The relationships between critical care nurses' experience, decision-making, and their attitudes toward physical restraint use
Kristi J. Stinson, PhD, RN, MSN, APN-BC
- Sigma Affiliation
- Gamma Nu
- Contributor Affiliation(s)
- Seton Hall University, South Orange, New Jersey, USA
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Stinson, Kristi J. by View
Popular Works for Stinson, Kristi J. by Download
The purpose of this descriptive correlational study was to examine the relationships between and among registered nurses’ clinical experience, clinical decision-making processes, nursing practice issues with physical restraint use, and attitudes regarding physical restraint use in the critical care environment. The participants were 413 primarily white (91%), critical care nurses ranging in age from 19 to 68 (M=45.56) from across the United States. Participants were classified as experts based on Benner’s (2001) classifications, in both experience in nursing in general (88%) and in critical care (82%) in particular. Participants were recruited through the American Association of Critical Care Nurses (AACN) and completed two online surveys (Jenkins’ Clinical Decision Making in Nursing Scale (CDMNS) and The Physical Restraint Questionnaire – the Nursing Practice Issues with PR Use and Attitudes Toward PR Use subsections) via Survey Monkey™.
The results indicate that there is no strong correlation to explain any variance between attitudes toward PR use in critical care and clinical experience in nursing in general, clinical experience in critical care, clinical decision making, and nursing practice issues with PR use. This sample of nurses’ mean scores on the CDMNS were higher than noted in previous research. A moderate correlation was found between clinical decision making processes and nursing practice issues with physical restraint use. There were no differences found in any of the Benner stages of clinical experience. Nurses at all of Benner’s level from novice through expert had no significant differences in their attitudes toward PR use. Nurses with more clinical experience were more likely to have been taught content about PR use in their basic RN nursing curriculum then those with less clinical experience.
The results of this study suggest that there is a need to include education related to PR use in current nursing curricula which can lead to better clinical decisions and improved overall patient care related to PR use in critical care environments.
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
|Review Type||Abstract Review Only: Reviewed by Event Host|
Critical Care Nurses;
Physical Restraint Use
|Name||28th International Nursing Research Congress|
|Host||Sigma Theta Tau International|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
State of the science, best evidence: Physical restraint use in the critical care environment Stinson, Kristi J.Physical restraint use (PR) is been a controversial practice occurring in nursing. Research supports that nurses decide whether or not to restrain a patient with a physician's verbal order often obtained after PR initiation. ...
Nurses' decision-making process in cases of physical restraint in intensive care units Yang, Yi Hung (2018-06-14)The purpose of this study was to explore factors influencing the concept, attitude and decision-making process of the nursing staffs when applying physical restriants. Moreover, analyzing the conflicts between the influencing ...
Improving nursing quality of use of physical restraints in ICU through shared decision making Huang, Ya Ling; Chung, Li FenPhysical restraints are not only commonly used in ICU as a measure of preventing patient safety but also have been associated with adverse mental impacts on the patients. The purpose of this study is to reduce the rate of ...
Nurses' attitudes toward assisting patients/families with end-of-life decision-making Wise, Susan M.Nurses often feel unable to help with decision-making near the end of life. The purpose of this study was to develop an instrument to measure medical-surgical nurses' attitudes toward assisting patients and families with ...
The effects of pattern recognition based simulation scenarios on symptom recognition of myocardial infarction, critical thinking, clinical decision-making, and clinical judgment in nursing students Walsh, Susan A.In the United States nearly 1 million annual new and recurrent myocardial infarctions (MI) occur with 10% of patients hospitalized with MI having unrecognized ischemic symptoms. Inexperienced nurses are expected to accurately ...