Nurses' Attitudes Toward Provision of Care and Related Health Outcomes

Sauls, Donna J.

doi:10.1097/01.nnr.0000263972.54619.4a

Cited by 23 publications

(34 citation statements)

References 16 publications

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“…After having controlled for country and past behaviour, attitudes, subjective norms and perceived behavioural control accounted for an additional 34% of the explainable variance in intention. This finding is consistent with those of previous studies, whereby the TPB has explained 68% of nurses' intention to adhere to universal precautions, 48% of health workers' intention to provide home care for HIV infected individuals, 35% of nurses' intention to care for SARS patients and 70% of nurses intended labour support [29-33]. In line with a growing body of research supporting the role of perceived moral obligations as an independent predictor of intention, moral norms contributed 2.3% to the explained variance in students' intentions after controlling for the TPB variables.…”

Section: Discussionsupporting

confidence: 92%

“…This finding is congruent with findings in other studies of treatment delivery and compliance with precautions in health care workers [29-32]. This finding is also similar to that reported by Sauls [33], who identified attitudes as more influential in determining health care delivery intentions than subjective norms. In contrast, Vermette and Godin [30] found perceived behavioural control to be the strongest influencing factor of nurses' intention to provide home care for HIV infected people.…”

Section: Discussionsupporting

confidence: 92%

“…With respect to occupational behaviour, the TPB has predicted health workers' use of gloves, their intention to provide home-care for HIV infected patients, their adherence to universal precautions for venipuncture and their intention to provide professional labour support [29-33]. The TPB has been used previously in sub-Saharan African settings to predict HIV protective behaviours, however mostly by small scale studies [27].…”

Section: Introductionmentioning

confidence: 99%

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Predicting intention to treat HIV-infected patients among Tanzanian and Sudanese medical and dental students using the theory of planned behaviour - a cross sectional study

Åstrøm

Nasir

2009

BMC Health Serv Res

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BackgroundThe HIV epidemic poses significant challenges to the low income countries in sub Saharan Africa (SSA), affecting the attrition rate among health care workers, their level of motivation, and absenteeism from work. Little is known about how to deal with deterioration of human resources in the health care systems. This study aimed to predict the intention to provide surgical treatment to HIV infected patients among medical- and dental students in Tanzania and Sudan using an extended version of the Theory of Planned Behaviour (TPB).MethodsFour hundred and seventy five medical- and dental students at the University of Dar es Salaam (mean age, 25 yr) and 642 dental students attending 6 public and private dental faculties in Khartoum (mean age 21.7 yr) completed self-administered TPB questionnaires in 2005 and 2007, respectively.ResultsBoth Tanzanian and Sudanese students demonstrated strong intentions to provide care for people with HIV and AIDS. Stepwise linear regression revealed that the TPB accounted for 51% (43% in Tanzania and Sudan) of the variance in intention across study sites. After having controlled for country and past behaviour, the TPB in terms of attitudes, subjective norms and perceived behavioural control accounted for 34% and moral norms for an additional 2,3% of the explainable variance in intention. Across both study sites, attitudes were the strongest predictor of intention followed in descending order by subjective norms, moral norms and perceived behavioural control.ConclusionThe TPB is applicable to students' care delivery intentions in the context of HIV and AIDS across the two SSA countries investigated. It is suggested that attitudes, subjective norms, moral norms and perceived behavioural control are key factors in students' willingness to treat AIDS and HIV infected patients and should be targets of interventions aimed at improving the quality of health care delivery in this context.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predicting intention to treat HIV-infected patients among Tanzanian and Sudanese medical and dental students using the theory of planned behaviour - a cross sectional study

Åstrøm

Nasir

2009

BMC Health Serv Res

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“…Our review included 72 studies [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45], [46], [47], [48], [49], [50], [51], [52], [53], [54], [55], [56], [57], [58], [59], [60], [61], [62], [63], [64], [65], [66], [67], [68], [69], [70], [71], [72], [73], [74], [75], [76], [77], [78], [79], [80], …”

Section: Resultsmentioning

confidence: 99%

Development of a Simple 12-Item Theory-Based Instrument to Assess the Impact of Continuing Professional Development on Clinical Behavioral Intentions

