West China School of Nursing, Sichuan University/West China Hospital, Sichuan University, Sichuan, China.
College of Nursing, Chengdu University of Traditional Chinese Medicine, Sichuan, China.
PLoS One. 2021 Nov 5;16(11):e0259658. doi: 10.1371/journal.pone.0259658. eCollection 2021.
To investigate nurses' behavioral intention toward caring for COVID-19 patients on mechanical ventilation, as well as the factors affecting their intention.
COVID-19 patients undergoing mechanical ventilation have many care needs and pose more challenges for nurses, which might adversely affect nurses' intention toward caring behavior.
A cross-sectional study was conducted by using simple random sampling to recruit 598 nurses from five tertiary hospitals in Sichuan Province, China. The participants responded to an online questionnaire that included questions on demographic characteristics; the Attitude, Subjective Norms, and Behavioral Intention of Nurses toward Mechanically Ventilated Patients (ASIMP) questionnaire; the Nursing Professional Identity Scale (NPIS); and the Compassion Fatigue-Short Scale (CF-Short Scale). ANOVA, Spearman correlation analysis, and multiple linear regression were performed to analyze the data.
The mean total behavioral intention score was 179.46 (± 14.83) out of a total score of 189.00, which represented a high level of intention toward caring for patients on mechanical ventilation. Multiple linear regression revealed that subjective norms (β = 0.390, P<0.001), perceived behavioral control (β = 0.149, P<0.001), professional identity (β = 0.101, P = 0.009), and compassion fatigue (β = 0.088 P = 0.024) were significant predictors of nurses' behavioral intention.
Most nurses have a positive behavioral intention to care for COVID-19 patients undergoing mechanical ventilation. The findings in this study provide some insight for developing effective and tailored strategies to promote nurses' behavioral intention toward caring for ventilated patients under the pandemic situation.
调查护士照顾 COVID-19 机械通气患者的行为意愿，以及影响其意愿的因素。
接受机械通气的 COVID-19 患者有许多护理需求，对护士提出了更多挑战，这可能会对护士的护理行为意愿产生不利影响。
采用横断面研究，通过简单随机抽样，从中国四川省的 5 家三级医院招募了 598 名护士。参与者通过在线问卷回答了问题，内容包括人口统计学特征、护士对机械通气患者的态度、主观规范和行为意向问卷（ASIMP）、护理专业身份量表（NPIS）和同情疲劳-短量表（CF-Short Scale）。采用方差分析、Spearman 相关分析和多元线性回归进行数据分析。
总的行为意愿得分为 179.46（±14.83）分，满分为 189.00 分，表明护士对机械通气患者的护理意愿较高。多元线性回归显示，主观规范（β=0.390，P<0.001）、感知行为控制（β=0.149，P<0.001）、专业身份（β=0.101，P=0.009）和同情疲劳（β=0.088，P=0.024）是护士行为意愿的显著预测因素。
大多数护士对照顾 COVID-19 机械通气患者有积极的行为意愿。本研究结果为制定有效的、有针对性的策略，以促进护士在大流行期间照顾通气患者的行为意愿提供了一些启示。
