Nurses' performance regarding the use of physical restrain among Intensive Care Units (ICUs) at Port Said City Hospitals.

The use of physical restraints (PR) is a common practice in various clinical settings;
especially in intensive care units (ICUs).There is still great controversy about the potential
benefits, side effects and ethical issues associated with physical restraint (PR) use in critical care
settings. Nurses‟ views and attitudes toward the use of PR in controlling patients‟ behavior and
ensuring patient safety may create conflicts with patients‟ rights, including their autonomy in
making decisions for their own care. This study aimed toassess ICU nurses' knowledge, attitude
and practice regarding the use of physical restrain in the ICU and factors influencing it.Research
design: descriptive study design was used .Settings: this study was implemented at Port Said
general hospital, Port Fouad general hospital and ALzohor general hospital. Sample:A
convenient sample of 48 nurses working in ICU settings in the previous mentioned setting was
selected for this study. Study tools:A self-administered structured questionnaire was used to
determine ICU nurses' knowledge, attitude and practice regarding use of physical restrain and
factors influencing it. Results: the majority of nurses had unsatisfactory knowledge, 62.5% of
nurses had negative attitude and 83.3% of nurses had adequate practice regarding the use of
restrain with.There were no correlation between nurses' practice score regarding the use of
physical restrain and their knowledge and attitude score. Conclusions: Nurses‟ knowledge,
attitude and practice are in need for improvement. Recommendations: Development of local
policies for physical restrain use including detailed descriptions of conditions requiring its useand
periodic in service–training advanced care programs based on best practice guidelines for nurses
working in ICU is essential to improve nurses' practice regarding use of PR.