Predictors of preventive behavior of nosocomial infections in nursing staff: a structural equation model based on the social cognitive theory

Abstract

Background The occurrence of nosocomial infections remains a health threat to patients and hospital staff. This study applied social-cognitive theory for predicting determinants of nosocomial infections control behaviors in hospital nursing Staff. Methods In this cross-sectional study, 280 nurses and assistant nurses were selected by random sampling from intensive care wards including CCU, ICU, NICU, dialysis of educational hospitals in Mashhad, Iran in 2020. Data were collected using a 5-point Likert scale structural questionnaire based on social cognitive theory constructs. Using the structural equation modeling method, direct and indirect relationships of social cognitive factors on preventive behaviors of nosocomial infections were analyzed via AMOS 23.0. Results Our results showed that self-regulation, outcome expectations, and barrier constructs had a direct effect on behavior and the highest effect was related to self-regulation structure (p < 0.001). The constructs of social support, modeling, perceived environment and Task self-efficacy had an indirect effect on behavior and the most impact was related to the constructs of perceived environment (p < 0.05). Conclusion Considering that self-regulation, outcome expectation and barriers have a significant effect on following the preventive behaviors of nosocomial infections in nursing staff. It is suggested that policymakers and planners try to reduce barriers, strengthen behavioral motivation, and empower nursing staff by teaching self-regulatory strategies.

Mediator Effects of Cognitive Load on Association between Self-Efficacy and Task Load in Intensive Care Unit Nurses

“…In other words, an individual's selfefcacy not only has a direct efect on task load but also has an indirect efect through extraneous cognitive load. ICU nurses with high-level self-efcacy are always able to cope with unexpected issues and come up with solving strategies [26,27]. Tese abilities weaken the high level of the extraneous cognitive load caused by unclear instructions for nursing activities in daily nursing practice, thereby reducing the task load in terms of mental demand, physical demand, temporal demand, performance, efort, and frustration for ICU nurses.…”

Model Perilaku Pencegahan Virus Covid-19 Berdasarkan Kepercayaan Kepada Sains Dengan Mediasi Komitmen Dan Berbagi Informasi

“…Penelitian terdahulu menunjukkan bahwa ketika emosi negatif seperti takut dan cemas rendah maka upaya prevensi meningkat (Meng et al, 2023;Rochira et al, 2022). Model kognitif sosial yang memasukkan efikasi diri dalam model pencegahan juga terbukti berperan besar (Lin et al, 2020;Mahdizadeh et al, 2021). Variabel-variabel dari dua pendekatan tersebut yang belum dimasukkan kiranya menjadi catatan tersendiri dari penelitian ini.…”

Factors Affecting Breast Screening Behavior of First-Degree Relatives of Breast Cancer Patients in China

“…16 Personal efficacy affects health behavior 11,13 directly and by its impact on outcome expectations, goal setting and self-regulation, and social support. The SCT has been widely used in predicting and explaining preventive behaviors, such as the physical activity of breast cancer patients, 17 hepatitis B virus vaccine acceptance, 18 health screening behaviors among those with type 2 diabetes, 19 and video intervention before referral based on SCT to increase screening mammography. 20 A review of the literature using the SCT identified self-efficacy as having a critical effect on an individual's participation in breast cancer screening.…”

“…The results of this study indicate that goal setting and self-regulation play an important role in the breast cancer screening behavior of FDRs, which is in line with preventive behavior ▪ 277 of nosocomial infections in nursing staff. 18 The diagnosis of breast cancer in an FDR can motivate women to improve their health-related behavior. 35 Self-regulation begins with the adoption of a goal.…”