Muir-Cochrane Eimear, Bowers Len, Jeffery Debra
Chair of Nursing (Mental Health Nursing), School of Nursing and Midwifery, Faculty of Health Sciences, Flinders University, GPO Box 2100, Adelaide SA 5001, Australia.
Nurse Educ Today. 2009 Jan;29(1):83-90. doi: 10.1016/j.nedt.2008.07.002. Epub 2008 Sep 7.
The aim of this study was to compare university student attitudes to containment with that of psychiatric students.
Nurses face the potential for aggression and violence in everyday psychiatric nursing practice and as such are by necessity required to employ measures that contain and control patients with difficult or destructive behaviours.
The attitudes to containment methods questionnaire was employed to gather data from a sample of non-nursing students (n=117) and student psychiatric nurses (n=114) at a UK University between May and September 2002. Data were analysed in SPSS using multivariate analysis of variance.
Significant differences on attitudes to containment measures for the non-nursing students were found for gender, age and if the respondent had known anyone who had been a patient on a psychiatric ward. There was greater approval of physical restraint, IM medication, mechanical restraint and net beds by male respondents who were also more likely to consider containment methods acceptable and dignified. The non-nursing sample approved significantly less of PRN medication and significantly more of mechanical restraint and net beds than the student nurses.
The views of non-nursing students differed significantly, indicating the presence of stereotypical negative views about nurses' level of responsibility in providing medical care; a greater acceptance of containment methods considered abhorrent by nursing students; and in contradiction, a lesser approval of the more severe methods of containment that are in current use.
本研究旨在比较大学生与精神科学生对控制措施的态度。
护士在日常精神科护理实践中面临攻击和暴力的潜在风险,因此必须采取措施来控制有困难或破坏性行为的患者。
2002年5月至9月期间,采用控制措施态度问卷从英国一所大学的非护理专业学生样本(n = 117)和精神科学生护士样本(n = 114)中收集数据。使用SPSS中的多变量方差分析对数据进行分析。
在非护理专业学生中,发现性别、年龄以及受访者是否认识在精神科病房住院的患者对控制措施的态度存在显著差异。男性受访者对身体约束、注射用药、机械约束和网状床的认可度更高,他们也更倾向于认为控制措施是可以接受且有尊严的。非护理专业样本对按需用药的认可度明显低于学生护士,而对机械约束和网状床的认可度则明显高于学生护士。
非护理专业学生的观点存在显著差异,这表明他们对护士在提供医疗护理方面的责任水平存在刻板的负面看法;对护理专业学生认为令人憎恶的控制措施接受度更高;而与之矛盾的是,对目前使用的更严厉的控制措施认可度较低。