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Investigation of Knowledge, Attitudes, and Practices of Intensive Care Nurses on the Use of Physical Restraint and Their Tendencies to Violence.

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Title: Investigation of Knowledge, Attitudes, and Practices of Intensive Care Nurses on the Use of Physical Restraint and Their Tendencies to Violence.
Authors: Koçyi̇ği̇t Kavak, Hülya (AUTHOR), Ramos-Pichardo, Juan Diego (AUTHOR)
Source: Perspectives in Psychiatric Care. 4/15/2026, Vol. 2026, p1-10. 10p.
Subjects: Nursing audit, Cross-sectional method, Scale analysis (Psychology), Pearson correlation (Statistics), Violence, Patient safety, Academic medical centers, T-test (Statistics), Data analysis, Statistical sampling, Questionnaires, Kruskal-Wallis Test, Restraint of patients, Descriptive statistics, Mann Whitney U Test, Nurses' attitudes, Nursing practice, Research methodology, Analysis of variance, Statistics, Confidence intervals, Data analysis software, Critical care nurses, Regression analysis
Abstract: Physical restraint is a common practice in hospitals, especially in intensive care units. Healthcare professionals agree that physical restraint should be practiced in emergencies, but due to its theoretical ambiguity, physical restraint may be exploited for punitive intent. Therefore, it is important to identify the tendencies toward violence of caregivers to ensure patient safety. This study aims to determine the knowledge, attitudes, and practices of intensive care nurses toward the use of physical restraint and their tendencies toward violence. This study was designed as descriptive and cross‐sectional. The sample of this study consisted of 187 intensive care nurses. A "Personal Information Form," the "Levels of Knowledge, Attitudes and Practices of Staff Regarding Physical Restraints Questionnaire," and the "Violence Tendency Scale" were used in the study. In this study, it was found that the nurses' information, attitude, and practice mean scores were (7.42 ± 2.50), (33.47 ± 8.43), and (30.67 ± 5.90), respectively. The Violence Tendency Scale mean score was 32.45 ± 7.93, and 84.5% of the nurses showed "less" tendencies toward violence, according to the Violence Tendency Scale. The study revealed a negative, weak, and statistically significant correlation between nurses' level of knowledge and practices and their tendencies toward violence. A negative, high‐level, and statistically significant correlation was found between nurses' attitudes and their tendencies toward violence. The results of this study revealed significant associations between intensive care nurses' knowledge, attitudes, and practices regarding physical restraint and their tendencies toward violence. Regression analysis showed that violence tendency was a statistically significant and strong correlate of these outcomes, even after controlling for demographic and occupational factors; however, this association should be interpreted with caution given the cross‐sectional design, which does not permit causal inference. Overall, the findings underscore the importance of recognizing and addressing violent tendencies to enhance professional awareness and patient safety in critical care settings, and may contribute to more consistent, patient‐centered, and safe care practices. [ABSTRACT FROM AUTHOR]
Copyright of Perspectives in Psychiatric Care is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Investigation of Knowledge, Attitudes, and Practices of Intensive Care Nurses on the Use of Physical Restraint and Their Tendencies to Violence.
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  Data: <searchLink fieldCode="AR" term="%22Koçyi̇ği̇t+Kavak%2C+Hülya%22">Koçyi̇ği̇t Kavak, Hülya</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ramos-Pichardo%2C+Juan+Diego%22">Ramos-Pichardo, Juan Diego</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Perspectives+in+Psychiatric+Care%22">Perspectives in Psychiatric Care</searchLink>. 4/15/2026, Vol. 2026, p1-10. 10p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Physical restraint is a common practice in hospitals, especially in intensive care units. Healthcare professionals agree that physical restraint should be practiced in emergencies, but due to its theoretical ambiguity, physical restraint may be exploited for punitive intent. Therefore, it is important to identify the tendencies toward violence of caregivers to ensure patient safety. This study aims to determine the knowledge, attitudes, and practices of intensive care nurses toward the use of physical restraint and their tendencies toward violence. This study was designed as descriptive and cross‐sectional. The sample of this study consisted of 187 intensive care nurses. A "Personal Information Form," the "Levels of Knowledge, Attitudes and Practices of Staff Regarding Physical Restraints Questionnaire," and the "Violence Tendency Scale" were used in the study. In this study, it was found that the nurses' information, attitude, and practice mean scores were (7.42 ± 2.50), (33.47 ± 8.43), and (30.67 ± 5.90), respectively. The Violence Tendency Scale mean score was 32.45 ± 7.93, and 84.5% of the nurses showed "less" tendencies toward violence, according to the Violence Tendency Scale. The study revealed a negative, weak, and statistically significant correlation between nurses' level of knowledge and practices and their tendencies toward violence. A negative, high‐level, and statistically significant correlation was found between nurses' attitudes and their tendencies toward violence. The results of this study revealed significant associations between intensive care nurses' knowledge, attitudes, and practices regarding physical restraint and their tendencies toward violence. Regression analysis showed that violence tendency was a statistically significant and strong correlate of these outcomes, even after controlling for demographic and occupational factors; however, this association should be interpreted with caution given the cross‐sectional design, which does not permit causal inference. Overall, the findings underscore the importance of recognizing and addressing violent tendencies to enhance professional awareness and patient safety in critical care settings, and may contribute to more consistent, patient‐centered, and safe care practices. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Perspectives in Psychiatric Care is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1155/ppc/8516410
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 1
    Subjects:
      – SubjectFull: Nursing audit
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Scale analysis (Psychology)
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Violence
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Data analysis
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Kruskal-Wallis Test
        Type: general
      – SubjectFull: Restraint of patients
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mann Whitney U Test
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      – SubjectFull: Nurses' attitudes
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Critical care nurses
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      – SubjectFull: Regression analysis
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      – TitleFull: Investigation of Knowledge, Attitudes, and Practices of Intensive Care Nurses on the Use of Physical Restraint and Their Tendencies to Violence.
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              Text: 4/15/2026
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              Y: 2026
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