Background : Restraint had been a taboo for a long time in Japan, and it is difficult to describe the nurses' perceptions of restraint. We do not have enough research in restraint usage.
Objectives : The purpose of this study is to identify nurses' perceptions of restraint.
Methods : The subjects consisted of 827 nurses who worked at hospitals in 3 prefectures of the Kyushu district in Japan. This study utilized the Perception of Restraint Use Questionnaire (PRUQ) scale.
Results :
1 ) 50% of the nurses recognized that verbalization and medication may be used as restraint, but lacked knowledge about the dangers associated with restraint use.
2 ) Nurses' perceptions of restraint were influenced by education, the practice setting, and organization policy.
3 ) 58% of the nurses considered a standard of restraint to be necessary, however, most of the hospitals did not have a standard policy of restraint and lacked education concerning the ethical issues inherent in the use of restraint.
Conclusions : Nurses were confused about the usage of restraint because of the many types for restraints. These findings suggest that it is essential for hospitals and health care facilities to establish their restraint policies for safety and human rights. Educations related to the dangers of restraint, protocols for proper restraint use, research the development of strategies and effective alternatives to restraint as well as management is essential.
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