Assessment of knowledge, attitude, practice and associated factors towards use of physical restraint among nurses working in adult ICU in federally administered hospitals Addis Abeba,Ethiopia,2019.

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Addis Abeba University


Background: Physical restraint is any chemical or physical involuntary method restricting an individual's movement, physical activity, or normal access to the body. Physical restraints are prescribed by the physician but the ICU nurse remains the decision maker responsible in assessing the need, application and removal of PR on patients in the ICU setting. Objectives: This cross-sectional descriptive study was arriedout to determine the knowledge, attitudes, practices and associated factors towards use of physical restraints among nurses working in adult Intensive care unit in federally administered hospitals in Addis Abeba Ethiopia 2019. Methods: The study was conducted in ICUs of Federal Hospitals in Addis Abeba, Ethiopia 2019. Hospital based descriptive cross sectional study design was carried out .By census a total of 126 nurse’s was interviewed by structured questionnaire. The data was checked for its completeness and was entered to epidata version 4.2 and analyzed using SPSS version 25 software with 95% CI and Pearson correlation coefficient and binary logistic regression analysis was used to find association Result: Majority of nurses was found to be aged between 21-30 years old, (62.5%) worked 2-5 years, and (83%) were degree graduates. Nurses’ knowledge score was 6.1 ±2.6 (50.8%), with possible range (0- 11), attitudes score was 14.1±3.1 (64%) with possible range (0-22), and practices score was 13.9± 3.8(63.18%), with possible range (0-22). Their demographical characteristics such as gender, working year and education levels were not significantly associated with knowledge, attitudes & practices (p>0.05) only age significantly associated with practice and knowledge with lack of a written policy & guideline and not being trained on application of physical restraint. Also practice associated with knowledge & attitude. Conclusion: The study revealed that, there was a poor nurses' knowledge, proper attitude and satisfactory practice toward use of physical restraints. Also there was a significant association between practice with age group & knowledge with training background and correlation between dependent variables.



Attitudes, knowledge, intensive care unit, nursing, physical restraint