@article{ART003251336},
author={Ah-Young Cho and Min-Ji Lee and Hyo-Jung Ban and Eun-Jeong Jun and Min-Jung Choi},
title={ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms},
journal={Korean Journal of Medical Ethics },
issn={2005-8284},
year={2025},
volume={28},
number={3},
pages={229-240},
doi={10.35301/ksme.2025.28.3.229}
TY - JOUR
AU - Ah-Young Cho
AU - Min-Ji Lee
AU - Hyo-Jung Ban
AU - Eun-Jeong Jun
AU - Min-Jung Choi
TI - ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms
JO - Korean Journal of Medical Ethics
PY - 2025
VL - 28
IS - 3
PB - The Korean Society For Medical Ethics
SP - 229
EP - 240
SN - 2005-8284
AB - 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.
KW - intensive care units;restraint;physical;attitude;nursing;practical;ethical dilemmas
DO - 10.35301/ksme.2025.28.3.229
ER -
Ah-Young Cho, Min-Ji Lee, Hyo-Jung Ban, Eun-Jeong Jun and Min-Jung Choi. (2025). ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms. Korean Journal of Medical Ethics , 28(3), 229-240.
Ah-Young Cho, Min-Ji Lee, Hyo-Jung Ban, Eun-Jeong Jun and Min-Jung Choi. 2025, "ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms", Korean Journal of Medical Ethics , vol.28, no.3 pp.229-240. Available from: doi:10.35301/ksme.2025.28.3.229
Ah-Young Cho, Min-Ji Lee, Hyo-Jung Ban, Eun-Jeong Jun, Min-Jung Choi "ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms" Korean Journal of Medical Ethics 28.3 pp.229-240 (2025) : 229.
Ah-Young Cho, Min-Ji Lee, Hyo-Jung Ban, Eun-Jeong Jun, Min-Jung Choi. ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms. 2025; 28(3), 229-240. Available from: doi:10.35301/ksme.2025.28.3.229
Ah-Young Cho, Min-Ji Lee, Hyo-Jung Ban, Eun-Jeong Jun and Min-Jung Choi. "ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms" Korean Journal of Medical Ethics 28, no.3 (2025) : 229-240.doi: 10.35301/ksme.2025.28.3.229
Ah-Young Cho; Min-Ji Lee; Hyo-Jung Ban; Eun-Jeong Jun; Min-Jung Choi. ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms. Korean Journal of Medical Ethics , 28(3), 229-240. doi: 10.35301/ksme.2025.28.3.229
Ah-Young Cho; Min-Ji Lee; Hyo-Jung Ban; Eun-Jeong Jun; Min-Jung Choi. ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms. Korean Journal of Medical Ethics . 2025; 28(3) 229-240. doi: 10.35301/ksme.2025.28.3.229
Ah-Young Cho, Min-Ji Lee, Hyo-Jung Ban, Eun-Jeong Jun, Min-Jung Choi. ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms. 2025; 28(3), 229-240. Available from: doi:10.35301/ksme.2025.28.3.229
Ah-Young Cho, Min-Ji Lee, Hyo-Jung Ban, Eun-Jeong Jun and Min-Jung Choi. "ICU Nurses’ Attitudes, Practices, and Perceived Ethical Dilemmas Regarding the Application of Physical Restraint Algorithms" Korean Journal of Medical Ethics 28, no.3 (2025) : 229-240.doi: 10.35301/ksme.2025.28.3.229
