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Original Article
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):769-780.
DOI: https://doi.org/10.4040/jkan.2009.39.6.769
Published online: December 31, 2009

1Part-time Lecturer, Department of Nursing, Chosun University, Gwangju, Korea.

2Associate Professor, Department of Nursing, Chosun University, Gwangju, Korea.

Address reprint requests to: Kim, Jin Sun. Department of Nursing, Chosun University, 375 Seoseok-dong, Dong-gu, Gwangju 501-759, Korea. Tel: 82-62-230-6327, Fax: 82-62-230-6329, jinsun@chosun.ac.kr
• Received: January 27, 2009   • Accepted: November 10, 2009

Copyright © 2009 Korean Society of Nursing Science

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  • 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.
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Table 1
Educational Program
jkan-39-769-i001.jpg
Table 2
Homogeneity Test for Characteristics between Experimental and Control Group (N=38)
jkan-39-769-i002.jpg

*Mann-Whitney U test; Fisher's exact probability test.

Table 3
Homogeneity Test of Outcome Variables between Experimental and Control Group (N=38)
jkan-39-769-i003.jpg
Table 4
Group Comparison of Mean Differences of Knowledge, Attitude, and Nursing Practice on Physical Restraints Use (N=38)
jkan-39-769-i004.jpg

Exp.=experimental group; Cont.=control group.

Figure & Data

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        Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals
        J Korean Acad Nurs. 2009;39(6):769-780.   Published online December 31, 2009
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      Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals
      Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals

      Educational Program

      Homogeneity Test for Characteristics between Experimental and Control Group (N=38)

      *Mann-Whitney U test; Fisher's exact probability test.

      Homogeneity Test of Outcome Variables between Experimental and Control Group (N=38)

      Group Comparison of Mean Differences of Knowledge, Attitude, and Nursing Practice on Physical Restraints Use (N=38)

      Exp.=experimental group; Cont.=control group.

      Table 1 Educational Program

      Table 2 Homogeneity Test for Characteristics between Experimental and Control Group (N=38)

      *Mann-Whitney U test; Fisher's exact probability test.

      Table 3 Homogeneity Test of Outcome Variables between Experimental and Control Group (N=38)

      Table 4 Group Comparison of Mean Differences of Knowledge, Attitude, and Nursing Practice on Physical Restraints Use (N=38)

      Exp.=experimental group; Cont.=control group.


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