Bertani Laura, Carone Maria, Caricati Luca, Demaria Serena, Fantuzzi Silvia, Guarasci Alessandro, Pirazzoli Luca
ONLUS Foundation "Casa Insieme", Bagnolo in Piano, Reggio Emilia.
Acta Biomed. 2016 Nov 22;87(4-S):23-29.
The peripherally inserted central catheters (PICC) have become an alternative to the traditional CVC. PICCs are usually inserted by trained nurses who decided to attend and complete a special training on PICC insertion and management. The present work aimed to investigate the intention of using PICC in a sample of hospital-based nurses using the theory of planned behavior as theoretical framework.
A cross-sectional design was used in which a questionnaire was delivered to 199 nurses.
According to the theory of planned behavior, the attitude toward the use of PICC, subjective norms and perceived self-efficacy predicted the intention to use PICC. Contrary to the expectations, the effect of subjective norms on intention to use PICC was mediated by attitude and self-efficacy. Finally, age of participants was negatively related to the intention to use the PICC.
The theory of planned behavior offers a useful framework to explain nurses' intention to use PICC. Shared norms favoring the use of PICC seem to increase both nurse's positive attitudes and self-efficacy whit respect to the use of these devices. Thus, it appears that to train professionals individually does not necessarily results in an increased use of PICC.
外周静脉穿刺中心静脉导管（PICC）已成为传统中心静脉导管（CVC）的一种替代方式。PICC通常由经过培训的护士进行置管，这些护士决定参加并完成关于PICC置管与管理的专项培训。本研究旨在以计划行为理论为理论框架，调查医院护士样本中使用PICC的意向。
采用横断面设计，向199名护士发放问卷。
根据计划行为理论，对使用PICC的态度、主观规范和自我效能感可预测使用PICC的意向。与预期相反，主观规范对使用PICC意向的影响是通过态度和自我效能感介导的。最后，参与者的年龄与使用PICC的意向呈负相关。
计划行为理论为解释护士使用PICC的意向提供了一个有用的框架。支持使用PICC的共同规范似乎会增强护士对使用这些设备的积极态度和自我效能感。因此，似乎对专业人员进行个别培训不一定会导致PICC使用的增加。
