成都地区三所三级甲等综合医院ICU与非ICU护士对机械通气病人照护行为意向的研究

目的对成都地区三所三级甲等综合医院ICU与非ICU护士对机械通气病人照护行为意向进行比较,为相关的护士培训提供依据。方法应用《护士对照护机械通气病人的行为态度、主观行为规范和行为意向》量表的中文修订版,对近三个月内照护过机械通气病人的ICU与非ICU护士进行测评,比较两组护士照护机械通气病人的行为态度、主观行为规范和行为意向间的差异。结论ICU与非ICU护士照护机械通气病人的行为态度(P>0.05)和主观行为规范(P>0.05)差异无显著性意义,行为意向(P<0.05)差异有显著性意义,ICU护士的行为意向优于非ICU护士。     

影响综合医院护士照护机械通气患者行为意向的因素分析

目的 探讨影响成都地区综合医院ICU与非ICU护士,对机械通气患者照护行为意向的因素,为相关的护士培训提供依据.方法 应用《护士对照护机械通气患者的行为态度、主观行为规范和行为意向》量表的中文修订版,对近3个月内照护过机械通气患者的ICU与非ICU护士进行测评,调查影响其行为意向的因素.结果 理性行为理论多个变量间呈正相关,行为态度和主观行为规范均对行为意向有显著预测作用,主观行为规范的预测作用更强.结论 学历、行为态度、主观行为规范、机械通气培训、工作年限和是否为ICU护士是影响综合医院护士照护机械通气患者行为意向的主要因素.     

基于计划行为理论的护士继续教育参与意向的影响因素分析

目的：运用计划行为理论探讨影响护士继续教育参与意向的主要因素。方法根据计划行为理论设计问卷,对304名护士进行调查,分析继续教育参与意向的影响因素。结果行为态度、主观规范和感知行为控制均与参与意向呈显著正相关。多元逐步回归分析显示,间接控制、直接控制、间接态度和直接态度进入回归方程,其确定系数为0.68。结论感知行为控制和行为态度是影响护士继续教育参与意向的主要因素,行为控制感知程度高、态度积极和信念正向的护士具有更为强烈的参与意向。     

基于计划行为理论视角下的中医院护士医院感染防控意向调查研究

[目的]探讨中医院护士医院感染防控意向与态度、主观规范、感知行为控制之间的相关性。[方法]以计划行为理论为框架自拟问卷,选取哈尔滨市2所三级甲等中医院的242名护士进行问卷调查。[结果]护士的态度、主观规范、感知行为控制与医院感染防控意向呈正相关,相关系数分别为0.35,0.58,0.68,进入回归方程中的决定系数为0.69。[结论]中医院护士的医院感染防控意向与态度、主观规范、感知行为控制有关,可以通过各种途径的培训、学习提高中医院护士医院感染防控的行为意向。     

基于计划行为理论视角下的中医院护士医院感染防控意向调查研究

[目的]探讨中医院护士医院感染防控意向与态度、主观规范、感知行为控制之间的相关性。[方法]以计划行为理论为框架自拟问卷,选取哈尔滨市2所三级甲等中医院的242名护士进行问卷调查。[结果]护士的态度、主观规范、感知行为控制与医院感染防控意向呈正相关,相关系数分别为0.35,0.58,0.68,进入回归方程中的决定系数为0.69。[结论]中医院护士的医院感染防控意向与态度、主观规范、感知行为控制有关,可以通过各种途径的培训、学习提高中医院护士医院感染防控的行为意向。     

ICU护士实施身体约束行为的现状及相关因素分析

目的了解ICU护士身体约束行为的状况,并探讨其相关影响因素。方法采用问卷调查法,对衡阳市5家三级医院150名ICU护士进行调查。结果ICU护士身体约束知识得分属于中上水平,总答对率为78．70％;对身体约束的使用呈中性态度;身体约束行为较恰当,其影响因素有：年龄、护龄、身体约束适应性知识、职称、身体约束的感受、ICU工作时间和接受约束教育的情况。结论护理管理及教育者可通过加强身体约束知识的继续教育,使护理人员建立正向地身体约束感受,从而采取适当的身体约束行为,提高照护质量。     

精神病医院护士实施关怀照护行为现状调查

目的了解精神病医院护士实施关怀照护行为的现状。方法选择精神病专科医院护士198名,采用关怀行为量表（caring behavior scale,CBS）进行调查。结果精神病医院护士关怀照护行为总均分为（54．75±12．07）分,3个维度的得分从高到低为：协助病人渡过疾病不平顺过程得分（2．11±0．51）分,了解病人需求得分（1．75±0．62）分,病人权益的维护得分（1．67±0．46）分。结论精神病医院护士的关怀照护行为较低。应采用相应的激励机制激发精神病医院护士工作热情,采取多种措施对精神病医院护士进行专业化、系统化培训及不断更新继续教育内容,以提高他们的关怀照护行为。     

