title: The effects of continuing education in restraint reduction on novice nurses in intensive care units.
abstract: A decrease in the use of physical restraints in Intensive Care Units (ICUs) is an important indicator of quality of nursing care. This quasi-experimental study examined the effect on nurses of a session of continuing education aimed at reducing the use of restraints. At a medical center in southern Taiwan, 37 novice nurses were surveyed about their knowledge, perception, attitude and clinical practice of restraint use in 11 ICUs. Two instructors then taught a four-hour continuing education class on patient restraint standards, principles for reducing physical restraint use, and alternatives to restraining. Data were analyzed by paired t-test and the results of identical structured questionnaires which participants received before and after the lecture, showed that, afterwards, knowledge (t = -6.04, p <.01), perception (t = 4.76, p <.01), and attitude (t = 3.93, p <.01) toward restraint use had significantly improved. The continuing education improved the nurses ' knowledge and attitude toward restraint use and may therefore enhance the quality of care provided to ICU patients.
authors.affiliation: Department of Nursing, Chang Gung Institute of Technology, ROC. yangkd.yeh@msa.hinet.net
authors.forename: Shu-Hui
authors.initials: SH
authors.lastname: Yeh
authors.forename: Chiu-Yueh
authors.initials: CY
authors.lastname: Hsiao
authors.forename: Tien-Hui
authors.initials: TH
authors.lastname: Ho
authors.forename: Ming-Chu
authors.initials: MC
authors.lastname: Chiang
authors.forename: Li-Wei
authors.initials: LW
authors.lastname: Lin
authors.forename: Chiung-Yin
authors.initials: CY
authors.lastname: Hsu
authors.forename: Shu-Yuan
authors.initials: SY
authors.lastname: Lin
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003422:Critical Care / Q000592:standards / Q000706:statistics & numerical data; D004509:Education, Nursing, Continuing / Q000592:standards*; D004521:Educational Measurement; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training / Q000592:standards*; D007362:Intensive Care Units; D015402:Nursing Education Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D012149:Restraint, Physical / Q000592:standards / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013624:Taiwan