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Area of Science:

  • Nursing
  • Critical Care
  • Patient Safety

Background:

  • Physical restraint reduction is a global priority in healthcare settings.
  • Nurses are key decision-makers regarding the use of physical restraints for intubated patients.
  • Understanding nurses' perspectives is crucial for developing effective restraint reduction strategies.

Purpose of the Study:

  • To identify factors influencing critical care nurses' intention to use physical restraint in intubated patients.
  • To explore the role of ethical conflict, attitude, subjective norm, and perceived behavioral control in restraint intention.
  • To provide evidence for developing interventions aimed at reducing physical restraint use.

Main Methods:

  • A cross-sectional study was conducted among critical care nurses in China.
  • Data were collected between February 2022 and March 2022.
  • Statistical analysis was performed to determine the influence of various factors on restraint intention.

Main Results:

  • Attitude, subjective norm, and perceived behavioral control directly predicted nurses' intention to use physical restraint.
  • Ethical conflict indirectly influenced the intention to use physical restraint.
  • The model demonstrated good fit, indicating reliable findings.

Conclusions:

  • Ethical conflict, attitude, subjective norm, and perceived behavioral control are significant predictors of physical restraint intention.
  • Findings offer a theoretical basis for interventions to reduce physical restraints in critical care.
  • Nursing management should focus on enhancing ethical education and restraint-related training for nurses.