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影响护士提供 2019 年冠状病毒病护理意愿的因素:计划行为理论观点。

Factors influencing nurses' intent to provide care involved in coronavirus disease 2019: Theory of planned behaviour perspectives.

机构信息

Pusan National University College of Nursing, Pusan, Korea.

出版信息

J Clin Nurs. 2024 Jan;33(1):333-343. doi: 10.1111/jocn.16468. Epub 2022 Jul 25.

Abstract

AIMS AND OBJECTIVES

To identify the factors influencing the intent to provide care among nurses involved in coronavirus disease 2019 (COVID-19) care.

BACKGROUND

COVID-19 was first reported in Wuhan, China, in 2019. In 2020, the World Health Organisation declared it a pandemic, leading to 5,827,104 deaths and 421,203,495 confirmed cases as of 19 February 2022. The high transmissibility of COVID-19 has prolonged the pandemic for over 2 years, resulting in deleterious effects on nurses' physical and mental health. The fear of infection and isolation may lead to negative experiences and perceptions among COVID-19 frontline nurses, which may ultimately degrade the quality of patient care. Thus, it is essential to identify factors influencing of nurses' intent to provide care.

DESIGN

Cross-sectional study.

METHODS

Data were collected from 169 nurses involved in direct COVID-19 care at a hospital designated for infectious disease care in Korea from August to September 2021 using an online questionnaire. STROBE checklist was followed.

RESULTS

Nurses' intent to provide care significantly differed based on whether they lived with parents and had adequate availability of personal protection equipment. The correlation analysis indicated that the intent to provide care was significantly positively correlated with normative beliefs, control beliefs, attitude towards the behaviour, subjective norms and perceived behavioural control. Perceived behavioural control, control beliefs and attitude towards the behaviour were significant factors influencing nurses' intent to provide COVID-19 care.

CONCLUSION

This study showed that nurses perceived behavioural control and positive behaviour towards providing COVID-19 care fundamentally influenced their intent to provide care.

RELEVANCE TO CLINICAL PRACTICE

In clinical practice, the safety and rights of individual nurses who participated in COVID-19-related patient care are promoted, and ultimately, the quality of patient care is improved. Furthermore, active support at the organisation and government level is needed to strengthen the capabilities necessary for nursing patients with infectious diseases.

摘要

目的和目标

确定影响参与 2019 年冠状病毒病(COVID-19)护理的护士提供护理意愿的因素。

背景

COVID-19 于 2019 年在中国武汉首次报告。2020 年,世界卫生组织宣布其为大流行,截至 2022 年 2 月 19 日,导致 5827104 人死亡和 421203495 例确诊病例。COVID-19 的高传染性使大流行持续了两年多,对护士的身心健康造成了有害影响。对感染和隔离的恐惧可能会导致 COVID-19 一线护士产生负面体验和看法,最终可能降低患者护理质量。因此,确定影响护士提供护理意愿的因素至关重要。

设计

横断面研究。

方法

2021 年 8 月至 9 月,在韩国一家指定用于传染病护理的医院,通过在线问卷收集了 169 名直接参与 COVID-19 护理的护士的数据。遵循 STROBE 清单。

结果

护士提供护理的意愿因是否与父母同住以及个人防护设备是否充足而有显著差异。相关性分析表明,提供护理的意愿与规范信念、控制信念、对行为的态度、主观规范和感知行为控制显著正相关。感知行为控制、控制信念和对行为的态度是影响护士提供 COVID-19 护理意愿的重要因素。

结论

本研究表明,护士对提供 COVID-19 护理的感知行为控制和积极行为从根本上影响了他们提供护理的意愿。

临床意义

在临床实践中,促进参与 COVID-19 相关患者护理的个体护士的安全和权利,并最终提高患者护理质量。此外,需要在组织和政府层面提供积极支持,以加强护理传染病患者所需的能力。

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