Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach

Cassista, Julianne; Payne-Gagnon, Julie; Martel, Brigitte; Gagnon, Marie‐Pierre

doi:10.1155/2014/356153

Cited by 10 publications

(8 citation statements)

References 24 publications

(25 reference statements)

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“…The results are in line with study conducted by Cassista et al, 27 stating that prior to the intervention, attitudes and PBC affected the intention to use clinical guidelines recommendation about the use of filter needles. PBC influence lasts until post intervention and PBC is said to be the determinant in deciding intention.…”

Section: Effect Of Attitude Subjective Norm and Perceived Behavioralsupporting

confidence: 91%

Nurses’ Intention and Behavior in Reporting Adverse Event: Application of Theory of Planned Behavior

Ekayani

Wardhani

Rachmi

2017

Kesmas: National Public Health Journal

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Data show that globally, patient safety incident reporting remains low, as is also the case at Baptis Batu Hospital, East Java. This study aimed to determine the influence of attitude, subjective norm and perceived behavioral control (PBC) on the intention to report and determine relation between PBC and nurses' behavior in reporting adverse event. This study used cross sectional approach and was conducted at Baptis Batu Hospital from March 16 th to March 31 th , 2016. Data were obtained with questionnaires that were distributed to 82 (of 85) nurses working at Baptis Batu Hospital. Data were analyzed using multiple linear regression and Spearman correlation. The results showed that attitude (B = 0.496; p value = 0.000) and PBC (B = 0.766; p = 0.037) significantly influenced the intention to report adverse events, while subjective norm (B = -0.087; p value = 0.540) did not influence the intention to report adverse events. There was no relation found between PBC (r = 0.037; p = 0.739) and intention (r = 0.031; p value = 0.783) to behavior of reporting adverse event. These findings indicated that nurses' intention in reporting adverse event was influenced by attitude and PBC, but not by subjective norms. In contrast, intention and PBC did not relate to adverse event reporting behavior. Keywords: Incidence-reporting behavior, intention, nurses, theory of planned behavior Abstrak Data menunjukkan bahwa secara global jumlah pelaporan insiden keselamatan pasien masih rendah, begitu juga di Rumah Sakit Baptis Batu, Jawa Timur. Penelitian ini bertujuan untuk mengetahui pengaruh antara sikap, norma subjektif, dan perceived behavioral control (PBC) terhadap niat dan untuk menentukan hubungan antara PBC dan niat terhadap perilaku perawat dalam melaporkan kejadian tidak diharapkan (KTD). Penelitian ini menggunakan pendekatan potong lintang dan dilakukan di Rumah Sakit Baptis Batu pada tanggal 16-31 Maret 2016. Pengambilan data dilakukan dengan menggunakan kuesioner yang dibagikan kepada 82 (dari 85) perawat yang bekerja di Rumah Sakit Baptis Batu. Data dianalisis menggunakan regresi linier berganda dan korelasi Spearman. Hasil penelitian menunjukkan bahwa sikap (B = 0.496; nilai p = 0.000) dan PBC (B = 0.766; nilai p = 0.037) secara signifikan memengaruhi niat untuk melaporkan KTD, sedangkan norma subjektif (B= -0.087; nilai p = 0.540) tidak berpengaruh terhadap niat melaporkan KTD. Tidak terdapat hubungan antara PBC (r = 0.037; nilai p = 0.739) dan niat (r = 0.031; nilai p = 0.783) terhadap perilaku melaporkan KTD. Temuan ini menunjukkan bahwa niat perawat dalam melaporkan KTD dipengaruhi oleh sikap dan PBC, bukan norma subjektif. Sebaliknya, niat dan PBC tidak berhubungan dengan perilaku melaporkan KTD. Kata kunci: Perilaku pelaporan insiden, niat, perawat, theory of planned behavior

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Section: Effect Of Attitude Subjective Norm and Perceived Behavioralsupporting

confidence: 91%

Nurses’ Intention and Behavior in Reporting Adverse Event: Application of Theory of Planned Behavior

Ekayani

Wardhani

Rachmi

2017

Kesmas: National Public Health Journal

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“…Based on these results, the next step of the research project has been to develop a theory-informed intervention targeting nurses in order to promote their adoption of recommendations on the use of filter needles, focusing on the critical beliefs identified in this study. The intervention was conducted in the nursing units involved in the present study, and the results of this intervention can be found in another publication (Cassista et al., 2014).…”

