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运用计划行为理论评估护理和相关健康专业学生照顾 COVID-19 患者的知识和意愿。

Using the Theory of Planned Behaviour to assess nursing and allied health students' knowledge and intention to care for patients with COVID-19.

机构信息

Oman College of Health Sciences, South Sharqiya, Sur, Oman.

Maternal Child Health Department, Oman College of Health Sciences, Muscat, Oman.

出版信息

J Clin Nurs. 2022 Sep;31(17-18):2476-2485. doi: 10.1111/jocn.16059. Epub 2021 Sep 27.

DOI:10.1111/jocn.16059
PMID:34570946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8661562/
Abstract

AIMS AND OBJECTIVES

To assess nursing and allied health students' demographics, knowledge and intentions to care for patients with an infectious disease, COVID-19.

BACKGROUND

COVID-19 has caused a public health crisis and worldwide panic. Little is known about students' knowledge levels and intentions to care for infected patients during pandemics.

DESIGN

A quantitative, cross-sectional study.

METHOD

A cross-sectional study with a convenience sample (N = 480) of nursing and allied health students was analysed using the Mann-Whitney and Spearman's correlation tests.

RESULTS

At least 60% of the participants attained high scores for 16 of the 22 items on the knowledge scale. Knowledge was positively associated with attitude (r  = .19, p < .01) and perceived behavioural control (r  = .38, p < .01) and negatively associated with subjective norms (r  = -.11, p < .05). Senior students had higher scores (p = .024) in knowledge. Intention was negatively correlated with knowledge (r  = -.24, p < .01) and perceived behavioural control (r  = -.16, p < .01). Male students (p = .031) and younger students had higher scores in intention (p = .040). Males had higher scores in subjective norms (p < .001), and older and senior students had higher scores in perceived behavioural control (p < .001).

CONCLUSIONS

Despite the current knowledge on COVID-19 available through multimedia-communication channels, students had negative perceived behavioural controls and intentions to care for COVID-19 patients. Formal education and training are required to enhance students' intentions to care for patients with infectious diseases. Additionally, demographics and belief variables influence students' intentions to care, and further in-depth analysis is required. Relevance to Clinical Practice This study suggests the importance of updating and contextualizing nursing and allied health curricula to meet global infectious disease guidelines and, ultimately, to support the healthcare system with efficient practitioners in future pandemics.

摘要

目的和目标

评估护理和相关健康专业学生对传染病 COVID-19 患者的护理的人口统计学、知识和意愿。

背景

COVID-19 引发了公共卫生危机和全球恐慌。在大流行期间,学生对感染患者的知识水平和护理意愿知之甚少。

设计

定量、横断面研究。

方法

对护理和相关健康专业的 480 名学生进行了横断面研究,使用了 Mann-Whitney 和 Spearman 相关检验对数据进行分析。

结果

在知识量表的 22 个项目中,至少有 60%的参与者在 16 个项目中获得了高分。知识与态度呈正相关(r=0.19,p<0.01),与行为控制呈正相关(r=0.38,p<0.01),与主观规范呈负相关(r=-0.11,p<0.05)。高年级学生的知识得分更高(p=0.024)。意愿与知识(r=-0.24,p<0.01)和行为控制(r=-0.16,p<0.01)呈负相关。男生(p=0.031)和年轻学生的意愿得分更高(p=0.040)。男生的主观规范得分更高(p<0.001),而年龄较大的高年级学生的行为控制得分更高(p<0.001)。

结论

尽管通过多媒体传播渠道可以获得有关 COVID-19 的当前知识,但学生对护理 COVID-19 患者的行为控制和意愿仍呈负面。需要进行正规教育和培训,以增强学生护理传染病患者的意愿。此外,人口统计学和信念变量会影响学生的护理意愿,需要进一步深入分析。

临床意义

本研究表明,更新和调整护理和相关健康课程以符合全球传染病指南的重要性,最终在未来的大流行中为医疗保健系统提供高效的从业者。

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