Lapkin Samuel, Levett-Jones Tracy, Gilligan Conor
Faculty of Health, University of Technology Sydney, Level 7, 235 Jones St, Ultimo NSW 2007, Australia.
School of Nursing and Midwifery, Faculty of Health, Richardson Wing University of Newcastle, Callaghan, NSW 2308, Australia.
Nurse Educ Today. 2015 Aug;35(8):935-40. doi: 10.1016/j.nedt.2015.03.018. Epub 2015 Apr 21.
Safe medication practices depend upon, not only on individual responsibilities, but also effective communication and collaboration between members of the medication team. However, measurement of these skills is fraught with conceptual and practical difficulties.
The aims of this study were to explore the utility of a Theory of Planned Behaviour-based questionnaire to predict health professional students' behavioural intentions in relation to medication safety and collaborative practice; and to determine the contribution of attitudes, subjective norms, and perceived control to behavioural intentions.
A descriptive cross-sectional survey based upon the Theory of Planned Behaviour was designed and tested.
A convenience sample of 65 undergraduate pharmacy, nursing and medicine students from one semi-metropolitan Australian university were recruited for the study.
Participants' behavioural intentions, attitudes, subjective norms, and perceived control to behavioural intentions in relation to medication safety were measured using an online version of the Theory of Planned Behaviour Medication Safety Questionnaire.
The Questionnaire had good internal consistency with a Cronbach's alpha of 0.844. The three predictor variables of attitudes, subjective norms, and perceived control accounted for between 30 and 46% of the variance in behavioural intention; this is a strong prediction in comparison to previous studies using the Theory of Planned Behaviour. Data analysis also indicated that attitude was the most significant predictor of participants' intention to collaborate with other team members to improve medication safety.
The results from this study provide preliminary support for the Theory of Planned Behaviour-Medication Safety Questionnaire as a valid instrument for examining health professional students' behavioural intentions in relation to medication safety and collaborative practice.
安全用药实践不仅取决于个人责任，还取决于用药团队成员之间有效的沟通与协作。然而，对这些技能的衡量充满了概念和实践上的困难。
本研究的目的是探讨基于计划行为理论的问卷在预测健康专业学生与用药安全及协作实践相关的行为意图方面的效用；并确定态度、主观规范和感知控制对行为意图的贡献。
设计并测试了一项基于计划行为理论的描述性横断面调查。
从澳大利亚一所半大都市大学招募了65名本科药学、护理和医学专业学生作为便利样本参与研究。
使用计划行为理论用药安全问卷的在线版本测量参与者与用药安全相关的行为意图、态度、主观规范和对行为意图的感知控制。
该问卷具有良好的内部一致性，Cronbach's alpha系数为0.844。态度、主观规范和感知控制这三个预测变量解释了行为意图中30%至46%的方差；与以往使用计划行为理论的研究相比，这是一个很强的预测。数据分析还表明，态度是参与者与其他团队成员合作以提高用药安全意图的最显著预测因素。
本研究结果为计划行为理论-用药安全问卷作为检验健康专业学生与用药安全及协作实践相关行为意图的有效工具提供了初步支持。
