Kirkpatrick's Model In The Training In Physical Restraint Of Intensive Care Unit Nurses Applied Research

ObjectiveTo investigate the current situation of physical restraint in nurses of intensive care medicine;to analyze the effect of training intervention on knowledge and behavior of physical restraint in nurses of intensive care medicine and to evaluate the effect of physical restraint training in nurses of intensive care medicine by using Kirkpatrick evaluation model.MethodsThe two Department of intensive care medicine were randomly divided into the trial group and the control group,from which 46 qualified nurses were selected as study subjects.The control group received physical restraint routine clinical experience education and management.On this basis,the trial group also received training and management of physical restraint intervention strategies based on JBI physical restraint standards.The theoretical training is conducted once a week for 1 hour with a total duration of 4 weeks;physical restraint management and supervision are carried out after the theoretical training.Kirkpatrick evaluation model was used to evaluate the effects from three aspects: reaction level,learning level and behavior level.The evaluation time was before intervention,the first month of intervention and the fourth month of intervention.EpiData 3.1was used to establish the database and Descriptive analysis,chi-squared test,two-sample t-test,Paired t-test analysis were performed to analyze the data using SPSS17.0 with P<0.05 for the difference which was statistically significant.Results1.Prior to intervention,there was no statistically significant difference in baseline data between the two groups of subjects(P>0.05).2.At the response level,the overall satisfaction is higher,the training of the theme,facilities,time etc.,of the training was at an above average level.3.At the learning level,two groups of subjects at 3 point of time in the physical restraint knowledge score the results of Multiple-factor repetitive measurement and analysis of variance showed that the effects of time effect,inter group effect and interaction effect were statistically significant(P<0.05).The results of inter-group comparison showed that there was no significant difference in the scores of physical restraint knowledge between the two groups before intervention(P>0.05);in the first month of intervention and the fourth month of intervention were statistically significant(P<0.05,P<0.001),and the three time point trial groups were higher than the control group.The results of single factor repeated measure variance analysis showed that there were statistically significant in physical restraint knowledge scores at 3 time points in the trial group(P<0.001),and no statistically significant differences in the control group(P>0.05).The physical restraint knowledge score of the two groups the 4th month of intervention>the 1th month of intervention>before the intervention.Multiple comparison analysis of physical restraint knowledge score between the two groups at different time points,the trail group were statistically significant(P<0.05),the control group were not statistically significant(P>0.05).4.At the behavioral level,two groups of subjects at 3 point of time in the ICU physical restraint implementation score the results of Multiple-factor repetitive measurement and analysis of variance showed that the effects of time effect,inter group effect and interaction effect were statistically significant(P<0.05).The results of inter-group comparison showed that there was no significant difference in the scores of physical restraint knowledge between the two groups before intervention and the 1th month of Intervention(P>0.05);in the fourth month of intervention was statistically significant(P<0.05),and the three time point trial groups were higher than the control group.The results of single factor repeated measure variance analysis showed that there were statistically significant in ICU physical restraint implementation scores at 3 time points in the trial group(P<0.001),and no statistically significant differences in the control group(P>0.05).The ICU physical restraint implementation score of the two groups the 4th month of intervention>the 1th month of intervention>before the intervention.Multiple comparison analysis of ICU physical restraint implementation score between the two groups at different time points,the trail group was no statistically significant between the first month of intervention and before intervention(P>0.05),and the 4th month of intervention was statistically significant compared with the 1th month of Intervention or before intervention(P<0.05),the control group were not statistically significant(P>0.05).Conclusion:1.The subjects of the study were more satisfied with the training and responded well to the training.2.The training education of physical restraint can improve the knowledge of physical restraint of nurses in department of critical care medicine,and the level of knowledge increases gradually over time.3.After the training of physical restraint theory,it is necessary to change the behavior of a certain amount of time and gradually improve the implementation of physical restraint by nurses in department of critical care medicine.