Document Type : Original Article


1 Assistant Professor, College of Nursing, All India Institute of Medical Sciences

2 Nursing Officer, Psychiatry Ward, All India Institute of Medical Sciences

3 Tutor, College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India


BACKGROUND: The use of physical restraint in health‑care settings is common and complex practice
as it has physical, psychological, judicial, ethical, and moral issues. Nurses are the key persons
regarding physical restraint use in hospitals as they are managing the whole process beginning with
decision‑making, application, caring the restrained patients. Lack of understanding and negative
attitude of nurses in the use of physical restraints will hamper patient safety.
MATERIALS AND METHODS: A descriptive cross‑sectional survey was carried out among 110
rando  mly  selected nurses working in various departments at a tertiary care center Uttarakhand,
India, in 2019. The data were collected using self‑reported questionnaires consisting of three parts:
demographic information, knowledge assessment questionnaire, and attitude rating scale regarding
the use of restraints. Data were   analyzed using  the SPSS version  23 descriptive  (frequency,
percentage, mean, mean percentage, and standard deviation) and inferential statistics (Mann–Whitney
and independent t‑test).
RESULTS: The findings indicated that the mean knowledge and attitude of the nurses for physical
restraints were 13.9 ± 1.9 (0–20 points), 35.2 ± 4.7 (28–55 points), respectively. The study revealed
that there was no relationship found between knowledge and attitude of nurses regarding the use
of physical restraints (r = 0.084).
CONCLUSION: The knowledge and attitude regarding the use of restraints among nurses were found
to be moderate. In‑service training is highly recommended for nurses to improve the knowledge and
practices related to the use of physical restraint.


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