Attitude, Experiences and Opinion of Critical Care Nurses regarding physical restrain working at Tertiary Care Hospitals of Peshawar

Authors

  • Waleed Iqbal Assistant professor & principal Ayub international college of nursing Peshawar Author
  • Rafiullah Managing Director Ayub international college of nursing Peshawar Author
  • Shah Faisal Vice principal Ayub international college of nursing Peshawar Author
  • Abdullah Nursing Lecturer Ayub international college of nursing Peshawar Author
  • Arshi Zeb Nursing Lecturer Ayub international college of nursing Peshawar Author
  • Adil MURADYAN Nursing Lecturer Ayub international college of nursing Peshawar Author

Abstract

 The management of delirium and agitation in critically ill patients presents a complex challenge, often leading to the consideration of physical restraints as a solution. However, the implications of restraint extend beyond mere physical restriction, encompassing psychological, legal, and ethical dimensions. The study described aims to assess critical care nurses' experiences, attitudes, and opinions regarding physical restraint practices at a tertiary care hospital in Peshawar. This study highlights a shifting focus towards alternative strategies, such as early sedation withdrawal and enhanced de-escalation skills training, amidst concerns regarding patient autonomy and well-being. Furthermore, it explores the impact of socioeconomic factors and race on restraint use, underscoring disparities in healthcare delivery. Additionally, subjective experiences of psychiatric patients subjected to restraints reveal nuanced perceptions, including feelings of powerlessness and acceptance. The subsequent methodology delineates a descriptive crosssectional study conducted in critical care units across tertiary care hospitals in Peshawar, Pakistan, aiming to elucidate critical care nurses' attitudes towards physical restraint usage. Utilizing a convenient sampling technique, data was collected through a validated questionnaire, emphasizing ethical considerations and ensuring participant consent. The study's results shed light on the socio-demographic characteristics of respondents and their perspectives on physical restraint, indicating a spectrum of opinions regarding its efficacy and ethical implications. These findings contribute to the ongoing discourse on physical restraint practices in healthcare, informing future research endeavors and interventions aimed at optimizing patient care while preserving autonomy and dignity. 

Downloads

Download data is not yet available.

References

Al-Shahrani AM, Miskeen E, Shroff F, Elnour S, Algahtani R, Youssry I, et al.

Premenstrual syndrome and its impact on the quality of life of female medical students at Bisha

University, Saudi Arabia. Journal of Multidisciplinary Healthcare. 2021:2373-9.

Mohr WK, Petti TA, Mohr BD. Adverse effects associated with physical restraint. The

Canadian Journal of Psychiatry. 2003;48(5):330-7.

Lei R, Jiang X, Liu Q, He H. Nurse education to reduce physical restraints use in ICU: a

scoping review. Nursing in Critical Care. 2022;27(6):824-37.

Hine K. The use of physical restraint in critical care. Nursing in critical care.

;12(1):6-11.

Wong AH, Whitfill T, Ohuabunwa EC, Ray JM, Dziura JD, Bernstein SL, et al.

Association of race/ethnicity and other demographic characteristics with use of physical

restraints in the emergency department. JAMA network open. 2021;4(1):e2035241-e.

Ferrao SAdS, Bleijlevens MH, Nogueira PJ, Henriques MAP. A cross‐sectional study on

nurses' attitudes towards physical restraints use in nursing homes in Portugal. Nursing open.

;8(4):1571-7.

Lee T-K, Välimäki M, Lantta T. The knowledge, practice and attitudes of nurses

regarding physical restraint: survey results from psychiatric inpatient settings. International

journal of environmental research and public health. 2021;18(13):6747.

Cui N, Qiu R, Zhang Y, Jin J. “Patient Comfort Can Be Sacrificed for Patient Safety”—

Perception and Practice Reported by Critical Care Nurses Toward Physical Restraints: A

Qualitative Descriptive Study. Frontiers in Medicine. 2021;8:573601.

Via-Clavero G, Sanjuán-Naváis M, Romero-García M, de la Cueva-Ariza L, MartínezEstalella G, Plata-Menchaca E, et al. Eliciting critical care nurses’ beliefs regarding physical

restraint use. Nursing ethics. 2019;26(5):1458-72.

Schnitzer K, Merideth F, Macias‐Konstantopoulos W, Hayden D, Shtasel D, Bird S.

Disparities in care: the role of race on the utilization of physical restraints in the emergency

setting. Academic Emergency Medicine. 2020;27(10):943-50.

Wong AH, Ray JM, Rosenberg A, Crispino L, Parker J, McVaney C, et al. Experiences

of individuals who were physically restrained in the emergency department. JAMA network

open. 2020;3(1):e1919381-e.

Fugger G, Gleiss A, Baldinger P, Strnad A, Kasper S, Frey R. Psychiatric patients'

perception of physical restraint. Acta Psychiatrica Scandinavica. 2016;133(3):221-31.

Funayama M, Takata T. Psychiatric inpatients subjected to physical restraint have a

higher risk of deep vein thrombosis and aspiration pneumonia. General Hospital Psychiatry.

;62:1-5.

Freeman S, Hallett C, McHugh G. Physical restraint: experiences, attitudes and opinions

of adult intensive care unit nurses. Nursing in Critical Care. 2016;21(2):78-87.

Suen LK, Lai C, Wong T, Chow S, Kong S, Ho J, et al. Use of physical restraints in

rehabilitation settings: staff knowledge, attitudes and predictors. Journal of advanced nursing.

;55(1):20-8.

Eskandari F, Abdullah KL, Zainal NZ, Wong LP. Use of physical restraint: Nurses’

knowledge, attitude, intention and practice and influencing factors. Journal of clinical nursing.

;26(23-24):4479-88.

Kong EH, Choi H, Evans LK. Staff perceptions of barriers to physical restraint‐reduction

in long‐term care: A meta‐synthesis. Journal of Clinical Nursing. 2017;26(1-2):49-60.

Kandeel NA, Attia AK. Physical restraints practice in adult intensive care units in E gypt.

Nursing & health sciences. 2013;15(1):79-85.

Chien W-T, Chan CW, Lam L-W, Kam C-W. Psychiatric inpatients’ perceptions of

positive and negative aspects of physical restraint. Patient Education and Counseling.

;59(1):80-6.

Downloads

Published

2024-02-29

How to Cite

Iqbal, W., Rafiullah, Faisal, S., Abdullah, Zeb, A., & MURADYAN, A. (2024). Attitude, Experiences and Opinion of Critical Care Nurses regarding physical restrain working at Tertiary Care Hospitals of Peshawar. History of Medicine, 10(1). https://historymedjournal.com/HOM/index.php/medicine/article/view/698