!"#$%&'()*+,*-.!"#$ A Correlational Study among Nurses' Knowledge, Attitudes and Practice toward Physical Restraints G GG

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1 PO!"#$%&'()*+,*-.!"#$ A Correlational Study among Nurses' Knowledge, Attitudes and Practice toward Physical Restraints G GG!"#$%&'()*+,-./0" :;<=>?@ABCDEFGHIJ!"#$%&'()*%&+,()$,-./ :;<=>?$@A?BCDEF!"#$%&'!"()%&*!"+,%&-./0NSM!"#$%&'(ENF!"#$%&!'()*+,-./01,!"#$%!"#$%&'SOKPB!"#!"#$%&' VRKUBEOF!"#$%&'()!"#! EPF!"#$%&'(!!!"#$%&'()*+,-./(01234ETPKUBFEQF 56789:;<!=>?@ABCDEF"#!"#$%&'()*+,-./ E!"#I=2003; 2:2, F!"#$%&'()*+,&'()*-.&'()*/01!"#$%&'()*+,-.%/01!"#$%&!'()*+,-./01(2!"#$%&'!(")*+,-./012!"#$%&'()*+,-./VBJOMB!"#$%NOJQPBEjáååáÅâ=C=iÉáéòáÖI=OMMNF!"#$%&'('))*+,-!'./0!"#$#%&!'()*+,-./0,1!"#$%&'%()*+,-./01 E^Äê~Ü~ãëÉåI=OMMNF!"#$%&'()*+!"#$%!"#$%#&'($%)*+,-. G!"#$#%&'#()*+ GG!"VN NM O ==!"VN NO OR ==!"VO O NV!"#$%&' NNONT!"#$% NRR EMOFOUOSTMQU!"#$ O O! VO S

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3 PQ! påüéêéêi=g~åéääái=tìhìüåenvvpf!opr!"#$%&'()*+,-./012#3!"#$%&'()*+,-.,/0123 EVOBF!"#$%&'()*+,-./0!"#$%&'()*+,-./0+)*1!"#$EUNBF!"#$%&'()*+!"#$%&$' UTB!"#$ %!!"#$%&'()*'+,-./0123 j~ííüáéëéåi=i~ãäi=jå`~ååi=eçääáåöéê=jpãáíü t~íëçåenvvsf!"#$%&'()#*+&!"#$%&'()*+,-./0123!" #$%&'()*+,-./0123 EUSBF!"#$%&'()*+,-.%& ETTBF!"#$%&'()*+,-.&'/0 ETOBF!"#ERNBFEoçÄÄáåëI=_çóâçI=i~åÉI `ççééêi=c=g~üåáöéåi=nvutf!"#$%&'!"#$%&'()%#$*+,-./01!"#$%ejáçåi=cêéåöäéói=g~âçîåáåi=c j~êáåçi=nvuvf!"#$%&'()*+,-./01!"#$%&'()*+,-./01201!"#$%&'()*+,-./0123!"#$%&'()*+,-./01'23!"\!"#$%&'()*+,-.!"#$%&'()*+,-./0123"!"!!"#$%&'(%)'*+,-./0!"#$ %&"#'()*+,!"#!"#$%!"&'()*+"&' +!"#$%&'()"*+,"-.!"#$%&'!()*+,-!"#$!%&!!"#$%&!"#$%&'()*+,-.%#$/!"#$"%&"'(")*+,"-./!"#$%&'()*+,-./0!"#$!"#$%&'!"#$%&'()*+,-./012 EF!"#$EF!"#$%&' E F!"#$%&'()*+,-.E F!"#$%EF!" OS!!" N!"#!$%MJOS!"#$%!"#$%&'()*+,-!"#$% påüéêéê ENVVPF!"#$%!"#$%&'()*+,-.+!/ R iáâéêí=ëå~äé!!"#er F!ENF!"#$%QNM!"# NMJRM!"#$%&'()#*+,-./0!!"#$%!"pÅÜÉêÉê=ENVVPF!"#$% P!"#$%&'()*+,-.,/012!"NS!"#$P==iáâÉêí=ëÅ~äÉ NN NP NS!"#$%&'()*!"# NS QU!!EP F ERMBF!EO F!"#$%&'ENJ QVBF!!EN F!"#$%&'!"#$%&'()*+,-+./!"#$%&$'(!"#!"#$%&'()*+,-./012!"#$%&"#' ()*+,-./01!"#$%&'()*+,-./01230!"#$%&'()*$ P!"#$%!"#$ O O! VO S

