Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

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Factors Influencing Nursing Practices of Physical Restraint Use among Nurses working in Long-term Care Hospitals

요양병원 간호사의 신체적 억제대 사용과 관련된 간호실무에 영향을 미치는 요인

  • Ha, Sun-Mi (Department of Nursing, Gimcheon University)
  • Received : 2018.12.26
  • Accepted : 2019.03.08
  • Published : 2019.03.31
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Abstract

This study was undertaken to identify knowledge, attitude, perception and nursing practice toward use of physical restraints, among nurses in long-term care hospitals. We further explored the impact of factors associated with nursing practice toward use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 128 nurses working at 11 long-term care hospitals. Descriptive statistics, including t-test, one-way ANOVA, Welch's test, Pearson correlation coefficients and multiple regression, were applied to analyze the data collected. Our results reveal that the participants possess moderate levels of knowledge, attitude, perception and nursing practice toward use of physical restraints. Significant positive correlations were observed between nursing practice and knowledge. Multiple regression analysis showed that the factors significantly related to nursing practice and use of physical restraint were knowledge (${\beta}=0.27$, p=0.002) and attitude (${\beta}=-0.17$, p=0.044), having a total explained variance of 9.0%. The findings from this study suggest that knowledge is the strongest predictor on nursing practice toward use of physical restraints. Thus, we propose that developing and applying evidence-based educational intervention programs to reduce the use of physical restraints in long-term care hospitals are required.

환자에게 사용되는 신체적 억제대가 신체적, 정신적 윤리적으로 많은 문제점을 일으키지만, 여전히 임상에서는 무분별하게 사용되고 있다. 따라서 본 연구에서는 요양병원 간호사의 신체적 억제대 사용과 관련된 간호실무에 대한 관련 요인을 확인하기 위한 서술적 상관관계 조사연구를 시행하였다. 자료 수집은 2017년 1월 2일부터 6월 30일까지 11개의 요양병원 간호사 128명을 대상으로 자가 보고식 설문지를 통해 시행되었다. 자료 분석은 기술적 통계, t-test, one-way ANOVA, Welch's test, Pearson correlation coefficients 및 다중 회귀분석을 사용하였다. 연구결과 요양병원 간호사들의 신체적 억제대에 대한 지식, 태도, 인식 및 간호실무 정도는 보통 정도로 나타났으며, 간호실무와 지식 사이에는 유의한 양의 상관관계가 있었다. 다중 회귀분석을 통해 신체적 억제대 사용과 관련된 간호실무에 영향을 미치는 요인으로는 지식(${\beta}=0.27$, p=.002), 태도(${\beta}=-0.17$, p=.044)순으로, 이들 전체 변수의 설명력은 9%였다. 본 연구에서 신체적 억제대 사용에 대한 간호실무에 가장 중요한 예측 인자는 신체적 억제대 사용에 대한 지식임을 확인하였다. 따라서 요양병원에서 신체적 억제대 사용을 줄이기 위한 근거기반의 교육 프로그램의 개발과 적용이 필요하겠다.

Keywords

Table 1. General Characteristics of the Study Participants

SHGSCZ_2019_v20n3_526_t0001.png 이미지

Table 2. Descriptive Statistics of Main Variables

SHGSCZ_2019_v20n3_526_t0002.png 이미지

Table 3. Differences in Knowledge, Attitude, Perceptions and Nursing Practice according to General Characteristics

SHGSCZ_2019_v20n3_526_t0003.png 이미지

Table 4. Correlations among Knowledge, Attitude, Perceptions, and Nursing Practice

SHGSCZ_2019_v20n3_526_t0004.png 이미지

Table 5. Associated Factors on Nursing Practice of Physical Restraints

SHGSCZ_2019_v20n3_526_t0005.png 이미지

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