Ozcan Neslihan Keser, Bilgin Hülya, Badırgalı Boyacıoğlu Nur Elçin, Kaya Fadime
Istanbul University, Faculty of Health Science, Bakırköy, Istanbul, Turkey.
Int J Nurs Pract. 2014 Aug;20(4):346-52. doi: 10.1111/ijn.12157. Epub 2013 Aug 29.
The aim of this study was to determine student nurses' attitudes towards professional containment methods used in psychiatric wards and its relation to their perception of aggression. We employed a cross-sectional descriptive design to evaluate nurses' attitudes. Participants included 120 student nurses who were enrolled in psychiatric nursing during their fourth (final) year of education. The 'Attitude to Containment Measures Questionnaire' and 'The Perception of Aggression Scale' were used for assessments. Student nurses exhibited positive attitudes toward 'intermittent observation', 'Pro re nata Medication' and 'Psychiatric Intensive Care Unit', respectively. The least approved method was 'net bed'. The data showed a negative correlation between approval of 'Intra-Muscular Medication' and 'mechanical restraint' with the perception that aggression was dysfunctional/unacceptable. Student nurses who believed that professional containment methods were effective also perceived aggression as less functional/acceptable. These results emphasize the importance of health care perceptions of aggression towards patients and their experience with containment measures.
本研究的目的是确定实习护士对精神科病房所采用的专业控制方法的态度及其与他们对攻击行为的认知之间的关系。我们采用横断面描述性设计来评估护士的态度。参与者包括120名在教育第四年(最后一年)就读精神科护理专业的实习护士。使用“对控制措施的态度问卷”和“攻击行为认知量表”进行评估。实习护士分别对“间歇性观察”“必要时用药”和“精神科重症监护病房”表现出积极态度。最不被认可的方法是“网床”。数据显示,对“肌肉注射用药”和“机械约束”的认可与认为攻击行为功能失调/不可接受之间呈负相关。认为专业控制方法有效的实习护士也认为攻击行为的功能/可接受性较低。这些结果强调了医疗保健人员对患者攻击行为的认知以及他们对控制措施的体验的重要性。