Section: Resultsmentioning

confidence: 99%

“…Second, the high intention among nurses found in our study shows that it might be difficult to change their behaviour because of a potential ceiling effect, indicating that there would be little room for improvement (Eccles et al., 2003). However, we believed that despite a high baseline value, the intervention could still improve nurse intention to use filter needles, which has turned out to be the case (Cassista et al., 2014). Thus, this step was essential in order to design an intervention to modify nurse intention to use filter needles and eventually their behaviour.…”

Section: Discussionmentioning

confidence: 99%

Applying the Theory of Planned Behaviour to understand nurse intention to follow recommendations related to a preventive clinical practice

Gagnon

Cassista

Payne-Gagnon

et al. 2015

Journal of Research in Nursing

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The use of filter needles reduces the number of particles found in parenteral solutions after the opening of glass ampoules and has been recommended by many authors. Even so, nurses do not use filter needles unilaterally in their practice. In order to understand the psychosocial determinants of nurse intention to follow recommendations related to the use of filter needles in the preparation of parenteral medication, we conducted a cross-sectional study in a large university medical centre in the province of Quebec (Canada). We developed a questionnaire based on Ajzen’s Theory of Planned Behaviour and distributed it to all nurses (n = 364) from eight care units. A total of 242 questionnaires were completed and returned (response rate of 66.5%). Attitude towards the behaviour and perceived behavioural control predicted nurse intention to use filter needles according to recommendations. Three specific beliefs related to these variables – ease of use, enjoyment and reason – explained 50.3% of the variance in nurse intention to use filter needles. The results of this study support the use of the Theory of Planned Behaviour as a theoretical basis that can help identify important avenues to inform behaviour change strategies regarding healthcare professional adoption of guidelines to improve patient safety.

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“…There are also studies that specifically assess the behavior of general practitioners in a primary care setting on using general clinical guidelines [27], prescribing and referral behavior [28,29] and asthma guidelines [30]. Studies among nurses mostly focused on the nurses' intention to implement smoking cessation intervention [31][32][33], the intention of adherence to clinical guidelines and clinical practices [34][35][36][37][38][39] as well as health promotion programs [40,41]. Two studies among pharmacists were found, focusing on prescription medication [42,43].…”

Section: Behavior Of Healthcare Workersmentioning

confidence: 99%

Assessment of healthcare workers' behavior in implementing a newborn screening program for congenital hypothyroidism in Perak, Malaysia

Hamzah

Sutan

Tamil

et al. 2020

JHR

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PurposeThe aim of this study is to assess healthcare workers' behavior on the congenital hypothyroidism screening program implementation based on a framework protocol and its associated factors.Design/methodology/approachA cross-sectional study was conducted using the multistage random sampling method in recruiting health clinic workers and purposive sampling techniques for hospital workers. The demographics, providers' characteristic, occupational profile, attitude, perceived behavior control (PBC), knowledge, behavioral intention and adherence to protocol were gathered using validated and reliable self-administered questionnaires.FindingsPartial intention to adhere to protocol was 25.7%. Weak attitude (adjusted odds ratio [AOR]: 5.48, 95% confidence interval [CI]: 3.32–9.06), low PBC score (AOR: 0.91, 95% CI: 0.86–0.95) and low knowledge score (AOR: 0.85, 95% CI: 0.75–0.96) were associated with partial intention to adhere to protocol. In the self-rated adherence assessment, 92.6% of participants from health clinics, 79.1% from pediatric and 61.1% from pathology were found not adhering to protocol. There was a significant association between intention and adherence to protocol.Research limitations/implicationsDocumentations and observations in assessing program implementation were limited to perform in the present study. Using self-rated instruments and focusing on healthcare workers alone did not provide a comprehensive assessment.Practical implicationsAvailability of a training module at site and regular refreshing course training should be made available to harness knowledge, attitude and behavioral perception in implementing the program activities.Originality/valueIntegrating the Logical Framework Approach in assessing program implementation and application of the Theory of Planned Behavior and Attitude, Subjective Norms, Self-Efficacy Model in this study were beneficial.

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Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach

Cited by 10 publications

References 24 publications

Nurses’ Intention and Behavior in Reporting Adverse Event: Application of Theory of Planned Behavior

Nurses’ Intention and Behavior in Reporting Adverse Event: Application of Theory of Planned Behavior

Applying the Theory of Planned Behaviour to understand nurse intention to follow recommendations related to a preventive clinical practice

Assessment of healthcare workers' behavior in implementing a newborn screening program for congenital hypothyroidism in Perak, Malaysia

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