Volume 16, Issue 2 (Summer 2021)                   Salmand: Iranian Journal of Ageing 2021, 16(2): 260-273 | Back to browse issues page


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Sharifi A, Arsalani N, Fallahi-Khoshknab M, Mohammadi-Shahbolaghi F, Ebadi A. Psychometric Properties of the Persian Version of Perceptions of Physical Restraint Use Questionnaire. Salmand: Iranian Journal of Ageing. 2021; 16 (2) :260-273
URL: http://salmandj.uswr.ac.ir/article-1-1939-en.html
1- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , nargesarsalani@gmail.com
3- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Abstract:   (1829 Views)
Objectives: One of the fundamental responsibilities of nurses in care is to prevent harm to the patients and others. Many nurses use physical restraints to achieve this goal. Considering that the use of physical restraints in older patients is associated with physical and psychological complications and ethical issues, it is important to identify the nurses’ perceptions of using physical restraint in hospitalized older adults. This study aims to evaluate the psychometric properties of the Persian version of Perception of Physical Restraint Use Questionnaire (PRUQ) to be used in caring for hospitalized older adults in Iran.
Methods & Materials: This is a methodological study with a descriptive cross-sectional design that was conducted in hospitals in Kermanshah (Western Iran) in 2019. After obtaining permission from the developers of PRUQ, translation to Persian was performed according to standard protocol of World Health Organization. Then, the Persian version was completed by 330 nurses who were selected by a convenience sampling method based on the inclusion criteria. Then, its face validity and content validity (qualitatively and quantitatively), construct validity using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), test-retest reliability, internal consistency and structural reliability were assessed. Statistical analysis was performed in SPSS v. 23 and AMOS v. 5 applications.
Results: Results showed a Content Validity Index (CVR) of 0.78 and a scale CVI of 0.88. Based on the results of EFA and CFA, three factors were extracted including “prevention of fall”, “prevention of interruption or interference in treatment” and “providing safe environment”. The good fit of the three-factor model of the Persian PRUQ was approved based on the model fit indices (Chi square/degree of freedom=2.27, Goodness-of-Fit Index=0.83, Comparative Fit Index =0.91, Normed Fit Index=0.92, Root Mean Square Error of Approximation=0.08). The reliability of the questionnaire was confirmed by Cronbach's alpha coefficient (0.82), structural reliability (>0.70) and intraclass correlation coefficient (0.86).
Conclusion: The Persian version of PRUQ has good validity and reliability to be used in nurses working in hospitals in Iran. It can be used in future studies in this population.
Full-Text [PDF 5821 kb]   (752 Downloads)    
Type of Study: Research | Subject: gerontology
Received: 2019/12/03 | Accepted: 2020/05/11 | Published: 2021/07/01

References
1. ]1[ Health Information & Quality Authority. Guidance for Designated Centers: Restraint Procedures (GDE3) Version 3. HIQA, Cork. 2016.
2. ]2 [Centers for Medicare & Medicaid. Medicare and Medicaid programs; Reform of requirements for long-term care facilities (Proposed Rule 80 FR 42167, pp. 42167-42269, Doc. No. 2015-17207). 2015. Available at: https://www.federalregister.gov/documents/2015/07/16/2015-17207/ medicare-and-medicaid-programs-reform-of-requirementsfor-long-term-care-facilities (accessed 15/12/2017).
3. ]3 [Health Service Executive. National Restraint Policy. HSE, Dublin. 2010.
4. ]4[ Aydin ozkan S, Karaka T, Ister E. Validity and reliability of the perceptions of restraint use questionnaire for use in Turkey. Turkish Journal of Geriatrics/Türk Geriatri Dergisi. 2017;20(1):30-7.
5. ]5 [Bleijlevens MH, Wagner LM, Capezuti E, Hamers JP, Workgroup IPR. Physical restraints: Consensus of a research definition using a modified delphi technique. Journal of the American Geriatrics Society. 2016;64(11):2307-10. [DOI:10.1111/jgs.14435]
6. ]6[ Hofmann, H. Hahn, S. Characteristics of nursing home residents and physical restraint: a systematic literature review. Journal of Clinical Nursing. 2014;23(21/22): 3012-24. https://doi.org/10.1111/jocn.12384 [DOI:10.1111/jocn.12384.]
