Indian nurses’ Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients

Authors

  • Sailaxmi Gandhi Ph.D. Additional Professor, Department of Nursing National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore (India). email: sailaxmi63@yahoo.com
  • Vijayalakshmi Poreddi RN, RM, BSN, MSN. College of Nursing, National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore (India). email: pvijayalakshmireddy@gmail.com
  • - Nagarajaiah PhD, Former Additional Professor, Department of Nursing National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore (India). email: dr.nagarajaiah@gmail.com
  • Marimutthu Palaniappan PhD, Additional Professor, Department of Bio-Statistics, National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore (India). email: p_marimuthu@hotmail.com
  • S. Sai Nikhil Reddy Second year MBBS. Bangalore Medical College and Research Institute, Bangalore (India). email: saithereddy@gmail.com
  • Suresh BadaMath MD, Psychiatry. Professor, Department of Psychiatry National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore (India). email: nimhans@gmail.com

DOI:

https://doi.org/10.17533/udea.iee.v36n1e10

Keywords:

Cross-sectional studies, health knowledge, attitudes, practice, restraint, physical, psychiatric nursing.

Abstract

Objective. To assess nurses’ knowledge, attitude and practice towards using physical restraints among psychiatric patients.

Methods. A descriptive cross sectional survey was carried out among conveniently selected sample of nurses working in psychiatry departments at a tertiary care center. The data was collected using self reported questionnaires of Suen.

Results. The findings revealed that nurses had good knowledge (7.2±1.7, maximum posible=11), favorable attitudes 30.8± 3.3 (maximum posible=48) and good practice 31.2±6.2 (maximun posible=42) about use of physical restraints in psychiatric patients. Females had better knowledge (p<0.001), attitudes (p<0.05) than males towards use of physical restraints. Nurses those had more than ten years of experience found to have more favorable attitudes towards using physical restraints than nurses with less experience (p<0.05) and nurses with higher education Indian nurses’ Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients differed significantly on practice score than nurses with basic education in nursing (p<0.05).

Conclusion. This study revealed good knowledge, positive attitudes and good practices among nurses about using physical restraints in mental health services. However there is need to improve even more nurses practice through continuing education programs on this topic.


How to cite this article: Gandhi S, Vijayalakshmi P, Nagarajaiah, Marimuthu P, Reddy SSN, Suresh BM. Indian nurses' Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients. Invest. Educ. Enferm. 2018; 36(1):e10.

|Abstract
= 1709 veces | PDF
= 723 veces| | HTML ENGLISH
= 2 veces| | VIDEO
= 0 veces|

Downloads

Download data is not yet available.

References

(1) Martin B. Restraint use in acute and critical care settings: changing practice. AACN clinical issues. 2002; (2):294-306.

(2) Gelkopf M, Roffe Z, Behrbalk P, Melamed Y, Werbloff N, Bleich A. Attitudes, opinions, behaviors, and emotions of the nursing staff toward patient restraint. Issues Ment. Health Nurs. 2009; 30(12):758-63.

(3) Moosa MYH, Jeenah FY. The Use of Restraints in Psychiatric Patients. S. Afr. J. Psychiatr. 2009; 15(3):72-5.

(4) Mohr WK. Restraints and the code of ethics: An uneasy fit. Arch. Psychiatr. Nurs. 2010; 24(1):3-14.

(5) Steinert T, Lepping P, Bernhardsgrütter R, Conca A, Hatling T, Janssen W, et al. Incidence of seclusion and restraint in psychiatric hospitals: a literature review and survey of international trends. Soc. Psychiatry Psychiatr. Epidemiol. ; 45(9):889-97.

(6) Khandelwal S, Deb K, Krishnan V. Restraint and seclusion in India. Indian J. Soc. Psychiatry. 2015; 31(2):141-7.

(7) Ghanashyam B, Nagarathinam S. India is failing the mentally ill as abuses continue. Lancet. 2010 13; (9753):1633-4.