Freitas²,

et al. 2014

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BackgroundDecision-makers in organizations providing continuing professional development (CPD) have identified the need for routine assessment of its impact on practice. We sought to develop a theory-based instrument for evaluating the impact of CPD activities on health professionals' clinical behavioral intentions.Methods and FindingsOur multipronged study had four phases. 1) We systematically reviewed the literature for instruments that used socio-cognitive theories to assess healthcare professionals' clinically-oriented behavioral intentions and/or behaviors; we extracted items relating to the theoretical constructs of an integrated model of healthcare professionals' behaviors and removed duplicates. 2) A committee of researchers and CPD decision-makers selected a pool of items relevant to CPD. 3) An international group of experts (n = 70) reached consensus on the most relevant items using electronic Delphi surveys. 4) We created a preliminary instrument with the items found most relevant and assessed its factorial validity, internal consistency and reliability (weighted kappa) over a two-week period among 138 physicians attending a CPD activity. Out of 72 potentially relevant instruments, 47 were analyzed. Of the 1218 items extracted from these, 16% were discarded as improperly phrased and 70% discarded as duplicates. Mapping the remaining items onto the constructs of the integrated model of healthcare professionals' behaviors yielded a minimum of 18 and a maximum of 275 items per construct. The partnership committee retained 61 items covering all seven constructs. Two iterations of the Delphi process produced consensus on a provisional 40-item questionnaire. Exploratory factorial analysis following test-retest resulted in a 12-item questionnaire. Cronbach's coefficients for the constructs varied from 0.77 to 0.85.ConclusionA 12-item theory-based instrument for assessing the impact of CPD activities on health professionals' clinical behavioral intentions showed adequate validity and reliability. Further studies could assess its responsiveness to behavior change following CPD activities and its capacity to predict health professionals' clinical performance.

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“…The former was defined as a nurse’s beliefs about working collaboratively with colleagues to deliver weight management care, and the latter as a nurse’s perceptions of role pressure to perform or not to perform weight management care. Although the relationships between TWB and PRI and weight management care have not been previously evaluated, a few studies have suggested the influence of role identity and teamwork on other healthcare behaviors, such as administration of opioids for pain relief [26] and provision of professional labor support to parturient women [34]. We therefore hypothesized that positive teamwork beliefs and professional role identity would be directly associated with more frequent professional weight management practices and higher levels of self-efficacy.…”

Section: Introductionmentioning

confidence: 99%

Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis

Zhu

Norman

While

2013

Int J Behav Nutr Phys Act

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BackgroundHealth professionals play a key role in the prevention and treatment of excess weight and obesity, but many have expressed a lack of confidence in their ability to manage obese patients with their delivery of weight-management care remaining limited. The specific mechanism underlying inadequate practices in professional weight management remains unclear. The primary purpose of this study was to examine a self-efficacy theory-based model in understanding Registered Nurses’ (RNs) professional performance relating to weight management.MethodsA self-report questionnaire was developed based upon the hypothesized model and administered to a convenience sample of 588 RNs. Data were collected regarding socio-demographic variables, psychosocial variables (attitudes towards obese people, professional role identity, teamwork beliefs, perceived skills, perceived barriers and self-efficacy) and professional weight management practices. Structural equation modeling was conducted to identify correlations between the above variables and to test the goodness of fit of the proposed model.ResultsThe survey response rate was 71.4% (n = 420). The respondents reported a moderate level of weight management practices. Self-efficacy directly and positively predicted the weight management practices of the RNs (β = 0.36, p < 0.01), and fully or partially mediated the relationships between perceived skills, perceived barriers, professional role identity and teamwork beliefs and weight management practices. The final model constructed in this study demonstrated a good fit to the data [χ2 (14) =13.90, p = 0.46; GFI = 0.99; AGFI = 0.98; NNFI = 1.00; CFI = 1.00; RMSEA = 0.00; AIC = 57.90], accounting for 38.4% and 43.2% of the variance in weight management practices and self-efficacy, respectively.ConclusionsSelf-efficacy theory appears to be useful in understanding the weight management practices of RNs. Interventions targeting the enhancement of self-efficacy may be effective in promoting RNs’ professional performance in managing overweight and obese patients.

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Nurses' Attitudes Toward Provision of Care and Related Health Outcomes

Cited by 23 publications

References 16 publications

Predicting intention to treat HIV-infected patients among Tanzanian and Sudanese medical and dental students using the theory of planned behaviour - a cross sectional study

Predicting intention to treat HIV-infected patients among Tanzanian and Sudanese medical and dental students using the theory of planned behaviour - a cross sectional study

Development of a Simple 12-Item Theory-Based Instrument to Assess the Impact of Continuing Professional Development on Clinical Behavioral Intentions

Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis

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