Journal Article

The effect of educational intervention on nurses' knowledge, attitude, intention, practice and incidence rate of physical restraint use

Eskandari, Fatemeh, Abdullah, Khatijah Lim, Zainal, Nor Zuraida, Wong, Li Ping

2018

Overview

The use of physical restraint exposes patients and staff to negative effects, including death. Therefore, teaching nursing staff to develop the improve knowledge, skills, and attitudes regarding physical restraint has become necessary. A quasi-experimental pre-post design was used to evaluate the effect of educational intervention on nurses' knowledge, attitude, intention, practice and incidence rate of physical restraint in 12 wards of a hospital using a self-reported questionnaire and a restraint order form in Malaysia. The educational intervention, which included a one-day session on minimising physical restraint use in hospital, was presented to 245 nurses. The results showed a significant increase in the mean knowledge, attitude sand practice score and a significant decrease in the mean intention score of nurses to use physical restraint after intervention. There was a statistically significant decrease in the incidence rate of physical restraint use in the wards of the hospital except geriatric-rehabilitation wards after intervention. •The knowledge, attitudes and intentions of nurses towards physical restraint use are essential factors that may contribute to this practice.•The best approach to improve knowledge and attitudes towards the use of physical restraint is through educational interventions.•Educational intervention could improve nurses' knowledge, attitude, and practice and reduce their intention to use physical restraint.•Reduction in physical restraint use indicates the effectiveness of the educational intervention.

• Publisher: Elsevier Ltd,Elsevier Limited
• Subject: Adult / Attitude and practice / Attitude of Health Personnel / Attitudes / Bilingualism / Clinical decision making / Cognitive ability / Construct Validity / Content Validity / Critical care / Data Collection / Decision making / Education / Education, Nursing, Continuing / Educational programs / Female / Geriatrics / Health care / Health Knowledge, Attitudes, Practice / Hospitals / Humans / Incidence / Incidence rate / Intention / Intervention / Knowledge / Learning outcomes / Malaysia / Male / Medical Evaluation / Medical personnel / Neurosurgery / Nurses / Nursing / Nursing care / Nursing education / Nursing Staff - education / Older people / Patients / Physical restraint / Physical restraints / Pretests Posttests / Professional knowledge / Quasi-experimental methods / Questionnaires / Rehabilitation / Reliability / Restraint orders / Restraint, Physical - statistics & numerical data / Surveys and Questionnaires / Teaching / Teaching Methods / Validity