"Values and preferences of health care professionals, policy-makers, patients and family members regarding recommendations of adapted physical restraint guidelines in critical care: A survey research"

作者全名："Cui, Nianqi; Gan, Xiuni; Huang, Sufang; Chu, Zhe; Chen, Dandan; Zhang, Yuping; Lan, Meijuan; Jin, Jingfen"

作者地址："[Cui, Nianqi; Zhang, Yuping; Lan, Meijuan; Jin, Jingfen] Zhejiang Univ SAHZU, Nursing Dept, Affiliated Hosp 2, Sch Med, Hangzhou, Peoples R China; [Cui, Nianqi] Kunming Med Univ, Sch Nursing, Kunming, Peoples R China; [Gan, Xiuni] Chongqing Med Univ, Dept Nursing, Affiliated Hosp 2, Chongqing, Peoples R China; [Huang, Sufang] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Emergency Med, Wuhan, Peoples R China; [Chu, Zhe] First Hosp Jilin Univ, Dept Emergency Med, Changchun, Peoples R China; [Chen, Dandan] Zhejiang Univ, Fac Nursing, Sch Med, Hangzhou, Peoples R China; [Jin, Jingfen] Key Lab Diag & Treatment Severe Trauma & Burn Zhej, Hangzhou, Peoples R China; [Jin, Jingfen] Changxing Branch Hosp SAHZU, Huzhou, Peoples R China; [Lan, Meijuan] Zhejiang Univ SAHZU, Nursing Dept, Affiliated Hosp 2, Sch Med, 88 Jiefang Rd, Hangzhou 310009, Zhejiang, Peoples R China; [Jin, Jingfen] Zhejiang Univ SAHZU, Nursing Dept, Key Lab Diagnosisand Treatment Severe Trauma Burn, Affiliated Hosp 2,Sch Med, 88 Jiefang Rd, Hangzhou 310009, Zhejiang, Peoples R China; [Jin, Jingfen] Changxing Branch Hosp SAHZU, 66 Taihu Middle Rd, Huzhou 313100, Zhejiang, Peoples R China"

通信作者："Lan, MJ (通讯作者)，Zhejiang Univ SAHZU, Nursing Dept, Affiliated Hosp 2, Sch Med, 88 Jiefang Rd, Hangzhou 310009, Zhejiang, Peoples R China.; Jin, JF (通讯作者)，Zhejiang Univ SAHZU, Nursing Dept, Key Lab Diagnosisand Treatment Severe Trauma Burn, Affiliated Hosp 2,Sch Med, 88 Jiefang Rd, Hangzhou 310009, Zhejiang, Peoples R China.; Jin, JF (通讯作者)，Changxing Branch Hosp SAHZU, 66 Taihu Middle Rd, Huzhou 313100, Zhejiang, Peoples R China."

来源：NURSING IN CRITICAL CARE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001040106700001

JCR分区：Q1

影响因子：3

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：guideline; intensive care units; patient preference; physical; restraint; stakeholder participation

摘要："Background: The values and preferences of stakeholders are crucial in the development of guidelines. Aim: The aim of this study was to investigate stakeholders' values and preferences regarding draft recommendations for adapted physical restraint guidelines in China. Study design: This survey research was carried out at four university-affiliated comprehensive hospitals based in the eastern, central, western, and north eastern zones of China from January 5-30, 2022. A 48-item self-report questionnaire was distributed, and values and preferences were assessed on a 10-point Likert scale. One-way ANOVA was used to compare values and preference scores among stakeholders. As effect-size measures, partial eta(2) and Cohen's f values are reported for ANOVA results. Results: A total of 1155 stakeholders were enrolled in the study. The mean value and preference scores were higher than seven for 46 draft recommendations. There was either no significant difference in the values and preferences of the stakeholders for the draft recommendations or there was a significant difference (p values ranged from <0.001 similar to.048), but the effect size was small or very small (partial eta(2) value ranged from 0.011 similar to.044; Cohen's f value ranged from 0.101 similar to.214). The mean scores of patients for items related to cyber therapy and early tracheotomy were 6.84 and 6.60, respectively, which were lower than those of family members, policy-makers, and health care professionals and were statistically significant (p < 0.001). The partial eta(2) and Cohen's f values of the effect size were 0.083/0.062 and 0.302/0.256, respectively, which indicated that the differences were moderate. Conclusion: These recommendations were in line with the values and preferences of stakeholders. Patients were more supportive of implementing cyber therapy or hypnosis for pain management but did not support early tracheotomy to reduce the duration of mechanical ventilation. Guideline panels could use value and preference information to revise and endorse recommendations of adapted physical restraint guidelines in critical care. Relevance to Clinical Practice: Practitioners should implement recommendations based on the values and preferences of stakeholders."

基金机构：Science Research Foundation of Chinese Nursing Association [ZHKY201913]; Zhejiang University Academic Award for Outstanding Doctoral Candidates [202059]

基金资助正文：The Science Research Foundation of Chinese Nursing Association [grant numbers:ZHKY201913]; Zhejiang University Academic Award for Outstanding Doctoral Candidates[grant numbers: 202059]