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5 PS EF!"#$%&'()*+,-./01!"#$%&'()*+,-.EVUBF!!"#$%&'()*+,-./0'12E F!"#$%&!"#$%&'()#*+,-'(./!"#$%&$'()*+,-./0!! VNKPB!"#$%!&'(!"#$%VMB!"#$%&'!"#$%&'()*+,-./01+,2!"#$%&'()*+,-./01TPKUB!"#$%&'()*+, -!./01!"#$ SQB!"#$%&'()!"#$%&'()*+EF!"#$%&'()*+,-./0.12"!"!"#$%&'()*+,- EkZNSMF EBF EBF EBF!"#$% SOKP PSKN NKS!"#$ SV OTKO PKU!"#$% VRKU OKU NKQ!"#$%&'()*+, TOKP OOKR RKO!"#$% UTKR VKO PKP TTKP NVKS PKN!"#$%&'()*+,- EkZNRVF! EBF EBF EBF EBF EBF N O P Q R!"#$ NK!"#$%&'()*+, MKS NNKP NNKV SSKV VKQ OK!"#$%&'()*+,#- NKV NOKR NNKV SSKP TKR PK!"#$%&'()* +,-$./ NKP OKR PKU SQKQ OUKN!"# SK!"#$%&'()*+ ",-./01 MKS PKU SKV TNKV NSKP G! QK!"#$%&'()*+,- PKN PNKV NVKQ QMKS RKM RK!"#$%&'()*+,-./0%123 RKM RRKM NNKV OSKP NKV!"#$% TK MKS NMKS NMKM STKR NNKP UK!"#$%&'()*+,-'./0123 MKS M M PUKU SMKS!"#$% VK!"#$%&'()*+,-. /0123 NKP TKR RKS SRKS OMKM NMK!"#$%&'()*+,- PKU NRKM UKN RPKU NVKQ GãáëëáåÖ=N Q NM!"#!"#$ O O! VO S

6 !"#$%&'()*+,*-. PT!"#$%&'()*(+, Ek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ãáëëáåÖ=P NN NP NS!"!"#$%&'()*+,-(./!"#$%&'()%&*+,EíENRUF PKRVI=é MKMMNF!"#$%&'()*+,!"#$%&'EcEPINVFOKVPI=éMKMRF!"#$%&'()*+,-./0123!"#$%&'()*+,-&'./012!"#$%&'(EíENRRFQKNMI=éMKMMNF!"#$%&'()*+,-./012!"#$%&'()*+,-./*+0!"#$%Eê MKPOI=é MKMNF!"!"#$%&#'()*+,-./012!"#$%!"&'()*+,-.EêMKON I=éMKMNF!"#$%&'()*+,-!"#$%&'()*+,-./0,1!"#$%Eê MKOSI=é MKMN!"!"#$%&'()*+,-!./0/!"#$%&'()* QTB!!"#$%&'()*+!"#$!"#$%&'()*+,-!"#$%&'()*+,-."#/0$1!"#$%&'()*+,-.)/012 Ed~ää~ÖÉêI=NVVUF!"#$%&'()*+,!"#$%&'()*+,!E^Äê~Ü~ãëÉåI! VO S!"#$ O O

