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Attitudes of Nursing Staff in Hospitals towards Restraint Use: A Cross-Sectional Study

Author

Listed:
  • Silvia Thomann

    (Applied Research & Development in Nursing, School of Health Professions, Bern University of Applied Sciences, Murtenstrasse 10, 3008 Bern, Switzerland
    These authors contributed equally to this work.)

  • Gesche Gleichner

    (Cardiovascular Center, Department of Cardiology, Bern University Hospital, University of Bern, 3010 Bern, Switzerland
    These authors contributed equally to this work.)

  • Sabine Hahn

    (Applied Research & Development in Nursing, School of Health Professions, Bern University of Applied Sciences, Murtenstrasse 10, 3008 Bern, Switzerland)

  • Sandra Zwakhalen

    (Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
    Living Lab in Ageing and Long-Term Care, Maastricht University, 6200 MD Maastricht, The Netherlands)

Abstract

The attitude of nursing staff towards restraint use can be decisive for whether restraints are used. So far, nursing staff’s attitudes have been studied primarily in long-term and mental health care settings, while findings from somatic acute care hospital settings are largely lacking. Therefore, we aimed to investigate (a) the attitudes of hospital nursing staff towards restraint use, and (b) the construct validity and reliability of a measurement instrument for use in hospital settings that was developed and validated in long-term care settings (Maastricht Attitude Questionnaire (MAQ)). Using a cross-sectional design, the attitudes of 180 nursing staff towards restraint use were assessed. The data were analysed descriptively and by means of regression analysis and factor analysis. We found that nursing staff in hospitals have a neutral attitude towards restraint use and that the MAQ, with minor adaptations, can be used in hospital settings, although further testing is recommended. Neutral attitudes of nursing staff have also been observed in long-term and mental health care settings, where changing attitudes were found to be challenging. Interventions at the national level (e.g., legal regulations) and management level (e.g., providing alternatives and changing institutional culture) are suggested.

Suggested Citation

  • Silvia Thomann & Gesche Gleichner & Sabine Hahn & Sandra Zwakhalen, 2022. "Attitudes of Nursing Staff in Hospitals towards Restraint Use: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(12), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7144-:d:836346
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    References listed on IDEAS

    as
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    3. Angela Teece & John Baker & Helen Smith, 2020. "Identifying determinants for the application of physical or chemical restraint in the management of psychomotor agitation on the critical care unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 5-19, January.
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    5. Anna Brugnolli & Federica Canzan & Luigina Mortari & Luisa Saiani & Elisa Ambrosi & Martina Debiasi, 2020. "The Effectiveness of Educational Training or Multicomponent Programs to Prevent the Use of Physical Restraints in Nursing Home Settings: A Systematic Review and Meta-Analysis of Experimental Studies," IJERPH, MDPI, vol. 17(18), pages 1-27, September.
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