7. ]7 [Berzlanovich AM, Schopfer J, Keil W. Deaths due to physical € restraint. Deutsches Arzteblatt International. 2012;109 (3):27-32. https://doi.org/10.3238/arztebl.2012.0027 [DOI:10.3238/arztebl.2012.0027.]
8. ]8 [Kong EH, Choi H. Evans LK. Staff perceptions of barriers to physical restraint-reduction in long-termcare: a meta-synthesis. Journal Clinical Nursing. 2017; 26 (1-2): 49-60.
9. ]9[ Hjaltadottir I, Ekwall AK, Nyberg P, Hallberg IR. Quality of care in Icelandic nursing homes measured with minimum data set quality indicators: retrospective analysisof nursing home data over 7 years. International Journal of Nursing Studies. 2012; 49 (11): 1342-1353. [DOI:10.1016/j.ijnurstu.2012.06.004]
10. ]10 [Department of Health. Towards a Restraint Free Environment in Nursing Homes. DoH, An Roinn Slainte, Ireland. 2011.
11. ]11[ Royal College of Nursing. Let's talk about restraint Rights, risks and responsibility. RCN, London. 2008. Available at: https://www2.rcn.org.uk/__data/assets/pdf_file/0007/157723/003208.pdf (accessed 15/12/2017).
12. ]12 [Cleary KK, Prescott K. The use of physical restraints in acute and long-term care: An updated review of the evidence, regulations, ethics, and legality. Journal of Acute Care Physical Therapy. 2015; 6(1): 8-15. http://dx.doi.org/10.1097/JAT.0000000000000005. [DOI:10.1097/JAT.0000000000000005]
13. ]13 [Penelo E, Estévez‐Guerra GJ, Fariña‐López E. Validity andmeasurement invariance of the Physical Restraint Use Questionnaire (PRUQ) in nursing staff. Journal of clinical nursing. 2018;27(5-6):e1179-e88.
14. ]14[ Estévez-Guerra GJ, Fariña-López E, Núñez-González E, Gandoy-Crego M, Calvo-Francés F, Capezuti EA. The useof physical restraints in long-term care in Spain: A multi-center cross-sectional study. BMC Geriatrics. 2017; 17:29. http://doi.org/10.1186/s12877-017-0421-8. [DOI:10.1186/s12877-017-0421-8]
15. ]15 [Jiang H, Li C, Gu Y, He Y. Nurses' perceptions and practice of physical restraint in China. Nursing ethics. 2015;22(6):652-60. [DOI:10.1177/0969733014557118]
16. ]16 [Karaka T, Aydin ozkan S, Derya ister E. Physical restraint use in elderly patients: perceptions of nurses in university hospitals. Turkish Journal of Geriatrics. 2018;21(4): 588-95.