ICU护士预防职业性腰背痛“知-信-行”调查分析

目的调查ICU护士职业性腰背痛知识、态度、行为现状，探讨其相关性。方法采用自行设计的ICU护士职业性腰背痛知识、态度和行为调查问卷，对4所三甲医院的120名ICU护士进行抽样调查。结果自我防护知识得分为（41．6±23．5）分，自我防护态度得分为（51．8±30．3）分，自我防护行为得分为（51．3±21．2）分；且ICU护士职业性腰背痛自我防护知识与态度、行为呈正相关（P〈0．01或0．05）。结论ICU护士职业性腰背痛自我防护知识缺乏，自我防护态度较差。护理管理者应加强职业性腰背痛自我防护知识方面的培训，培养良好的自我防护态度，有效预防职业性腰背痛的发生。     

ICU护士预防再喂养综合征知识、态度和行为的现况及其影响因素

目的 调查重症监护病房（intensive care unit,ICU）护士预防再喂养综合征知识、态度和行为现况,并分析其影响因素,为临床开展相关教学、培训提供依据。方法 采用便利抽样法,自行编制一般资料调查表、ICU护士对预防RFS再喂养综合征（refeeding syndrome,RFS）知识、态度和行为问卷以及护理阻碍因素及知识需求问卷,对上海市5所三级甲等综合医院和2所二级甲等综合医院的366名ICU护士进行调查,并采用多重线性回归分析RFS的知识、态度和行为的影响因素。结果366名ICU护士预防RFS知识、态度和行为问卷总分、知识维度、态度维度、主观规范、感知行为控制及行为意向维度得分分别为（133.73±20.55）分、（35.79±9.04）分、（37.44±6.20）分、（12.07±2.27）分、（17.82±4.00）分、（30.61±6.09）分,总分处于中等水平。多重线性回归分析显示,医院级别、ICU类型以及是否为营养学组成员、接受过相关培训、从学术期刊获取知识的频率是ICU护士对预防RFS知识、态度和行为的影响因素（均P<0.05）,共同解释其20.90...     

《骨科护士康复护理行为意向评价量表》的信度和效度分析

目的了解《骨科护士康复护理行为意向评价量表》的可行性和有效性。方法采用整群抽样法选取湖南省长沙市、衡阳市和永州市三级19所甲等医院的600名骨科护士进行康复护理行为评价,并对其中63名护士重复测量,考察《骨科护士康复护理行为意向评价量表》的信度和效度。结果《骨科护士康复护理行为意向评价量表》的内在信度Cronbachα总体系数为0.951,重测信度Pearson总体相关系数为0.833;因子分析显示结构效度较好,与所依据理论的结构基本一致,6个公因子(包括直接态度和间接态度、主观规范、直接控制和间接控制、行为意向)能解释问卷全部内容的61.605%。结论《骨科护士康复护理行为意向评价量表》具有良好的信度和效度,可用于相关研究。     

成都市两所三级甲等医院传染科护士使用个人防护装备意向的调查

目的对成都市两所三级甲等综合医院传染科护士使用个人防护装备(Personal protective equipments,PPE)的意向进行调查,为相关的护士培训提供依据。方法应用《护士对使用PPE意向》调查量表中文修订版对接受调查的传染科护士进行测评,描述研究对象使用PPE的行为意向。结果本组82.5%的传染科护士对使用PPE持积极的行为意向,赞成在工作中使用PPE;仅有17.5%的调查对象不赞成在工作中使用PPE。结论要进一步提高传染科护士使用PPE的行为意向,如定期举办护士使用PPE的培训班,强调使用PPE的重要性,配备充足的人力资源等,特别应注重对其正性主观行为规范的培养。     

The relationship of attitude, subjective norm, and behavioral intent to the documentation behavior of nurses

Ajzen and Fishbein's theory of reasoned action was used to assess the relationship of nurses' attitude, subjective norm, and behavioral intention to their documentation behavior. Attitudes, subjective norms, and behavioral intentions toward documentation were elicited from 108 staff nurses. Documentation behavior was based on what should be documented in any hospitalized patient's chart during a shift. This exploratory model was analyzed with LISREL VI. The overall fit of the final model to the data was good, as judged by a chi-square (df = 7, p = .845). The total coefficient of determination for the structural equation was .461. Attitude toward documentation did not relate significantly to intention to document optimally. Subjective norm did have a significant effect on behavioral intent. Attitude and subjective norm accounted for 46.1% of the variance in behavioral intent. Behavioral intent had a significant effect on documentation behavior, accounting for 15.2% of the variance. It appears that subjective norm, which is the influence of others, is what directs the intention to document and thus relates to subsequent documentation. Recommendations for practice include the communication of high ideals and expectations of important others to the staff nurse in order to improve the quality of documentation.     

