Intention to use physical restraint in paediatric intensive care units and correlated variables: A multicentre and cross-sectional study
Por:
Bosch-Alcaraz A, Alegre, JC, Domínguez, SG, Castaño, PL, Rodríiguez, PP, Hofheinz, SB, Roy, MAS, Pérez, EZ, Rocío Fernández Lorenzo, María Mata Ferro, Gómez, AM, Orea, MS, Oliva, MM, Rivas, SG, Montoto, NA, González, MJE, Osorio, EMPA, Muñoz, EC, Fernández, EL, Almendral, GL, Parra, MVU, Merino, AG, Martínez, AG, Cervera, DM, Pardo, LF and Piñero, JMG
Publicada:
1 ago 2024
Ahead of Print:
1 abr 2024
Resumen:
Objectives: To determine the intention to use physical restraint (PR) and the relationship with sociodemographic and professional variables of the Paediatric Intensive Care Unit (PICU) nurses. Research methodology/design and setting: A multicentre and correlational study was carried out from October 2021 to December 2023 in five paediatric intensive care units from five maternal and child hospitals in Spain. The Paediatric Physical Restraint -Theory of Planned Behaviour Questionnaire was provided. Moreover, sociodemographic and employment variables were registered. Results: A total of 230 paediatric nurses participated in the study. A total of 87.7 % were females with an average age of 35.5 +/- 9.7 years and working experience of 10.5 +/- 8.4 years. The mean scores obtained were 21.1 +/- 3.8 for attitude, 13.1 +/- 5.0 for subjective norms, 14.4 +/- 4.3 for perceived behavioural control and 28.0 +/- 6.0 for intention. The nurses apply more physical restraint to anxious patients, with scarce analgesics and sedation, those affected with pharmacological withdrawal symptoms and those with a high risk of accidental removal of vital support devices or fall from bed. The sex (p = 0.007) and type of employment contract (p = 0.01) are the variables that are significantly correlated with the intention to use of PR. Conclusion: The paediatric nurses analysed had a moderate attitude, social pressure and perceived behavioural control towards the use of PR. Implications for clinical practice: It is important to know the factors that influence the intention to use physical restraint in order to standardise safe practice for critically ill paediatric and to ensure that patients ' rights are respected by obtaining informed consent and assessing the prescription, continuation and removal of physical restraint.
Filiaciones:
Bosch-Alcaraz A:
Univ Barcelona UB, Fac Nursing, Dept Publ Hlth Mental Hlth & Maternal & Child Hlth, Barcelona, Spain
Univ Barcelona, Mental Hlth Psychosocial & Complex Nursing Care Re, Barcelona, Spain
Alegre, JC:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
Domínguez, SG:
12 Octubre Hosp, Pediat Intens Care Unit, Madrid, Spain
Castaño, PL:
Alfonso X El Sabio Univ, Madrid, Spain
Rodríiguez, PP:
La Paz Hosp, Pediat Intens Care Unit Nursing Supervisor, Madrid, Spain
La Paz Hosp IdiPAZ, Madrid, Spain
Roy, MAS:
Univ Barcelona UB, Fac Nursing, Dept Publ Hlth Mental Hlth & Maternal & Child Hlth, Barcelona, Spain
Univ Barcelona, Mental Hlth Psychosocial & Complex Nursing Care Re, Barcelona, Spain
Pérez, EZ:
Vall dHebron Hosp, Dept Knowledge Management & Evaluat, Nurse, Barcelona, Spain
Vall dHebron Res Inst VHIR, Multidisciplinary Nursing Res Grp, Barcelona, Spain
Rocío Fernández Lorenzo:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
María Mata Ferro:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
:
St Joan Deu Hosp, Pediat Intens Care Unit, Barcelona, Spain
Oliva, MM:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
Rivas, SG:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
Montoto, NA:
Vall Hebron Hosp, Pediat Intens Care Unit, Barcelona, Spain
González, MJE:
Carlos Haya Hosp, Pediat Intens Care Unit, Malaga, Spain
Osorio, EMPA:
Carlos Haya Hosp, Pediat Intens Care Unit, Malaga, Spain
Muñoz, EC:
12 Octubre Hosp, Pediat Intens Care Unit, Madrid, Spain
Fernández, EL:
12 Octubre Hosp, Pediat Intens Care Unit, Madrid, Spain
Parra, MVU:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Merino, AG:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Martínez, AG:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Cervera, DM:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Pardo, LF:
La Paz Hosp, Pediat Intens Care Unit, Madrid, Spain
Piñero, JMG:
Carlos Haya Hosp, Pediat Intens Care Unit Nursing Supervisor, Malaga, Spain
hybrid
|