scholarly journals Sri Lankan nurses’ Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients

2019 ◽  
Author(s):  
Navodya Sewwandi Dasanayake ◽  
Virangi Indrachapa Nethmini ◽  
Nishanthi Manjula Kumari ◽  
Kumudumali Hansika Peiris ◽  
Ganeshmurthi Vijayachithra ◽  
...  

Abstract Background Physical restrain was one of the ancient interventions used to control psychiatric patients. It should be used for a short period, and a registered nurse is responsible to protect rights, treat with dignity and provide high quality care during patient restraints. The objective of the study was to assess knowledge, attitudes and practices on physical restraining among nurses in psychiatric wards and units in Sri Lanka.Methods A study was conducted in a Mental Health institution in Sri Lanka and a pretested self-administered questionnaire was used for data collection. The associations among the knowledge, attitudes, practices and socio-demographic factors were assessed.Results Knowledge of nursing officers’ regarding physical restraints was at a satisfactory level and increasing with working experience, getting formal education of physical restraining. However, there is no significant association between the knowledge on physical restraints and working experience, formal education of physical restraints and working places. In addition, most of attitudes and practices regarding physical restraints among nurses were not significantly associated with working experience, formal education of physical restraints and working places.Conclusions Knowledge, attitudes and practices regarding physical restraints among nurses were in satisfactory level. Continuous in-service education programs are important to improve knowledge, attitudes and practices on physical restraints for psychiatry patients.

2019 ◽  
Author(s):  
Navodya Sewwandi Dasanayake ◽  
Virangi Indrachapa Nethmini ◽  
Nishanthi Manjula Kumari ◽  
Kumudumali Hansika Peiris ◽  
Ganeshmurthi Vijayachithra ◽  
...  

Abstract Background Physical restrain was one of the ancient interventions used to control psychiatric patients. It should be used for a short period, and a registered nurse is responsible to protect rights, treat with dignity and provide high quality care during patient restraining. The objective of the study was to assess knowledge, attitudes and practices on physical restraining among nurses in psychiatric wards and units in Sri Lanka.Methods A descriptive cross-sectional study was conducted in the National Institute of Mental Health in Sri Lanka and a pretested self-administered questionnaire was used for data collection. The associations among the knowledge, attitudes, practices and socio-demographic factors were assessed.Results Knowledge of nursing officers’ regarding physical restraining was at a satisfactory level and increasing with working experience, getting formal education of physical restraining. However, there is no significant association between the knowledge on physical restraining and working experience, formal education of physical restraining and working places. In addition, most of attitudes and practices regarding physical restraining among nurses were not significantly associated with working experience, formal education of physical restraining and working places.Conclusions Participants had satisfactory knowledges, positive attitudes and favorable practices regarding physical restraining. Continuous in-service education programs important to improve the knowledge, attitudes and practices on physical restraining among nurses.


2020 ◽  
Vol 7 (1) ◽  
pp. 29
Author(s):  
Khadija Bouaddi ◽  
Abdelali Bitar ◽  
Mohammed Bouslikhane ◽  
Abdesslam Ferssiwi ◽  
Aziz Fitani ◽  
...  

The aim of this study was to evaluate the knowledge, attitudes, and practices regarding rabies in the El Jadida region, Morocco. We conducted a cross-sectional survey using a structured questionnaire among randomly selected residents across 24 study sites. In total, 407 respondents took part in the survey. The majority (367, 92%) were male and had no formal education (270, 66%). Some (118, 29%) believed that rabies does not affect humans. Most respondents (320, 79%) were aware that vaccination could prevent rabies, but nevertheless did not vaccinate their dogs (264, 64.9%) and allowed their dogs to roam freely in search of food. Some (52.8%) would visit traditional healers for treatment in the event of a dog bite incident. Age and educational level were found to be significantly associated with knowledge, attitudes, and practices (p < 0.05). Although respondents demonstrated some level of knowledge about rabies, overall this study reveals critical gaps in their attitudes and practices. These shortcomings may be associated with a low level of education. Therefore, decision-makers need a new approach to control rabies, with a special focus on public awareness and health education, in order to sustain rabies control programs.


2020 ◽  
Vol 40 (3) ◽  
pp. 37-47
Author(s):  
Öznur Gürlek Kısacık ◽  
Münevver Sönmez ◽  
Tuğba Coşğun

Background Various factors affect the use of physical restraints in the intensive care unit, with nurses’ knowledge and attitudes being the strongest determinants. Objective To determine Turkish intensive care unit nurses’ knowledge, attitudes, and practices regarding physical restraints and factors influencing them. Methods This cross-sectional, correlational study was conducted in the intensive care units of state and university hospitals. A total of 191 nurses provided information on their sociodemographic and professional characteristics and completed a questionnaire on their knowledge, attitudes, and practices regarding physical restraints. Results Statistically significant differences were found between average knowledge scores according to type of intensive care unit, weekly working hours, work shift, and frequency of using physical restraints, with the highest scores found in nurses who worked in the surgical unit, worked 40 hours a week, worked only during the day, and used physical restraints every day. Significant differences were found between average attitude scores according to type of intensive care unit, with the highest scores found in nurses who worked in the cardiology unit. Significant differences were found between average practice scores according to level of education and use of physical restraints without a physician’s order, with the highest scores found in nurses with undergraduate and postgraduate degrees and those who did not use physical restraints without a physician’s order. Conclusions This study revealed inadequate knowledge about physical restraints and some unsafe practices among participants. Evidence-based guidelines and laws regarding physical restraints are needed, as well as regular training programs for involved personnel.


