Journal Club: Assessment of Nurses’ Knowledge, Attitude and Practice Regarding Physical Restraint: A Scoping Review

Written By :  Dr. Nandita Mohan
Published On 2024-07-29 07:29 GMT   |   Update On 2024-07-29 08:55 GMT

The use of physical restraints in healthcare settings, especially in psychiatric units, is a controversial topic. The attitude, knowledge, and practices of nurses towards physical restraints can influence its application, which raises concerns about the balance between patient safety and individual rights.

This review has been published in the Indian Journal of Palliative Care published by Scientific Scholar.
With mental disorders being a leading cause of disability globally, understanding the complexities surrounding physical restraints use becomes paramount.
A comprehensive literature review was conducted using multiple databases. The search focused on studies that explored the relationship between nurses’ knowledge, attitudes, and practices regarding physical restraints in psychiatric settings. Inclusion and exclusion criteria were applied to filter out relevant studies.
The reviewed studies highlighted a moderate knowledge and attitude among nurses concerning physical restraints. Many nurses were found to be uncertain about the reasons for physical restraints application and its alternatives.
Also, educational interventions were emphasized in several studies as beneficial in improving nurses’ knowledge, attitudes, and practices. However, inconsistencies were observed regarding the impact of these interventions on nurses’ attitudes. Experience, higher education, and continuous training sessions were found to be correlated with better knowledge and more favourable attitudes towards physical restraints.
Therefore, this review emphasized the critical need for consistent training and education for nurses regarding physical restraints, given the profound implications for patient care and safety. While educational interventions show promise in enhancing knowledge and practice, their impact on attitudes remains contested.
Reference: Alsomali Z, Elsayes HA, Sharif LS. Assessment of Nurses’ Knowledge, Attitude and Practice Regarding Physical Restraint: A Scoping Review. Indian J Palliat Care. 2024;30:149-54. doi: 10.25259/IJPC_227_2023
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