TY - JOUR
T1 - Validity and measurement invariance of the Physical Restraint Use Questionnaire (PRUQ) in nursing staff
AU - Penelo, Eva
AU - Estévez-Guerra, Gabriel J.
AU - Fariña-López, Emilio
N1 - Funding information:
Fundación Canaria de Investigación Sanitaria (Spain; Exp. 04-2014). The sponsor played no role in the design, methods, participant recruitment, data collection, analysis or preparation of the manuscript.
Publisher Copyright:
© 2018 John Wiley & Sons Ltd
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Aims and objectives: To study the internal structure and measurement invariance of the Physical Restraint Use Questionnaire and to compare perceptions, experience and training, regarding use of physical restraint on the older people between nursing staff working in hospitals and nursing homes. Background: Physical restraint of patients is still common in many countries, and thus, it is important to study the attitudes of nursing staff. One of the most common tools used to assess perceptions regarding its use is the Physical Restraint Use Questionnaire. However, gaps exist in its internal structure and measurement invariance across different groups of respondents. Design: Cross-sectional multicentre survey. Methods: Data were collected from nurses working in eight Spanish hospitals and 19 nursing homes. All registered nurses and nurse assistants (N = 3,838) were contacted, of whom 1,635 agreed to participate. Confirmatory factor analysis was performed to determine internal structure and measurement invariance of Physical Restraint Use Questionnaire, after which scale scores and other measures of experience and training were compared between hospital-based (n = 855) and nursing homes-based (n = 780) nurses. Results: The Physical Restraint Use Questionnaire showed three invariant factors across type of facility, and also professional category and sex. Nursing staff working in both types of facility scored similarly; prevention of therapy disruption and prevention of falls were rated more important. Nurses working in nursing homes reported using restraint “many times” more frequently (52.9% vs. 38.6%), less severe lack of training (18.2% vs. 58.7%) being perceived as more adequate (33.4% vs. 17.7%), than hospital-based nurses. Conclusions: These findings support Physical Restraint Use Questionnaire as a valid and reliable tool for assessing the importance given to the use of physical restraint in the older people by nursing professionals, regardless of the setting being studied. Relevance to clinical practice: The information would help design more specifically the physical restraint training of nursing staff and to plan institutional interventions aimed at reducing its use.
AB - Aims and objectives: To study the internal structure and measurement invariance of the Physical Restraint Use Questionnaire and to compare perceptions, experience and training, regarding use of physical restraint on the older people between nursing staff working in hospitals and nursing homes. Background: Physical restraint of patients is still common in many countries, and thus, it is important to study the attitudes of nursing staff. One of the most common tools used to assess perceptions regarding its use is the Physical Restraint Use Questionnaire. However, gaps exist in its internal structure and measurement invariance across different groups of respondents. Design: Cross-sectional multicentre survey. Methods: Data were collected from nurses working in eight Spanish hospitals and 19 nursing homes. All registered nurses and nurse assistants (N = 3,838) were contacted, of whom 1,635 agreed to participate. Confirmatory factor analysis was performed to determine internal structure and measurement invariance of Physical Restraint Use Questionnaire, after which scale scores and other measures of experience and training were compared between hospital-based (n = 855) and nursing homes-based (n = 780) nurses. Results: The Physical Restraint Use Questionnaire showed three invariant factors across type of facility, and also professional category and sex. Nursing staff working in both types of facility scored similarly; prevention of therapy disruption and prevention of falls were rated more important. Nurses working in nursing homes reported using restraint “many times” more frequently (52.9% vs. 38.6%), less severe lack of training (18.2% vs. 58.7%) being perceived as more adequate (33.4% vs. 17.7%), than hospital-based nurses. Conclusions: These findings support Physical Restraint Use Questionnaire as a valid and reliable tool for assessing the importance given to the use of physical restraint in the older people by nursing professionals, regardless of the setting being studied. Relevance to clinical practice: The information would help design more specifically the physical restraint training of nursing staff and to plan institutional interventions aimed at reducing its use.
KW - confirmatory factor analysis
KW - measurement invariance
KW - nursing
KW - older people
KW - physical restraint
UR - https://ddd.uab.cat/record/305821
UR - http://www.scopus.com/inward/record.url?scp=85040860574&partnerID=8YFLogxK
U2 - 10.1111/jocn.14253
DO - 10.1111/jocn.14253
M3 - Article
C2 - 29314411
AN - SCOPUS:85040860574
SN - 0962-1067
VL - 27
SP - e1179-e1188
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 5-6
ER -