Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study

Background. Physical restraint is any chemical or physical involuntary method restricting an individual’s movement, physical activity, or normal access to the body. Physical restraints are prescribed by the physician, but the ICU nurse remains the decision maker responsible in assessing the need, ap...

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Main Authors: Lielt Mersha Woldekirkos, Tilahun Jiru, Heyria Hussien, Belayneh Shetie
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2021/5585140
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author Lielt Mersha Woldekirkos
Tilahun Jiru
Heyria Hussien
Belayneh Shetie
author_facet Lielt Mersha Woldekirkos
Tilahun Jiru
Heyria Hussien
Belayneh Shetie
author_sort Lielt Mersha Woldekirkos
collection DOAJ
description Background. Physical restraint is any chemical or physical involuntary method restricting an individual’s movement, physical activity, or normal access to the body. Physical restraints are prescribed by the physician, but the ICU nurse remains the decision maker responsible in assessing the need, application, and removal of PR on patients in the ICU setting. Objectives. This cross-sectional descriptive study was carried out to determine the knowledge, attitudes, and practices of nurses working in adult ICU and associated factors towards the use of physical restraints in federally administered hospitals in Addis Ababa, Ethiopia, 2019. Methods. The study was conducted in ICUs of Federal Hospitals in Addis Ababa, Ethiopia, 2019. A hospital-based descriptive cross-sectional study design was carried out. By census, a total of 126 nurses were included. The data were checked for their completeness and were entered to EpiData version 4.2 and analyzed using SPSS version 25 software with 95% CI. Also, the Pearson correlation coefficient and binary logistic regression analysis were used to find an association. Result. Majority of nurses was found to be aged between 21 and 30 years, (62.5%) have worked 2–5 years, and (83%) were degree graduates. The nurses’ knowledge score was 6.1 ± 2.6 (50.8%) with possible range 0–11, the attitude score was 14.1 ± 3.1 (64%) with possible range 0–22, and the practice score was 13.9 ± 3.8 (63.18%) with possible range 0–22. Their demographical characteristics such as gender, working year, and education levels were not significantly associated with knowledge, attitudes, and practices (P > 0.05). Only age significantly associated with practice. Lack of a written policy or guideline and not being trained on application of physical restraint were significantly associated with knowledge. Also, practice was associated with knowledge and attitude. Conclusion. According to the study, there was a poor level of nurses’ knowledge, proper attitude, and satisfactory practice toward the use of physical restraints.
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spelling doaj-art-06de51ed6ac64a349beed72d294ac1112025-02-03T01:25:45ZengWileyCritical Care Research and Practice2090-13052090-13132021-01-01202110.1155/2021/55851405585140Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional StudyLielt Mersha Woldekirkos0Tilahun Jiru1Heyria Hussien2Belayneh Shetie3School of Nursing, College of Medicine and Health Science, Departments of Emergency and Critical Care Nursing, University of Gondar, Gondar, EthiopiaDepartment of Emergency Medicine, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Emergency Medicine, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaSchool of Nursing, College of Medicine and Health Science, Departments of Emergency and Critical Care Nursing, University of Gondar, Gondar, EthiopiaBackground. Physical restraint is any chemical or physical involuntary method restricting an individual’s movement, physical activity, or normal access to the body. Physical restraints are prescribed by the physician, but the ICU nurse remains the decision maker responsible in assessing the need, application, and removal of PR on patients in the ICU setting. Objectives. This cross-sectional descriptive study was carried out to determine the knowledge, attitudes, and practices of nurses working in adult ICU and associated factors towards the use of physical restraints in federally administered hospitals in Addis Ababa, Ethiopia, 2019. Methods. The study was conducted in ICUs of Federal Hospitals in Addis Ababa, Ethiopia, 2019. A hospital-based descriptive cross-sectional study design was carried out. By census, a total of 126 nurses were included. The data were checked for their completeness and were entered to EpiData version 4.2 and analyzed using SPSS version 25 software with 95% CI. Also, the Pearson correlation coefficient and binary logistic regression analysis were used to find an association. Result. Majority of nurses was found to be aged between 21 and 30 years, (62.5%) have worked 2–5 years, and (83%) were degree graduates. The nurses’ knowledge score was 6.1 ± 2.6 (50.8%) with possible range 0–11, the attitude score was 14.1 ± 3.1 (64%) with possible range 0–22, and the practice score was 13.9 ± 3.8 (63.18%) with possible range 0–22. Their demographical characteristics such as gender, working year, and education levels were not significantly associated with knowledge, attitudes, and practices (P > 0.05). Only age significantly associated with practice. Lack of a written policy or guideline and not being trained on application of physical restraint were significantly associated with knowledge. Also, practice was associated with knowledge and attitude. Conclusion. According to the study, there was a poor level of nurses’ knowledge, proper attitude, and satisfactory practice toward the use of physical restraints.http://dx.doi.org/10.1155/2021/5585140
spellingShingle Lielt Mersha Woldekirkos
Tilahun Jiru
Heyria Hussien
Belayneh Shetie
Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study
Critical Care Research and Practice
title Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study
title_full Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study
title_fullStr Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study
title_full_unstemmed Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study
title_short Knowledge, Attitude, and Practice of Nurses Working in the Adult Intensive-Care Unit and Associated Factors towards the Use of Physical Restraint in Federally Administered Hospitals in Addis Ababa, Ethiopia: A Multicenter Cross-Sectional Study
title_sort knowledge attitude and practice of nurses working in the adult intensive care unit and associated factors towards the use of physical restraint in federally administered hospitals in addis ababa ethiopia a multicenter cross sectional study
url http://dx.doi.org/10.1155/2021/5585140
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