrossRef
  • Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology
    Eun Ja Yeun, Jeong Hwa An, Jung A Kim, Mi Soon Jeon
    Korean Journal of Adult Nursing.2013; 25(3): 344.     CrossRef
  • Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals
    Keumbong Choi, Jinsun Kim
    Journal of Korean Academy of Nursing.2009; 39(6): 769.     CrossRef
  • Development and Testing of an Instrument to Measure Family's Emotional Response toward Physically Restrained Patients
    Eun-Nam Lee, Su-Jin Ha, Ji-Yeon Kang
    Journal of Korean Academy of Nursing.2008; 38(4): 629.     CrossRef
  • 154 View
  • 3 Download
  • 8 Crossref
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