신체 보호대 알고리즘 적용 여부에 따른 중환자실 간호사의태도, 간호 실무 및 윤리적 딜레마

Abstract

This descriptive survey study aimed to assess the impact of applying a restraint algorithm onintensive care unit (ICU) nurses’ attitudes, clinical practices, and perceived ethical dilemmas relatedto restraint use. The study included 159 ICU nurses from two hospitals affiliated with C University inSeoul, surveyed between 15 December 2023 and 15 January 2024. Participants were divided into twogroups: Group A, in which the restraint algorithm was applied, and Group B, in which it was not. Data were analyzed using descriptive statistics, independent t-tests, a one-way ANOVA, Scheffé’s test,and Pearson’s correlation coefficients, with the SPSS/WIN 29.0 program. There was no significanteffect of the physical restraint algorithm on nurses’ attitudes or practices. However, nurses in thealgorithm group reported higher levels of perceived ethical dilemmas related to restraint use (t=2.07,p=.040). Additionally, nurses with more positive attitudes toward physical restraints were more likelyto experience ethical dilemmas (r=0.44, p<.001). The findings of this study suggest that applying arestraint algorithm may be associated with increased perception of ethical dilemmas related to its useamong nurses. Therefore, it is important to develop and implement consistent guidelines for restraintuse as well as support programs to help ICU nurses address those dilemmas.