Determinants of exercise intention and behavior in survivors of breast and prostate cancer: an application of the theory of planned behavior

The purpose of this study was to evaluate the theory of planned behavior as a framework for understanding exercise intention and behavior in survivors of breast and prostate cancer. Participants were 83 survivors of breast and 46 survivors of prostate cancer who were diagnosed within the previous 4 years and had completed treatment. Each participant completed a mailed self-administered questionnaire that assessed exercise during the previous week, demographic and medical variables, and the theory of planned behavior. For survivors of breast cancer, regression analyses indicated that attitude, subjective norm, and perceived behavioral control explained 45% of the variance in exercise intention with attitude, subjective norm, and perceived behavioral control each uniquely contributing to intention. Furthermore, exercise intention explained 30% of the variance in exercise behavior; however, perceived behavioral control added no unique variance. For survivors of prostate cancer, attitudes, subjective norm, and perceived behavioral control explained 36% of the variance in exercise intention, but only perceived behavioral control made a significant unique contribution. Furthermore, intention explained 36% of the variance in exercise behavior; however, perceived behavioral control added no unique variance. Results suggest that nurses may use the theory of planned behavior as a model for understanding the determinants of exercise intentions and behavior in survivors of breast and prostate cancer.     

Exercise among blue-collar workers: application of the theory of planned behavior.

The purpose of this study was to identify cognitive predictors of blue-collar workers' (N = 468) intention to exercise and their self-reported exercise behavior. The theory of planned behavior (TPB) provided the framework for the study. A cross-sectional sample of skilled and unskilled workers from the physical facilities department of a large, Midwestern state university completed a questionnaire containing measures of attitude, subjective norm, perceived behavioral control, intention, and self-reported leisure exercise behavior. Structural equation modeling demonstrated that workers' attitude toward exercise and perceived behavioral control explained 61.7% of the variance of intention, whereas intention and perceived behavioral control explained 51.3% of the variance of exercise behavior. Subjective norm was not a significant predictor of intention to exercise. The findings support the use of the TPB in identifying cognitive factors that explain exercise behavior and suggest that interventions to promote exercise behavior in blue-collar workers should address their attitude toward exercise and their perceptions of behavioral control.     

护理人员关爱护理行为影响因素分析

目的:了解护理人员实施人文关爱护理行为意向及影响因素,为实施护理管理干预提供依据。方法:采用问卷调查法,对该院73名外科和骨科护理人员进行实施人文关爱护理行为意向调查。结果:护理人员实施人文关爱护理行为意向得分较高,间接态度、间接控制得分较低;逐步多元回归分析显示,直接控制和主观规范是护理人员人文关爱护理行为意向重要的独立影响因素。结论:护理管理者要注意管理方法和技巧,促进护理人员人文关爱护理行为意向转化为行动,加强对护理人员的人文关爱教育、培训,提高护理人员的自我效能。     

Investigation and influencing factors of the behavioral intention of nurses voluntarily participating in the care of older adults with disabilities

