Adaptation and validation of the Physical Restraint-Theory of Planned Behaviour Questionnaire to the paediatric context.

Journal: Nursing in critical care

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Affiliated Institutions:  Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Nursing, University of Barcelona (UB), Barcelona, Spain. Pediatric Intensive Care Unit, La Paz Hospital, Madrid, Spain. Pediatric Intensive Care Unit, Vall Hebron Hospital, Barcelona, Spain. Pediatric Intensive Care Unit, Carlos Haya Hospital, Málaga, Spain. Pediatric Intensive Care Unit de Octubre Hospital, Madrid, Spain. Department of Knowledge Management and Evaluation, Vall d'Hebron Hospital, Barcelona, Spain. Alfonso X el Sabio University, Madrid, Spain. Pediatric Intensive Care Unit, Sant Joan de Déu Hospital, Barcelona, Spain. Hospital Universitari de Bellvitge, Barcelona, Spain.

Abstract summary 

To create and test psychometrically a paediatric version of the Physical Restraint-Theory of Planned Behaviour Questionnaire to assess paediatric critical care nurses' intention to use physical restraint.A psychometric study.Five medical-surgical Paeditric Intensive care Units from five hospitals in Spain.The study took place in three phases. In phase 1, the questionnaire was adapted. In phase 2, the content validity of each item was determined, and a pilot test was conducted. In phase 3, we administered the questionnaire and determined its psychometric properties.The assessment of the intention to use physical restraint was extended to all critical paediatric patients, two items were eliminated from the initial questionnaire, four new items were included, and the clinical scenarios of the intention subscale were expanded from three to six. Overall content validity index for the full instrument of 0.96 out of 1. The Paediatric Physical Restraint-Theory of Planned Behaviour Questionnaire is made up of four subscales (attitude, subjective norms (SN), perceived behavioural control (PBC), and intention) subdivided into 7 factors and 51 items. The internal consistency for the attitude subscale obtained a Cronbach's Alpha of 0.80 to 0.73, for the SN it was 0.72 to 0.89, for the PBC it was from 0.80 to 0.73 and for the intention subscale it was 0.75.The Paediatric Physical Restraint-Theory of Planned Behaviour Questionnaire is an instrument composed of seven factors and 51 items that validly and reliably assesses the intention of paediatric nurses to apply PR in PICUs.Having this instrument will help health centres move towards restraint-free care by allowing managers to assess professionals' attitudes, beliefs, and intentions around the use of PR in PICUs.

Authors & Co-authors:  Bosch Alcaraz Piqueras Rodríguez Corrionero Alegre García Piñero Belda Hofheinz Gil Domínguez Zuriguel Pérez Luna Castaño Saz Roy Martínez Oliva González Rivas Añaños Montoto Espildora González Martín-Peñasco Osorio Carracedo Muñoz López Fernández Lozano Almendral Gomez Merino Morales Cervera Fernández Lorenzo Mata Ferro Martín Gómez Serradell Orea Esquinas López Via Clavero

Study Outcome 

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Citations :  Demir A. The use of physical restraints on children: practices and attitudes of pediatric nurses in Turkey. Int Nurs Rev. 2007;17:367‐374. doi:10.1111/j.1466‐7657.2007.00547.x
Authors :  25
Identifiers
Doi : 10.1111/nicc.13066
SSN : 1478-5153
Study Population
Male,Female
Mesh Terms
Other Terms
intensive care unit;nursing;paediatric;psychometric studies;restraint physical
Study Design
Study Approach
Country of Study
Publication Country
England