[原著］Reliability and Validity of the Japanese Version of Physical Restraint Use Questionnaire
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概要
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For a long time in Japan, there was no legal control or guidelines regarding the use of physical restraints in long-term care facilities. Keeping elderly residents of nursing homes restrained in beds or chairs was a common practice in Japan. Japanese health care leaders hope to reduce physical restraint use and create permanent restraint-free elderly care facilities. A change to restraint-free elderly care is not possible if Japanese nursing home staff perceive restraints as an essential care component. The purpose of this study is to evaluate a tool developed to assess nursing home care staff perceptions on the need to restrain elderly patients. The study, conducted in the month of April 2000, used a convenience sample (N=162) of nursing home care staff. The sample included licensed nurses (n=63) and care workers (n=99) working in a long-term care facility in Okinawa, Japan. In their free time the respondents completed a questionnaire demographic questions and the Japanese version of the perceptions of Physical Restraint Use Questionnaire (J-PRUQ). Their response rate was 93.8%. The respondents repeated the J-PRUQ two to three weeks later for test-retest reliability. In the test-retest, Pearson's correlation coefficients were 0.92 for nurses and 0.93 for care workers (p<0.01). Cronbach's alpha coefficients were 0.91 for nurses and 0.92 for care workers (p<0.01). The J-PRUQ had 3 factors to explain 61.8% and all of the 17 question items were more than 0.5 in factor loading. Statistical assessment of the J-PRUQ demonstrates construct and content validity. These findings suggest that the J-PRUQ is a valid and reliable tool for evaluating the perceptions of restraint use among Japanese nurses and care workers in long-term care facilities. The researchers recommend future studies to strengthen the evidence of construct validity, as well as analysis of stability in diverse nursing populations and settings.
- 琉球医学会の論文
琉球医学会 | 論文
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