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8 !"#$%&'()*+,*-. PV!"#$%&'()'*+NMJNRB!"!"#$%&'()*+,-./0123 Ecê~åÅáëI=NVVOF!"#$%&'()*+),-./01!"#$%&'()*+,-./0+,!"#$%&'()*+,-./ENVVVF g~åéääáenvvof!"#$!%&'g~åéääá ENVVQF!"#$%&'()*+,-./0!"#$%&'()*+,-./"0123 ENVVVF=g~åÉääáENVVOX=NVVQF!"#$%! "#$%&'()*+,-./0!12!"#$%&' g~åéääá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Äê~Ü~ãëÉåI=`K=EOMMNFK=OMMO=ÖìáÇÉ=íç=åÉï=íÉÅÜJ åçäçöójé~íáéåí=êéëíê~áåíëw=g`^el=~åç=e`c^=áåëëìé=åéï êéëíê~áåí=öìáçéäáåéëk=kìêëáåö=j~å~öéãéåíi=poenofi=svj TOK _êçïåi=pk=jk=envvvfk=oéëíê~áåí=ìëéw=tüéêé=ççéë êéëéçåëáäáäáíó=äáé\=oki=soenfi=ssk bî~åëi=ik=hki=c=píêìãéñi=kk=bk=envuvfkqóáåö Ççïå=íÜÉ=ÉäÇÉêäóW=^=êÉîáÉï=çÑ=íÜÉ=äáíÉê~íìêÉ=çå=éÜóëáÅ~ä êéëíê~áåík=gçìêå~ä=çñ=íüé=^ãéêáå~å=déêá~íêáå=pçåáéíói PTENFI=SRJTQK cê~ååáëi=gk=envvofk=aéäáêáìã=áå=çäçéê=é~íáéåíëk gçìêå~ä=çñ=íüé=^ãéêáå~å=déêá~íêáå=pçåáéíói=qmeufi UOVJUPUK d~ää~öéêi=ok=jk=envvufk=kéïë=ñêçã=^k^k^k^=êéj éé~íë=å~ää=ñçê=êéçìåáåö=êéëíê~áåí=ìëék=kéî~ç~ oéñçêã~íáçåi=tenfi=nojnpk eçìëíçåi=hk=^ki=c=i~åüi=ek=tk=envvmfk=oéëíê~áåíëw eçï=çç=óçì=ëåçêé\=déêá~íêáå=kìêëáåöi=nnerfi=opnjopok g~ññéi=jk=pk=envvsfk=qüé=l_o^=öìáçéäáåéë=ñçê èì~äáíó=áãéêçîéãéåík=eoåçfk=pâáçãçêéjoçíük g~åéääái=ik=jki=påüéêéêi=vk=hki=c=hìüåi=jk=jk ENVVQFK=^ÅìíÉ=L=ÅêáíáÅ~ä=Å~êÉ=åìêëÉë=âåçïäÉÇÖÉ=çÑ éüóëáå~ä=êéëíê~áåíëk=gçìêå~ä=çñ=kìêëáåö=pí~ññ aéîéäçéãéåíi=nmenfi=sjnnk g~åéääái=ik=jki=påüéêéêi=vk=hki=h~åëâái=dk=tki C==kÉ~êóI=jK=^K=ENVVOFK=tÜ~í=åìêëáåÖ=ëí~ÑÑ=ãÉãÄÉêë êé~ääó=âåçï=~äçìí=éüóëáå~ä=êéëíê~áåíëk=oéü~äáäáí~j íáçå=kìêëáåöi=nsesfi=pqrjpquk géëéåi=_ki=eéëëjw~åi=^ki=gçüåëíçåi=pk=hki=lííçi ak=`ki=qéääéi=iki=oìëëéääi=`k=iki=c=t~ääéêi=^k=pk ENVVUFK=oÉëíê~áåí=êÉÇìÅíáçåW=^=åÉï=éÜáäçëçéÜó=Ñçê=~! VO S!"#$ O O

9 QM åéï=ãáääéååáìãk=gçìêå~ä=çñ=kìêëáåö=^çãáåáëíê~íáçåi OUETLUFI=POJPUK h~êäëëçåi=pki=_ìåüíi=dki=c=p~åçã~åi=mk=lk=envvufk müóëáå~ä=êéëíê~áåíë=áå=öéêá~íêáå=å~êé=âåçïäéçöéi=~íj íáíìçé=~åç=ìëék=på~åçáå~îá~å=gçìêå~ä=çñ=`~êáåö påáéååéëi=noenfi=qujrsk hçäëi=^k=envvtfk=m~íáéåí=êéëíê~áåíëk=kìêëáåö j~å~öéãéåíi=ouenfi=nqjnrk iééi=aki=`ü~åi=jk=`ki=q~ãi=bki=c=véìåöi=pk=hk ENVVVFK=rëÉ=çÑ=éÜóëáÅ~ä=êÉëíê~áåíë=çå=ÉäÇÉêäó=é~íáÉåíëW ^å=éñéäçê~íçêó=ëíìçó=çñ=íüé=ééêåééíáçåë=çñ=åìêëéë=áå eçåö=hçåök=gçìêå~ä=çñ=^çî~ååéç=kìêëáåöi=ovenfi=nrpj NRVK iìëáëi=pk=eommmfk=réç~íé=çå=êéëíê~áåí=ìëé=áå ~ÅìíÉ=Å~êÉ=ëÉííáåÖëK=mä~ëíáÅ=pìêÖáÅ~ä=kìêëáåÖI=OM EPFI=NQRJNRMK j~êìëåüçåâi=ok=dk=envvsfk=bî~äì~íáçå=çñ=~=üçëj éáí~ä=ëí~ññdë=âåçïäéçöé=êéö~êçáåö=íüé=ìëé=çñ=éüóëáj Å~ä=êÉëíê~áåíK=gçìêå~ä=çÑ=kìêëáåÖ=pí~ÑÑ=aÉîÉäçéãÉåíI NOEPFI=NQQJNQUK j~ííüáéëéåi=ski=i~ãäi=hk=ski=jå`~ååi=gki eçääáåöéêjpãáíüi=iki=c=t~íëçåi=gi=`k=envvsfk=eçëéáj í~ä=åìêëéë}=îáéïë=~äçìí=éüóëáå~ä=êéëíê~áåí=ìëé=ïáíü çäçéê=é~íáéåíëk=gçìêå~ä=çñ=déêçåíçäçöáå~ä=kìêëáåö OOESFI=UJNSK jáååáåâi=^ki=c=iéáéòáöi=ok=jk=eommnfk=qüé=êéj ëíê~áåí=ã~íåüjìéw=qüêéé=äéëëçåë=ëüçï=üçï=åìêëé=äé~çj Éêë=Å~å=áåÑäìÉåÅÉ=íÜÉ=ìëÉ=çÑ=éÜóëáÅ~ä=êÉëíê~áåíëK kìêëáåö=j~å~öéãéåíi=poepfi=ptjpvk jáçåi=ik=`ki=cêéåöäéói=gk=aki=g~âçîåáåi=`k=^ki C==j~êáåçI=gK=^K=ENVUVFK=^=ÑìêíÜÉê=Éñéäçê~íáçå=çÑ=íÜÉ ìëé=çñ=éüóëáå~ä=êéëíê~áåíë=áå=üçëéáí~äáòéç=é~íáéåíëk gçìêå~ä=çñ=íüé=^ãéêáå~å=déêá~íêáå=pçåáéíói=ptenmfi VQVJVRSK ldâééññéi=pki=g~åâi=`k=fk=^ki=c=ióéi=jk=envvsfk rëé=çñ=êéëíê~áåí=~åç=äéçê~áäë=áå=~=_êáíáëü=üçëéáí~äk gçìêå~ä=çñ=íüé=^ãéêáå~å=déêá~íêáå=pçåáéíói=qqevfi NMUSJNMUUK m~êâéêi=hki=jáäéëi=pk=ek=envvtfk=aé~íü=å~ìëéç Äó=ÄÉÇê~áäëK=gçìêå~ä=çÑ=íÜÉ=^ãÉêáÅ~å=dÉêá~íêáÅ=pçÅáÉíóI QRETFI=TVTJUMOK nìáååi=`k=^k=envvsfk=qüé=~çî~ååéç=éê~åíáåé=åìêëé ~åç=åü~åöáåö=ééêëééåíáîéë=çå=éüóëáå~ä=êéëíê~áåík=`äáåáj Å~ä=kìêëÉ=péÉëá~äáëíI=NMERFI=OOMJOORK oçääáåëi=ik=gki=_çóâçi=bki=i~åéi=gki=`ççééêi aki=c=g~üåáöéåi=ak=tk=envutfk=_áåçáåö=íüé=éäçéêäów=^ éêçëééåíáîé=ëíìçó=çñ=íüé=ìëé=çñ=ãéåü~åáå~ä=oéëíê~áåíë áå=~å=~åìíé=å~êé=üçëéáí~äk=gçìêå~ä=çñ=íüé=^ãéêáå~å déêá~íêáå=pçåáéíói=preqfi=ovmjovsk påüéêéêi=vk=hki=g~åéääái=iki=tìi=vk=_ki=c=hìüåi jk=jk=envvpfk=oéëíê~áåíë=é~íáéåíw=^å=áãéçêí~åí=áëëìé Ñçê=ÅêáíáÅ~ä=Å~êÉ=åìêëáåÖK=eÉ~êí=C=iìåÖI=OOENFI=TTJ UPK píáäïéääi=bk=jk=envvnfk=kìêëéëd=éçìå~íáçå=êéj ä~íéç= íç= íüé= ìëé= çñ= êéëíê~áåíëk= gçìêå~ä= çñ déêçåíçäçöáå~ä=kìêëáåöi=nteofi=opjork ==!"#!$EF!"#$%&'()*+,-.!"#$%!&'(!"#$%&'(!"#$ O O! VO S

