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
单位：[1]Nursing Department, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Hangzhou, China[2]School of Nursing, Kunming Medical University, Kunming, China[3]Department of Nursing, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China[4]Department of Emergency Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China急诊医学科华中科技大学同济医学院附属同济医院[5]Department of Emergency Medicine, The First Hospital of Jilin University, Changchun, China[6]Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, China[7]Key Laboratory of The Diagnosis and Treatment of Severe Trauma and Burn of Zhejiang Province, Hangzhou, China[8]Changxing Branch Hospital of SAHZU, Huzhou, China
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：
Science Research Foundation of Chinese Nursing Association [ZHKY201913]; Zhejiang University Academic Award for Outstanding Doctoral Candidates [202059]
第一作者单位：[1]Nursing Department, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Hangzhou, China[2]School of Nursing, Kunming Medical University, Kunming, China
通讯作者：
通讯机构：[1]Nursing Department, The Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU), Hangzhou, China[7]Key Laboratory of The Diagnosis and Treatment of Severe Trauma and Burn of Zhejiang Province, Hangzhou, China[8]Changxing Branch Hospital of SAHZU, Huzhou, China[*1]Chief Nurse, Director, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU). No.88 Jiefang road, Shangcheng District, Hangzhou, Zhejiang, 310009, China.[*2]Assistant Dean, Executive President, Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)[*3]Key Laboratory of The Diagnosis and Treatment of Severe Trauma and Burn of Zhejiang Province. No.88 Jiefang road, Shangcheng District, Hangzhou, Zhejiang Province 310009, China. Changxing Branch Hospital of SAHZU, No.66 Taihu middle road, Changxing Country, Huzhou, Zhejiang 313100,China.
推荐引用方式(GB/T 7714)：
Cui Nianqi,Gan Xiuni,Huang Sufang,et al.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[J].NURSING IN CRITICAL CARE.2023,28(6):957-966.doi:10.1111/nicc.12955.
APA：
Cui, Nianqi,Gan, Xiuni,Huang, Sufang,Chu, Zhe,Chen, Dandan...&Jin, Jingfen.(2023).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.NURSING IN CRITICAL CARE,28,(6)
MLA：
Cui, Nianqi,et al."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".NURSING IN CRITICAL CARE 28..6(2023):957-966