17. ]17 [Goethals S, de Casterlé BD, Gastmans C. Nurses' decision-making process in cases of physical restraint in acute elderly care: a qualitative study. International journal of nursing studies. 2013;50(5):603-12. [DOI:10.1016/j.ijnurstu.2012.10.006]
18. ]18 [Leahy-warren P, Varghese V, Day MR, Curtin M. Physical restraint: perceptions of nurse managers, registered nurses and health care assistants. . International Nursing Review. 2018;65(3):327-35. [DOI:10.1111/inr.12434]
19. ]19[ Kurata S, Ojima T. Knowledge, perceptions, and experiences of family caregivers and home care providers of physical restraint use with home-dwelling elders: a cross-sectional study in Japan. BMC geriatrics. 2014;14(1):39. [DOI:10.1186/1471-2318-14-39]
20. ]20 [Hevener S, Rickabaugh B, Marsh T. Using a decision wheel to reduce use of restraints in a medical-surgical intensive care unit. American Journal of Critical Care. 2016;25(6):479-86. [DOI:10.4037/ajcc2016929]
21. ]21 [Fariña-López E, Estévez-Guerra GJ, Polo-Luque ML, Pogrányivá AH, Penelo E. Physical Restraint Use With Elderly Patients: Perceptions of Nurses and Nursing Assistants in Spanish Acute Care Hospitals. Nursing research. 2018;67(1):55-9. [DOI:10.1097/NNR.0000000000000252]
22. ]22 [Fariña‐López E, Estévez‐Guerra GJ, Gandoy‐Crego M, Polo‐Luque LM, Gómez‐Cantorna C, Capezuti EA. Perception of spanish nursing staff on the use of physical restraints. Journal of Nursing Scholarship. 2014;46(5):322-30. [DOI:10.1111/jnu.12087]
23. ]23[ Strumpf NE, Evans LK. Physical Restraint of the Hospitalized Elderly. Nurs Res. 1988;37(3):132-7.
24. ]24 [Evans LK, Strumpf NE. Frailty and physical restraint. In Aging and Musculoskeletal Disorders. New York, Springer. 1993.
25. ]25[ Akamine Y, Yokota T, Kuniyoshi M, Uza M, Takakura M. Reliability and Validity of the Japanese Version of Physical Restraint Use Questionnaire.Ryukyu Med J.2003;22(1,2):21-8.
26. ]26 [Chang Y, Yu H, Loh E, Chang L. The efficacy of an in-service education program designed to enhance the effectiveness of physical restraints. Journal of Nursing Research. 2016;24(1):79-86. [DOI:10.1097/jnr.0000000000000092]
27. ]27 [Li X, Fawcett T. Clinical decision making on the use of physical restraint in intensive care units. International Journal of Nursing Sciences. 2014;1(4):446-50. [DOI:10.1016/j.ijnss.2014.09.003]
28. ]28[ McCabe DE, Alvarez CD, McNulty SR, Fitzpatrick JJ. Perceptions of physical restraints use in the elderly among registerednurses and nurse assistants in a single acute care hospital. Geriatric Nursing. 2011;32(1):39-45. [DOI:10.1016/j.gerinurse.2010.10.010]
29. ]29 [Ebadi A, Zarshenas L, Rakhshan M, Zareian A, Sharifnia H, Mojahedi M. ]Principles of scale development in health science[. Tehran: Jame-e-negar; 2017. (Persian)‬‬
30. ]30[ MacCallum R, Widaman K, Zhang S, Hong S. Sample size in factor analysis. Psychological Methods. 1999; 4(1):84-99. doi:10.1037//1082-989x.4.1.84. [DOI:10.1037//1082-989X.4.1.84]
31. ]31 [WHO. Process of translation and adaptation of instruments. Available at: http://www.who.int/substance_abuse/research_tools/translation/en/. 2009.
32. ]32 [Hajizadeh E, Asghari M. [Statistical methods and analyses in health and biosciences a research methodological approach]. Tehran: Jahade Daneshgahi Publications; 2011. (Persian)
33. ]33[ Colton D, Covert RW. Designing and constructing instruments for social research and evaluation. First ed. San Francisco: John Wiley & Sons, Inc; 2007.
34. ]34 [Lawshe CH. A qualitative approach to content validity. Personnel Psychology. 1975; 28: 563-575. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
35. ]35[ Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research. 4th ed. New York: Springer Pub.; 2010.
36. ]36 [Polit DF, Beck CT. Essentials of Nursing Research: Appraising Evidence for Nursing Practice 8ed. New York: LWW; Eighth, North American edition; 2013.
37. ]37 [MeyersLS, Gamst G, Guarino AJ. Applied multivariate research: design and interpretation. 2nd ed. Thousand Oaks, CA: SAGE Publications; 2012.
38. ]38[ Hair Jr JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. United States of America: PrenticeHall; 2009.
39. ]39 [Harrington D. Confirmatory factor analysis. New York: Oxford University Press; 2008.

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