(8) Antony JT. The mental health care bill 2013: A disaster in the offing? Indian J. Psychiatry. 2014; 56(1):3-7.

(9) Lai CK, Chow SK, Suen LK, Wong IY. The effect of a restraint reduction program on physical restraint rates in rehabilitation settings in Hong Kong. Rehabil. Res. Pract. 2011; 2011:284604.

(10) Springer G. When and how to use restraints. Am. Nurse Today. 2015; 10:1. Available from: https://www.americannursetoday.com/use-restraints/

(11) Lai CKY. Nurses using physical restraints: Are the accused also the victims? – A study using focus group interviews. BMC Nurs. 2007; 6:5.

(12) De Jonghe B, Constantin J-M, Chanques G, Capdevila X, Lefrant J-Y, Outin H, et al. Physical restraint in mechanically ventilated ICU patients: a survey of French practice. Intensive Care Med. 2013; 39(1):31-7.

(13) Wynn R. Staff’s attitudes to the use of restraint and seclusion in a Norwegian university psychiatric hospital. Nord J. Psychiatry. 2003; 57(6):453-9.

(14) Mahmoud AS. Psychiatric Nurses’ Attitude and Practice toward Physical Restraint. Arch. Psychiatr. Nurs. 2017; (1):2-7.

(15) Al-Khaled T, Zahran E, El-Soussi A. Nurses’ related factors influencing the use of physical restraint in critical care units. J. Am. Sci. 2011; 7(8):13-22.

(16) Kinner SA, Harvey C, Hamilton B, Brophy L, Roper C, McSherry B, et al. Attitudes towards seclusion and restraint in mental health settings: findings from a large, community-based survey of consumers, carers and mental health professionals. Epidemiol. Psychiatr. Sci. 2016; 12:1-10.

(17) Suen K. Knowledge, attitude and practice of nursing home staff towards physical restraints in Hong Kong nursing homes. Asian J. Nurs. Stud. 1999; 5(2):73-86.

(18) Barnett R, Stirling C, Pandyan AD. A review of the scientific literature related to the adverse impact of physical restraint: gaining a clearer understanding of the physiological factors involved in cases of restraint-related death. Med. Sci. Law. 2012; 52(3):137-42.

(19) Azab S, Abu Negm L. Use of physical restraint in intensive care units (ICUs) at Ain Shams University hospitals, Cairo. J. Am. Sci. 2013; 9(4):230-40.

(20) Elgamal M. Patients and staff attitudes toward physical restraint. Current Psychiatry. 2006; 13(3):474.

(21) Gowda GS, Noorthoorn EO, Kumar CN, Nanjegowda RB, Math SB. Clinical correlates and predictors of perceived coercion among psychiatric inpatients: A prospective pilot study. Asian J. Psychiatry. 2016; 22:34-40.

(22) Kamel NMF, Maximos MHF, Gaafar MM. Reactions of Patients and Psychiatric Hospital Staff About Physical Restraint. Alexandria Sci. Nurs. J. 2007; 6(2):1-22.

(23) Sequeira H, Halstead S. The psychological effects on nursing staff of administering physical restraint in a secure psychiatric hospital: ‘When I go home, it’s then that I think about it’. Br. J. Forensic Pract. 2004; 6(1):3-15.

(24) Chien W-T, Lee IY. Psychiatric nurses’ knowledge and attitudes toward the use of physical restraint on older patients in psychiatric wards. Int.J Mult. Res. Approaches. 2007; 1(1):52-71.

Published

2018-04-11

How to Cite

Gandhi, S., Poreddi, V., Nagarajaiah, .-., Palaniappan, M., Nikhil Reddy, S. S., & BadaMath, S. (2018). Indian nurses’ Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients. Investigación Y Educación En Enfermería, 36(1). https://doi.org/10.17533/udea.iee.v36n1e10

Issue

Section

ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS

Most read articles by the same author(s)

1 2 > >>