Attitude, Experiences and Opinion of Critical Care Nurses regarding physical restrain working at Tertiary Care Hospitals of Peshawar
Abstract
The management of delirium and agitation in critically ill patients presents a complex challenge, often leading to the consideration of physical restraints as a solution. However, the implications of restraint extend beyond mere physical restriction, encompassing psychological, legal, and ethical dimensions. The study described aims to assess critical care nurses' experiences, attitudes, and opinions regarding physical restraint practices at a tertiary care hospital in Peshawar. This study highlights a shifting focus towards alternative strategies, such as early sedation withdrawal and enhanced de-escalation skills training, amidst concerns regarding patient autonomy and well-being. Furthermore, it explores the impact of socioeconomic factors and race on restraint use, underscoring disparities in healthcare delivery. Additionally, subjective experiences of psychiatric patients subjected to restraints reveal nuanced perceptions, including feelings of powerlessness and acceptance. The subsequent methodology delineates a descriptive crosssectional study conducted in critical care units across tertiary care hospitals in Peshawar, Pakistan, aiming to elucidate critical care nurses' attitudes towards physical restraint usage. Utilizing a convenient sampling technique, data was collected through a validated questionnaire, emphasizing ethical considerations and ensuring participant consent. The study's results shed light on the socio-demographic characteristics of respondents and their perspectives on physical restraint, indicating a spectrum of opinions regarding its efficacy and ethical implications. These findings contribute to the ongoing discourse on physical restraint practices in healthcare, informing future research endeavors and interventions aimed at optimizing patient care while preserving autonomy and dignity.
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