Ma Yajun, Cui Nianqi, Li Xiaoli, Li Jiayi, Zhang Yuping, Liu Yonggang, Jin Jingfen
Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU), Hangzhou, China.
School of Nursing, Kunming Medical University, Kunming, China.
J Nurs Manag. 2023 Jul 13;2023:3286312. doi: 10.1155/2023/3286312. eCollection 2023.
To identify the factors influencing critical care nurses' intention of physical restraint in intubated patients.
Physical restraint reduction has been advocated by many international institutions, nurses are the main physical restraint decision-makers, and it is critical to identify the factors influencing physical restraint intention from nurses' perspective.
A cross-sectional study was conducted among critical care nurses in China from February 2022 to March 2022.
The model showed a good model fit ( /d = 2.57, RMSEA = 0.07, GFI = 0.94, CFI = 0.89, and AGFI = 0.90). Attitude ( = 0.29, < 0.05), subjective norm ( = 0.25, < 0.05), and perceived behavioral control ( = 0.32, < 0.001) directly influenced the intention to use physical restraint in intubated patients. Ethical conflict ( = 0.04, < 0.05) indirectly influenced the intention.
The study revealed that ethical conflict, attitude, subjective norm, and perceived behavioral control were positive predictors of physical restraint intention among intubated patients from nurses' perspectives. . This provides a theoretical perspective to develop effective interventions to reduce physical restraints in critical care settings. Nursing managers should enhance ethical education and physical restraint knowledge and skill training.
确定影响重症护理护士对插管患者实施身体约束意愿的因素。
许多国际机构都提倡减少身体约束，护士是身体约束的主要决策者，从护士的角度确定影响身体约束意愿的因素至关重要。
于2022年2月至2022年3月在中国的重症护理护士中进行了一项横断面研究。
该模型显示出良好的模型拟合度（/d = 2.57，RMSEA = 0.07，GFI = 0.94，CFI = 0.89，AGFI = 0.90）。态度（= 0.29，<0.05）、主观规范（= 0.25，<0.05）和感知行为控制（= 0.32，<0.001）直接影响对插管患者使用身体约束的意愿。伦理冲突（= 0.04，<0.05）间接影响该意愿。
该研究表明，从护士的角度来看，伦理冲突、态度、主观规范和感知行为控制是插管患者身体约束意愿的积极预测因素。这为制定有效的干预措施以减少重症护理环境中的身体约束提供了理论视角。护理管理者应加强伦理教育以及身体约束知识和技能培训。
