Nurses’ Utilization of Guidelines on Physical Restriction in Neurological Wards
Pyakurel, Rashmi; Vuorivirta, Anni (2019)
Pyakurel, Rashmi
Vuorivirta, Anni
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019052311607
https://urn.fi/URN:NBN:fi:amk-2019052311607
Tiivistelmä
The purpose of this thesis was to describe the utilization of the guidelines on physical restriction in four neurological wards in HUS Helsinki University Hospital. The aim is to use the knowledge received to develop nursing in neurological wards.
The data collection method was a questionnaire including 18 statements in four dimensions, namely implementing physical restriction, observing the patient, documentation and alternatives for using physical restriction. Each statement was followed by an answer option of I have used it – I have not used it – I do not know about this statement. There is a care guideline on physical restriction in use in HUS Helsinki University Hospital neurological and neurosurgical wards. The dimensions and statements in the questionnaire were directly based on this guideline. Out of 38 answer papers received 33 were included in the study. The data was analyzed by using descriptive statistical method.
Results were assessed according to the four dimensions in the questionnaire. The five statements in the first dimension, implementing physical restriction, were well followed. The second dimension, observing the patient, had one statement that was well followed. The other two statements had notable number of answers “I do not know about this statement”. Two statements in the third dimension, documentation, were well followed. Four had considerable number of answers “I have not used it” and one statement had significant number of “I do not know about this statement” answers. The fourth dimension, alternatives for using physical restriction, had the most discrepancy inside one dimension. Two statements were well followed. However, the other two statements were neither well used (n=10, n=5) nor known (n=13, n=9) by the respondents.
The results of this thesis can be used to develop the way the guidelines are presented and promoted to the nursing staff in a way that they will be taken into use. Hence, it can be used to develop nursing work.
The data collection method was a questionnaire including 18 statements in four dimensions, namely implementing physical restriction, observing the patient, documentation and alternatives for using physical restriction. Each statement was followed by an answer option of I have used it – I have not used it – I do not know about this statement. There is a care guideline on physical restriction in use in HUS Helsinki University Hospital neurological and neurosurgical wards. The dimensions and statements in the questionnaire were directly based on this guideline. Out of 38 answer papers received 33 were included in the study. The data was analyzed by using descriptive statistical method.
Results were assessed according to the four dimensions in the questionnaire. The five statements in the first dimension, implementing physical restriction, were well followed. The second dimension, observing the patient, had one statement that was well followed. The other two statements had notable number of answers “I do not know about this statement”. Two statements in the third dimension, documentation, were well followed. Four had considerable number of answers “I have not used it” and one statement had significant number of “I do not know about this statement” answers. The fourth dimension, alternatives for using physical restriction, had the most discrepancy inside one dimension. Two statements were well followed. However, the other two statements were neither well used (n=10, n=5) nor known (n=13, n=9) by the respondents.
The results of this thesis can be used to develop the way the guidelines are presented and promoted to the nursing staff in a way that they will be taken into use. Hence, it can be used to develop nursing work.