10 !"#$%&'()*+,*-. QN A Correlational Study among Nurses' Knowledge, Attitudes and Practice toward Physical Restraints Hui-tzu Huang Fung-chi Ma Ching-huei Chen ABSTRACT The purpose of this study was to explore the nurses' knowledge, attitudes, practice, and the related factors of physical restraints. Subjects were selected by purposive sampling from the surgical-medical wards and intensive care units of three medical centers. Three instruments developed by the researchers conducted the study. They were "Knowledge about physical restraints scale", "Attitudes toward the use of restraints scale", and "Nursing applications of restraints scale". One hundred and sixty questionnaires were completed. The results of this study revealed that: (1) Nurses' knowledge of physical restraints displayed a middle level. The lowest correct response rate was 62.3%, which was the item of "understanding of appropriate restraints usage". The highest correct response rate was 95.8%, which was the item of "understanding principal of using restraints". (2) Nurses' attitudes regarding restraints ranged from "undecided" to "agree". (3) Nurses were capable of applying restraints correctly, and their application rate ranged from "sometimes" to "usually". Moreover, physical restraints were often the main methods in dealing with patients' problems (73.8%). (4) There were positive relationships among nurses' knowledge, attitudes, and applications about physical restraints. The results of this study will provide the nurses with more information to apply physical restraints in clinical situations. The results can be also the guidelines for arranging the in-service education and establishing hospital policy of physical restraints. (Tzu Chi Nursing Journal, 2003; 2:2, ) Key words: nurses, knowledge of physical restraints, attitudes toward physical restraints, application of physical restraints. Received: October 2, 2002 Revised: December 25, 2002 Accepted: February 19, 2003 Address correspondence to: Fung-chi Ma, No. 155, Section 2, Li-Non St. Taipei 11217, Taiwan, R. O. C. Tel: (02) ! VO S!"#$ O O

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