Indian nurses’ knowledge, attitude and practice towards use of physical restraints in psychiatric patients

• Autores: Sailaxmi Gandhi, Vijayalakshmi Poreddi, Dr. Nagarajaiah, Marimutthu Palaniappan, S. Sai Nikhil Reddy, Suresh BadaMath
• Localización: Investigación y educación en enfermería, ISSN-e 2216-0280, ISSN 0120-5307, Vol. 36, Nº. 1, 2018
• Idioma: inglés
• DOI: 10.17533/udea.iee.v36n1e10
• Títulos paralelos:
  • Conhecimentos, atitudes e práticas das enfermeiras hindus sobre o uso de restrições físicas em pacientes psiquiátricos
  • Conocimientos, actitudes y prácticas de las enfermeras hindúes sobre el uso de restricciones físicas en pacientes psiquiátricos
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Objetivo. Evaluar los conocimientos, las actitudes y las prácticas de las enfermeras hacia el uso de restricciones físicas en los pacientes psiquiátricos. Métodos. Se realizó un estudio descriptivo de corte transversal en una muestra por conveniencia de enfermeras que laboraban en departamentos de psiquiatría de un hospital de atención terciaria al sur de la India. Los datos se recolectaron utilizando el cuestionario de Suen, el cual fue contestado por autorreporte. Resultados. Los hallazgos revelaron que en cuanto al uso de restricciones físicas en pacientes psiquiátricos las enfermeras tenían buen conocimiento (media =7.2±1.7, máximo posible=11), actitudes favorables (media=30.8±3.3, máximo posible=48) y buenas prácticas (media=31.2 ± 6.2, máximo posible=42). Las mujeres tenían mejores conocimientos (p<0.001) y actitudes (p<0.05) que los varones hacia el uso de restricciones físicas. Las enfermeras con más de diez años de experiencia tuvieron actitudes más favorables hacia el uso de estas restricciones que las de menor experiencia (p<0.05) y las enfermeras con educación superior difirieron significativamente en el puntaje de la práctica comparadas con aquellas con educación básica en enfermería (p<0.05). Conclusión. Este estudio reveló buenos conocimientos, actitudes positivas y buenas prácticas de las enfermeras sobre el uso de restricciones físicas en los servicios de salud mental. Sin embargo, es necesario mejorar aún más las prácticas de las enfermeras a partir de programas de educación continua sobre este tema.

  • English

    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.

  • português

    Objetivo. Avaliar os conhecimentos, as atitudes e as práticas das enfermeiras para o uso de restrições físicas nos pacientes psiquiátricos. Métodos. Se realizou um estudo descritivo de corte transversal numa amostra por conveniência de enfermeiras que trabalhavam em departamentos de psiquiatria de um hospital de atenção terciaria no sul da Índia.

    Os dados foram recolhidos utilizando o questionário de Suen, o qual foi contestado por auto-reporte. Resultados. As descobertas revelaram que em quanto ao uso de restrições físicas em pacientes psiquiátricos as enfermeiras tinham bom conhecimento (media =7.2±1.7, máximo possível=11), atitudes favoráveis (media=30.8±3.3, máximo possível=48) e boas práticas (média=31.2 ± 6.2, máximo possíveis=42).

    As mulheres tinham melhores conhecimentos (p<0.001) e atitudes (p<0.05) que os homens para o uso de restrições físicas. As enfermeiras com mais de dez anos de experiência tiveram atitudes mais favoráveis para o uso destas restrições que as de menor experiência (p<0.05) e as enfermeiras com educação superior deferiram significativamente na pontuação da prática comparadas com aquelas com educação básica na enfermagem (p<0.05). Conclusão. Este estudo revelou bons conhecimentos, atitudes positivas e boas práticas das enfermeiras sobre o uso de restrições físicas nos serviços de saúde mental. Embora, seja necessário melhorar ainda mais as práticas das enfermeiras através de programas de educação continua sobre este assunto.

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