대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

억제대 사용에 대한 간호사 교육프로그램의 효과

Effects of on Education Program for Nurses on the Use of Restraints

  • 여정민 (순천향대학교 구미병원 중환자실) ;
  • 박명화 (계명대학교 간호대학)
  • Yeo Jeong-Min (Intensive Care Unit, Soonchunhyang University Gumi Hospital) ;
  • Park Myong-Hwa (College ol Nursing, Keimyung University)
  • 발행 : 2006.06.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to verify the effects of an education program of restraints use on nurses' knowledge, attitude and nursing performance related to restraints use. Method: A quasi experimental study with a pre and post non-equivalent design was used. The subjects were nurses who met the selection criteria and worked in intensive care units of two university hospitals located at K-city, Gyeongbuk. Twenty nurses in A hospital were designated as the experimental group and 20 nurses in B hospital as the control group. Result: The first hypothesis which assumed that the experimental group would have higher scores of knowledge than the control group was supported(F=62.66, p=0.000). The second hypothesis which assumed that the experimental group would have lower scores of attitude toward using restraints than the control group was supported(F=23.77, p=0.000). The third hypothesis which assumed that the experimental group would have higher scores of nursing performance than the control group was supported(F=3.28, p=0.032). Conclusion: An education program for nurses' on the use of restraints needs to be introduced to decrease inappropriate use of restraints.

키워드

참고문헌

  1. Bower, F. L., & McCullough, C. S. (2000). Restraint use in acute care setting: Can it be reduced? J Nurs Adm, 30(12), 592-598 https://doi.org/10.1097/00005110-200012000-00010
  2. Choi, E. H. (1999). A study on the use of physical restraint in an ICU. Unpublished master's thesis, Seoul National University, Seoul
  3. Coble, P., & Davis, J. (2001). Restraint reduction in a large tertiary medical center. J Nurs Adm, 31(7), 344-345 https://doi.org/10.1097/00005110-200107000-00004
  4. Croke, E., & Mayberrt, A. (2001). Physical restraint guidelines and care standards for use in nonpsychiatric acute care settings. J Leg Nurse Consultants, 12(1), 3-8
  5. Dunbar, J., & Neufeld, R. R. (2000). Partnership beyond restraints: a statewide educational intervention to reduce restraints use. Ann Long-Term Care, 8(9), 47-54
  6. Elk, S., & Ferchau, L. (2000). Physical restraints: are they necessary? Am J Nurs, 100(supple 5), 24-27
  7. Evans, D., Wood, J., & Lambert, L. (2003). Patient injury and physical restraint devices: A systematic review. J Adv Nurs, 41(3), 274-282 https://doi.org/10.1046/j.1365-2648.2003.02501.x
  8. Evans, L., Strumpf, N. E., Allen-Taylor, S. L., Capezuti, E., Maislin, G., & Jacobsen, B. (1997). A clinical trial to reduce restraints in nursing homes. J Am Geriatr Soc, 45, 675-681 https://doi.org/10.1111/j.1532-5415.1997.tb01469.x
  9. Frengley, J. D., & Mion, L. C. (1998). Physical restraints in the acute care setting. Clin Geriatr Med, 14, 727-743
  10. Janelli, L. M., Kanski, G. W., & Neary, M. A. (1994). Physical restraints: Has OBRA made a difference? J Gerontol Nurs, 20(6), 17-21
  11. Janelli, L. M., Scherer, Y. K., Kanski, G. W., & Neary, M. A. (1991). What nursing staff members really know about physical restraints?. Rehabil Nurs, 16(6), 345- 348 https://doi.org/10.1002/j.2048-7940.1991.tb01245.x
  12. Joint Commission on Accreditation of Healthcare Organization (2001). Comprehensive accreditation manual for hospitals (CAMH). Oakbrook Terrace, Illinois
  13. Kang, S. H. (2003). A study on nurses' knowledge and attitude toward the use of physical restraints. Unpublished master's thesis, Chonnam National University, Chonnam
  14. Kapp, M. (1996). Physical restraints use in critical care: Legal issues. AACN Clin Issues Crit Care Nurs, 7, 579-584 https://doi.org/10.1097/00044067-199611000-00013
  15. Kim, K. S. (2000). A study on perceptions about physical restraint use of nurse's and doctors' in hospital setting. Unpublished master's thesis, Chung-Ang University, Seoul
  16. Kim, K. S., Kim, J. H., Lee, S. H., Cha, H. K., Shin, S. J., & Chi, S. A. (2000). The physical restraint use in hospital nursing situation. J Korean Acad Nurs, 30(1), 60-71 https://doi.org/10.4040/jkan.2000.30.1.60
  17. Minnick, A. F.. Mion, L. C., Leipzig, R., Lamb, K., & Palmer, R. M. (1998). Prevalence and patterns of physical restraint use in the acute care setting. J Nurs Adm, 28(11), 19-24 https://doi.org/10.1097/00005110-199802000-00005
  18. O'Keffe, S., Jack, C. I. A., & Lye, M. (1996). Use of restraints and bedrails in a British hospitals. J Am Geriatr Soc, 44, 1086-1088 https://doi.org/10.1111/j.1532-5415.1996.tb02944.x
  19. Ortiz-Pruitt, J. (1995). Physical restraint of critically ill patients: A human issue. Crit Care Nurs Clin North Am, 7(2), 363-373
  20. Park, M. H. (1997). Study on the ICU nurses' intention to use restraints and related factors. Unpublished master's thesis, Keimyung University, Daegu
  21. Park, M., Tang, J., & Ledford, L. J. (2005). Evidence Based based protocol-restraints. Iowa: University of Iowa gerontological nursing intervention research center, Research Dissemination Core
  22. Scherer, Y. K., Janelli, L. M., Kanski, G. W., Neary, M. A, Morth, N. E. (1991). The nursing dilemma of restrains. J Gerontol Nurs, 17(2), 14-17
  23. Si, M., Neufeld, R. R., & Dunbar, J. (1999). Removal of bedrails on a short-term nursing home rehabilitation unit. Gerontologist, 39, 611-614 https://doi.org/10.1093/geront/39.5.611
  24. Smith, N. H., Timms, J., Parker, V. G., Reimels, E. M., & Hamlin, A. (2003). The impact of education on the use of physical restraints in the acute care setting. J Contin Educ Nurs, 34(1), 26-33
  25. Spool, M, M., & Cotter, V, T. (2005). Restraint-free care in nursing homes. Available at http://www.nursing.upenn.edu/centers/hcgne/gero_tips/rfc/default.htm
  26. Strumpf, N. E., Evans, L. k., Wangner, J., & Patterson, J. (1992). Reducing physical restraint: Developing an educational program. J Gerontol Nurs, 18(11), 21-27
  27. Sullivan-Marx, E. M. (2001). Achieving restraints-free care of acutely confused older adults. J Gerontol Nurs, 27(4), 56-61
  28. Terpstra, T. L., & Doren, E. V. (1998). Reducing restraints: Where to start. J Contin Educ Nurs, 29(1), 10-16
  29. Werner, P., & Mendelsson, G. (2001). Nursing staff member's intentions to use physical restraints with older people: testing the theory of reasoned action. J Adv Nurs, 35(5), 784-791 https://doi.org/10.1046/j.1365-2648.2001.01911.x
  30. Whitman, G. R., Davidson, L. J., Rudy, E. B., & Sereika, S. M. (2000). Practice patterns related to mechanical restraint use across a multi-institutional health care system. Outcomes Manag Nurs Pract, 5(3), 102-111