@article{oai:jrckicn.repo.nii.ac.jp:00000860,
 author = {UNOKI, Takeshi and 卯野木, 健 and 濱本, 実也 and HAMAMOTO, Miya and SAKURAMOTO, Hideaki and 櫻本, 秀明 and 白坂, 雅子 and SHIRASAKA, Masako and 森安, 恵実 and MORIYASU, Megumi and Zeng, Hong and 藤谷, 茂樹 and FUJITANI, Shigeki},
 issue = {1},
 journal = {Acute Medicine & Surgery, Acute Medicine & Surgery},
 month = {Jan},
 note = {application/pdf, Aim
Reducing the use of physical restraint in intensive care units is challenging, and little is known about the influence of culture on physical restraint use in this setting. The present study aims to verify the hypothesis that mutual support and a culture of blame among staff are associated with higher physical restraint use for mechanically ventilated patients.

Methods
We undertook a survey of nurses in intensive care units caring for mechanically ventilated patients in acute care units. The perceived frequency of physical restraint, mutual support, and culture of blame were measured. We predefined a high frequency physical restraint use group and compared the institutional characteristics, human resources, mutual support, and culture of blame between this group and the others (the control).

Results
Three hundred and thirty-three responses were analyzed. The mean number of beds per nurse was not significantly different between the groups; the mean and percentage of positive responses about mutual support and a culture of blame were significantly lower in the high frequency physical restraint use group. After adjusting variables in a multivariable regression analysis, a less positive response about the culture of blame was the only independent factor to predict high frequency physical restraint use.

Conclusion
The study suggests that changing the culture of blame, rather than increasing the number of nurses, is important for reducing physical restraint use.},
 title = {Influence of mutual support and a culture of blame among staff in acute care units on the frequency of physical restraint use in patients undergoing mechanical ventilation},
 volume = {7},
 year = {2020},
 yomi = {ウノキ, タケシ and ハマモト, ミヤ and サクラモト, ヒデアキ and シラサカ, マサコ and モリヤス, メグミ and フジタニ, シゲキ}
}