Paper
Thursday, July 10, 2008
The Effect of Education Intervention on Nurses' Awareness of Restraints and Patient Outcomes
Yu-chih Chen, PhD1, Shin-shang Chou, RN, MSN, MBA2, Li H. Lin, MS, RN3, Tao-Fen Shiung, BS1, Yuann M. Tzeng, RN, MS1, and Li-Shan Ke, MSN4. (1) Nursing Department, Taipei Veterans General Hospital, Taipei, Taiwan, (2) Intensive Care Unit, Taipei Veterans General Hospital, Taipei, Taiwan, (3) Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, (4) Neuro-surgical Intensive Care Unit, Taipei Veterans General Hospital, Taipei, Taiwan
| Learning Objective #1: to examine the effect of education intervention on nurses awareness of restraints and patient care outcomes. |
| Learning Objective #2: to understand the education intervention for the ICU nurses on patient restraints |
This study aims to examine the effect of education intervention on nurses' awareness of restraints and patient care outcomes. Quasi-experimental study was conducted by providing an educational DVD program on restraints to the subjects selected by purposive sampling from two intensive care units of a medical center, Medical and Surgical ICU and Neurosurgical ICU, the questionnaires were sent to 150 nurses, and responses were 94(62.7%). Two instruments were used: 1) a questionnaire that was completed by nurses to evaluate their knowledge about physical restraints scale, their attitude and finally their applications of restraints scale onto the patients, and 2) a patient restraint checklist. Data obtained were analyzed via SPSS 14.0 statistical package, using chi-square test, t-test, and multiple regression model to compare the nurses' knowledge, attitude and behavioral change before and after the education intervention, as well as its effect on restraint outcomes. The results showed significant improvement in the nurses' knowledge and attitude of patient restraint before and after the test (t=-2.397, p=0.019Gt=-4.018, p=0.000), linear regression showed that the nurses' attitude toward restraints was the effect major factor on restraints care outcomes(R2=0.093, p<0.01). The findings of this study confirm that such an educational intervention program is effective in improving the nurse knowledge on physical restraints so that we can share with other nursing colleague. It also helps us understand the true situations in clinical practice how the nurses perform patient restraints. The results can also be the guidelines for arranging the in-service education and establishing hospital policy of restraints.