ObjectivesThis study aimed to analyze nurses’ intention and influencing factors to participate in voluntary care services for older adults with disabilities, and build a structural equation model to clarify the influence of behavioral attitude, subjective norms, and perceived behavioral control on the behavioral intention, to lay the foundation for establishing voluntary care teams for older adults with disabilities.MethodsThis cross-sectional study was conducted in 30 hospitals of different levels from August to November 2020. Participants were selected by convenience sampling. A self-designed questionnaire was used to survey nurses to investigate their intention to participate in voluntary care services for older adults with disabilities, including four dimensions: behavioral intention (three items), behavioral attitude (seven items), subjective norms (eight items), and perceived behavioral control (eight items), a total of 26 items. Logistic regression was used to analyze the influence of general information on behavioral intention. Smart PLS 3.0 software was used to build the structural equation model, and the influence of behavioral attitude, subjective norms, and perceived behavioral control on behavioral intention was analyzed.ResultsA total of 1,998 nurses were enrolled, 1,191 (59.6%) were willing to participate in volunteer care for older adults with disabilities, and the willingness of nurses to participate in volunteer care for older adults with disabilities was above the medium level. The scores of behavioral attitude, subjective norm, perceived behavioral control, and behavioral intention dimension were 26.31 ± 5.94, 30.93 ± 6.62, 27.58 ± 6.70, and 10.78 ± 2.50, respectively. Logistic regression analysis showed that the nurses who had urban household registration, held a management positions in the department, received free help from other volunteers, and was rewarded by hospitals or organizations for voluntary activities were more willing to participate (P < 0.05). The partial least squares analysis showed that behavioral attitudes (β = 0.456, P < 0.001), subjective norms (β = 0.167, P < 0.01), and perceived behavioral control (β = 0.123, P < 0.01) had a significant positive impact on behavioral intention. The more positive the attitude, the more support, the fewer the obstacles, and the greater the intention of the nurses to participate.ConclusionMobilizing nurses to volunteer care for older adults with disabilities is feasible in the future. Therefore, policymakers and leaders need to improve relevant laws and regulations to ensure the safety of volunteers, reduce the external hindrance factors of volunteer activities, pay attention to the cultivation of nursing staff values, identify the internal needs of nursing staff and improve incentive measures, to improve the willingness of nursing staff to participate and transform it into practical action.     

基于计划行为理论的护理专业学生课程出勤意向研究

目的分析和探讨护理专业学生的课程出勤意向与态度、主观规范、感知行为控制之间的关系。方法采用问卷调查法,对239名护理专业学生不同课程的出勤率、出勤意向等进行调查。结果经多元逐步回归分析显示,学生的出勤态度、主观规范、感知行为控制进入出勤意向的回归方程,其决定系数为0.81。结论护理专业学生课程出勤意向与态度、主观规范、感知行为控制有关,可以通过提高教师素质、改变教学方法、完善考勤制度、合理安排课程等方法提高护理专业学生的出勤意向。     

Attitudes, subjective norm, perceived behavioral control, and intentions related to adult smoking cessation after coronary artery bypass graft surgery

The purpose of this study was to examine the relationships between intention, attitudes, subjective norm, and perceived behavioral control related to smoking cessation in adults after initial coronary artery bypass graft surgery (CABG). The theoretical framework for the study was derived from Ajzen's Theory of Planned Behavior. Intention, the global and belief-based measures of attitude, subjective norm, and perceived behavioral control were measured with the Determinants of Adult Smoking Cessation (DOASC) Questionnaire developed by the investigator. Thirty-two adult smokers completed the questionnaire 2 to 3 weeks following hospital discharge. Four weeks after the questionnaire completion, a follow-up telephone call was used to determine the participants' current smoking status. The study results indicated that there was a statistically significant relationship between the intention to quit smoking after CABG and the global measure of attitude, and perceived behavioral control. This study highlights some of the beliefs about the outcomes of quitting smoking permanently after CABG which may underlie attitudes, subjective norm, and perceived behavioral control in this population. Implications for theory, practice, and research are discussed.     

Predicting donation among an Irish sample of donors and nondonors: extending the theory of planned behavior

BACKGROUND: Research has indicated the ability of the Theory of Planned Behavior to predict blood donation. This study tested an extended version of the Theory of Planned Behavior (attitude, subjective norm, and perceived behavioral control with the addition of past behavior, moral norm, self-identity, and anticipated regret) in predicting donation intention and behavior among donors and nondonors and if forming implementation intentions improved attendance at a mobile blood donation clinic. STUDY DESIGN AND METHODS: This study used a cross-sectional follow-up design. A questionnaire was distributed to 600 staff and students at the National University of Ireland, Galway, before the arrival of a mobile clinic to Galway city. Half of these participants were invited to make implementation intentions specifying how, where, and when they planned to donate blood. A second questionnaire measuring reported attendance at the clinic was distributed 2 weeks after the first questionnaire. RESULTS: A total of 172 eligible donors returned questionnaires (29% response rate). The extended Theory of Planned Behavior accounted for 51 percent of the variance in intention to donate in the future: anticipated regret, attitude, perceived behavioral control, self-identity, and subjective norm significantly predicted intention. Donors differed from nondonors: they possessed more favorable attitudes toward blood donation, had a greater sense of donor identity, and believed more strongly in a moral obligation to donate blood than nondonors. Those who made implementation intentions were no more likely to donate that those who had not. CONCLUSION: Owing to the different factors influencing the donation decision for donors and nondonors, separate strategies to promote donation should be designed for these subgroups, targeting the elements most pertinent to each group.