2021 ◽  
pp. 152483992110607
Author(s):  
Sarah Kuehl ◽  
Eudora Olsen ◽  
Carlyn Harris ◽  
Sampurna (Megha) Mandal ◽  
Matt Watt ◽  
...  

Despite widespread media coverage and public health messaging, many high school students lacked formal education about COVID-19 during the pandemic. Providing this education, particularly to underserved communities, may reduce health disparities and encourage youth to engage in the sciences. Twenty-five medical students at Emory University School of Medicine created a virtual, synchronous, COVID-19 curriculum. Learners included 25 students enrolled in a pipeline program from five high schools in metro-Atlanta. The five lesson topics included virus epidemiology, COVID-19 testing and mask-wearing, vaccine fundamentals, COVID-19 risk in communities, and mental health and wellness. Lessons were standardized through medical student-teacher practice presentations to faculty. The curriculum was evaluated with a 23-item pre- and postsurvey assessing learners’ COVID-19 knowledge, attitudes, and practices. Pre- and postsurvey scores were compared using descriptive statistics and paired-samples t test. After the curriculum, learners' (N = 9) COVID-19 knowledge scores increased from 67% correct to 90% correct. Participants were better able to identify risk factors for severe COVID-19 infection, define “herd immunity,” and describe how socioeconomic status can influence infection risk. In addition, after the curriculum implementation, more learners thought vaccines were safe, with 67% responding that vaccines are “very safe,” compared with 0% at pretest. This initiative increased learners’ COVID-19 knowledge and established bridges between medical students and underserved communities. These connections are essential to combat misinformation surrounding COVID-19, encourage participation in the sciences from underrepresented areas, and empower students to be health advocates within their communities.


2020 ◽  
Vol 9 (2) ◽  
pp. 39-48
Author(s):  
Gülşah Köse ◽  
Sevinç Taştan ◽  
Adile Çatalbaş ◽  
Hatice Akkaya ◽  
Merve Seyfi ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Lielt Mersha Woldekirkos ◽  
Tilahun Jiru ◽  
Heyria Hussien ◽  
Belayneh Shetie

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.


2009 ◽  
Vol 7 (3) ◽  
pp. 339-347 ◽  
Author(s):  
Huda Abu-Saad Huijer ◽  
Hani Dimassi ◽  
Sarah Abboud

AbstractObjective:Our objective was to determine the knowledge, attitudes, and practices of physicians and nurses on Palliative Care (PC) in Lebanon, across specialties.Method:We performed a cross-sectional descriptive survey using a self-administered questionnaire; the total number of completed and returned questionnaires was 868, giving a 23% response rate, including 74.31% nurses (645) and 25.69% physicians (223).Results:Significant differences were found between medical and surgical nurses and physicians concerning their perceptions of patients' and families' outbursts, concerns, and questions. Knowledge scores were statistically associated with practice scores and degree. Practice scores were positively associated with continuing education in PC, exposure to terminally ill patients, and knowledge and attitude scores. Acute critical care and oncology were found to have lower practice scores than other specialties.Significance of results:Formal education in palliative care and development of palliative care services are very much needed in Lebanon to provide holistic care to terminally ill patients.


1996 ◽  
Vol 7 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Rui Gama Vaz ◽  
Stephen Gloyd ◽  
Ricardo Trindade

The study was designed to evaluate the impact of education on AIDS knowledge among prison inmates in Maputo, Mozambique. A 6-month follow-up study was carried out in 1993 among 300 prisoners. A knowledge, attitudes, and practices questionnaire regarding AIDS and STD was administered to each subject as part of the intake medical examination and after an educational intervention provided by 30 prisoner 'activists'. A large proportion of prisoners had high risk behaviours (65% had 2 or more sexual partners per month and 39% had a history of STD) and low AIDS knowledge at incarceration. Statistically significant increases in knowledge occurred after the intervention. Prisoners with less formal education had a poorer performance on the initial questionnaire (43% vs 69% P <0.00001) and had a greater improvement after the intervention (41% vs 24%, P <0.00001). The results demonstrate that educational interventions involving peer health educators contribute positively to the acquisition of knowledge among prisoners.


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