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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Factors Influencing Nursing Practices of Physical Restraints Use by nursing students

간호대학생의 신체적 억제대 사용 관련 간호실무 예측 요인

  • Ha, Sun-Mi (Department of Nursing, Gimcheon University)
  • Received : 2021.01.04
  • Accepted : 2021.04.02
  • Published : 2021.04.30
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Abstract

Although the use of physical restraints is controversial, it is still commonly used in hospitalized patients to prevent patient accidents in clinical practice. It is, therefore, necessary to evaluate the knowledge, attitude, perception, and nursing practices related to the use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 144 nursing students at two Universities. Descriptive statistics, including t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression, were applied to analyze the data collected. Our results reveal that the mean knowledge score of nursing students regarding the use of physical restraints was 11.55±2.81, the mean attitude score was 60.01±7.24, the mean perception score was 59.97±10.68, and the mean nursing practice score was 38.04±4.15. Significant positive correlations were observed between nursing practice and knowledge, attitude, and perception. Multiple regression analysis showed that the factors significantly related to nursing practice and the use of physical restraints were perception (β=.23, p=.005) and attitude (β=.21, p=.009), having a total explained variance of 13.0%. The findings from this study suggest that perception is the strongest predictor of the use of physical restraints in nursing practice. Thus, it is necessary to develop and apply an evidence-based educational intervention program to ensure that nursing students correctly understand the need for physical restraints and later use them appropriately in clinical practice.

신체적 억제대 사용은 많은 논란이 되고 있음에도 불구하고 여전히 임상실무에서 환자안전사고 예방을 위해 입원 중인 환자에게 흔히 사용되고 있다. 따라서 미래의 간호사가 될 간호대학생이 생각하는 신체적 억제대 사용과 관련된 지식, 태도, 인식 및 간호실무 정도를 확인하고, 신체적 억제대 사용 관련 간호실무 예측 요인을 확인하기 위해 서술적 조사연구를 시행하였다. 자료 수집은 2020년 1월 2일부터 1월 20일까지 2곳의 간호대학생 144명을 대상으로 자가 보고식 설문지를 통해 시행되었다. 자료 분석은 기술적 통계, t-test, one-way ANOVA, Pearson correlation coefficients, multiple regression을 사용하였다. 연구결과 간호대학생의 신체적 억제대 사용에 대한 지식점수는 평균 11.55±2.81점, 태도점수는 평균 60.01±7.24점, 인식점수는 평균 59.97±10.68점, 간호실무 점수는 평균 38.04±4.15점 이었으며, 간호실무와 지식, 태도, 인식 모두 유의한 양의 상관관계가 있었다. 다중 회귀분석을 통한 신체적 억제대 사용과 관련된 간호실무에 영향을 미치는 요인으로는 인식(β=.23, p=.005), 태도(β=.21, p=.009) 순으로, 이들 전체 변수의 설명력은 13%였다. 본 연구에서 신체적 억제대 사용 관련 간호실무에 가장 중요한 예측 요인은 신체적 억제대 사용에 대한 인식으로, 간호대학생이 신체적 억제대를 올바르게 인식하여 추후 간호사가 되었을 때 임상실무에서 올바르게 사용할 수 있도록 하기 위한 근거기반의 교육 중재 프로그램의 개발과 적용이 필요하겠다.

Keywords

References

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