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。     

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。     

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。     

护理专业实习学生从事老年护理意愿及影响因素研究

目的调查北京市护理专业实习学生从事老年护理意愿的现状并分析其影响因素。方法采用自行设计的一般资料问卷和老年护理意愿调查问卷,对北京市4所高校的438名护理专业实习学生进行调查。结果学生从事老年护理意愿得分为(3.19±0.56)分,4个维度得分由高到低依次为知觉行为控制、主观规范、行为态度和行为意向。多元逐步回归分析结果显示,父母与家中老年人的关系、建立家庭后是否愿意与父母同住、是否参加过老年志愿活动是护理专业实习学生从事老年护理意愿的影响因素(P0.05)。结论目前北京市护理专业实习学生从事老年护理的意愿较低。建议各高校进一步规范和完善老年护理课程体系,加强老年护理服务意识,进而增强老年护理服务意愿。     

教育干预对护士康复护理行为的影响

目的探讨教育干预对护士实施康复护理的感知控制、态度和行为意向的影响。方法选择某综合医院骨科护士70名,随机分为对照组和试验组,每组各35名。对试验组护士实施教育干预,而对照组护士不实施教育干预,比较实施教育干预前后两组护士在感知控制、态度和行为意向得分的差异。结果实施教育干预后,试验组护士在感知控制、态度和行为意向上的得分高于对照组(均P<0.001)。结论 教育干预能有效改变护士对康复护理的态度,增强自我效能感和感知控制力,并改变康复护理的行为意向,从而有利于促进康复护理的实施。     

电话随访对初产妇产褥期母乳喂养意向的影响

目的探讨电话随访对初产妇产褥期母乳喂养意向的影响。方法采用类实验性研究方法,便利选取分娩单胎足月儿的初产妇120例,分为对照组（n=60）和干预组（n=60）。对干预组分别在产后7,14,28d进行电话随访,对产妇在母乳喂养过程中遇到的困难提供解决办法并为产妇提供心理支持;对照组只给予常规护理。比较产褥期结束时两组初产妇母乳喂养意向及其相关的态度、感知行为控制及主观规范情况。结果100例初产妇在住院期间意向平均（4．58±0．46）分、感知行为控制平均（3．31±0．46）分、主观规范平均（3．84±0．42）分、态度平均（4．29±0．43）分。在住院期间,两组初产妇在母乳喂养意向以及其相关方面的平均得分差异均无统计学意义（P〉0．05）。至产后6周,母乳喂养意向平均（4．45±0．51）分、感知行为控制平均（3．24±0．59）分、主观规范平均（3．91±0．46）分、态度平均（4．18±0．54）分。干预组初产妇母乳喂养意向及其相关方面得分与对照组初产妇相比,差异均无统计学意义（P〉0．05）。在产后6周时,干预组喂养意向仍保持较高状态,与住院期间比较差异无统计学意义（P〉0．05）,对照组态度得分由（4．32±0．46）分下降到（4．13±0．59）分,差异有统计学意义（P〈0．05）。结论电话随访可以维持初产妇在产褥期母乳喂养积极的态度,使其保持较强的母乳喂养意向。     

《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。     

计划行为理论研究及其在护理中的应用

计划行为理论(theory of planned behavior,TPB)目前在国外广受研究者的青睐,该理论认为影响行为的主要因素是行为意向,而行为的态度、主观规范以及知觉到的行为控制会通过行为意向影响现实行为[1]。为了提高护理同仁对该理论的进一步理解,本文就TPB的由来、理论框架、测量方法、验证     

基于计划行为理论的医护人员洗手行为及其影响因素分析

[目的]应用计划行为理论探讨影响医护人员洗手行为和行为意向的主要因素.[方法]根据计划行为理论设计问卷,对644名医护人员进行调查,建立结构方程分析计划行为理论各维度对洗手行为和行为意向的影响.[结果]行为态度、主观规范和知觉行为控制对洗手意向的直接影响分别为0.31,0.44,0.29,知觉行为控制、行为意向对洗手行为的直接影响分别是0.53和0.28,计划行为理论对洗手行为和行为意向的确定系数为0.59和0.67.[结论]主观规范是影响医护人员洗手行为意向的主要因素,知觉行为控制对洗手行为的影响最为重要.     

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.     

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.     

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.     

Applying the theory of planned behavior: nursing students' intention to seek clinical experiences using the essential clinical behavior database

This study examined the antecedents and determinants predictive of whether nursing students (N = 92) intend to ask for assignments to perform nursing behaviors after using a database to record essential clinical behaviors. The results of applying the theory of planned behavior (TPB) to behavioral intention using multivariant path analysis suggested that the endogenous variables, attitude and subjective norms, had a significant effect on the intention to ask for assignments to perform nursing behaviors. In addition, it was primarily through attitudes and subjective norms that the respective antecedents or exogenous variables, behavioral beliefs and normative beliefs, affected the intention to ask for assignments to perform nursing behaviors. The lack of direct influence of perceived behavioral control on intention and the direct negative impact of control belief on intention were contrary to expectations, given the tenets of the TPB.     

What influences student nurses’ intention to work with older people? A cross-sectional study

BackgroundStudies have reported that student nurses hold positive attitudes towards older people; nevertheless, working with older people has consistently remained one of the least desired career choices among student nurses in most countries.ObjectivesThe current study aimed to assess student nurses’ intentions to work with older people and to determine the predictors of working intentions among nursing students.DesignThe study adopted a cross-sectional design.SettingsMultistage sampling was used to recruit nursing students from five states in Malaysia.ParticipantsA total of 1462 nursing students from eleven nursing education institutions participated in this study.MethodsA self-administered questionnaire was used to collect data. This study is underpinned by the Theory of Planned Behaviour. The Intent to Work with Older People Scale and Kogan Attitudes Toward Old People Scale were used to assess nursing students’ intentions and attitudes towards care of older people respectively. Researcher-developed instruments were used to assess subjective norms and perceived behavioural control among nursing students.ResultsThe present study found that nursing students in Malaysia demonstrated a moderate level of intention to work with older people, with a mean of 39.72 (±4.38). There were significant differences in effects of gender, ethnic group, academic level, type of nursing institution and setting of older person care clinical experience on intentions to work with older people. There was a moderate and positive relationship between attitudes towards older people and intentions to work with older people, as well as between perceived behavioural control and intentions to work with older people; it was found that r = 0.36 for both relationships. Attitudes, subjective norms and perceived behavioural control accounted for 19.7% of the variance in intentions to work with older people.ConclusionThe primary findings of this national study revealed that Malaysian nursing students have a moderate level of intention to work with older people. It is imperative to develop educational interventions to nurture attitudes for caring and promote stronger intentions to work with older people.     

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.     

Survey of outcomes in a faculty development program on simulation pedagogy

Although many nursing programs use simulation as a teaching‐learning modality, there are few systematic approaches to help nursing educators learn this pedagogy. This study evaluates the effects of a simulation pedagogy nursing faculty development program on participants' learning perceptions using a retrospective pre‐course and post‐course design. Sixteen Thai participants completed a two‐day nursing faculty development program on simulation pedagogy. Thirteen questionnaires were used in the final analysis. The participants' self‐perceived learning about simulation teaching showed significant post‐course improvement. On a five‐point Likert scale, the composite mean attitude, subjective norm, and perceived behavioral control scores, as well as intention to use a simulator, showed a significant post‐course increase. A faculty development program on simulation pedagogy induced favorable learning and attitudes. Further studies must test how faculty performance affects the cognitive, emotional, and social dimensions of learning in a simulation‐based learning domain.     

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.