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运用计划行为理论预测发展中经济体中护士的安全合规行为:一种构型方法。

Predicting nurses' safety compliance behaviour in a developing economy, using the theory of planned behaviour: A configurational approach.

作者信息

Asante Kwadwo, Novak Petr

机构信息

Tomas Bata University in Zlin, Zlin, Czech Republic.

出版信息

J Adv Nurs. 2024 Mar;80(3):1097-1110. doi: 10.1111/jan.15846. Epub 2023 Sep 11.

DOI:10.1111/jan.15846
PMID:37694803
Abstract

AIM

The study's main objective was to use a fuzzy set qualitative comparative analysis to identify the configuration of recipes that predict nurses' safety compliance behaviour.

DESIGN

A cross-sectional design.

METHODS

A survey was used where questionnaires were collected from 285 nurses across four primary healthcare hospitals within the Ashanti Region, Ghana. The data collection happened between June 1 to August 2, 2022. A fuzzy set qualitative comparative analysis was used to identify the recipes of psychological factors that determine nurses' safety compliance behaviour.

RESULTS

Results from the study suggest that the necessary configurations that explained nurses' safety compliance behaviour came from the presence of subjective norm, attitude, perceived behavioural control, perceived organizational support and negation of intention. The result highlights the need for safety protocols to be conscious of the interplay between nurses' assessment of self, social clues and perception of management care and support since such psychological factors must be considered concurrently to achieve the optimal safety compliance behaviour among nurses.

CONCLUSION

A health and safety protocol that fails to recognize the importance of psychological antecedents on subordinates' safety compliance behaviour could limit the safety policy's usefulness in bringing the appropriate behavioural change in nurses.

IMPACT

To date, no study has combined the antecedents of theory planned behaviour with perceived organizational support and cue to action to assess how they collectively predict nurses' safety compliance behaviour. Findings from the study suggest that nurses in primary health facilities inform their safety compliance behaviour by assessing self-capabilities, social signals from superiors and colleagues and perception of management support. Hospital administrators and nursing managers in sub-Saharan Africa may rely on these psychological forces to persuade nurses to develop positive safety compliance behaviour at the health facility.

PATIENT OR PUBLIC CONTRIBUTION

No Patient or Public Contribution.

摘要

目的

本研究的主要目的是运用模糊集定性比较分析来确定能够预测护士安全合规行为的处方配置。

设计

横断面设计。

方法

采用问卷调查法,从加纳阿散蒂地区四家初级保健医院的285名护士中收集问卷。数据收集于2022年6月1日至8月2日进行。运用模糊集定性比较分析来确定决定护士安全合规行为的心理因素处方。

结果

研究结果表明,能够解释护士安全合规行为的必要配置来自主观规范、态度、感知行为控制、感知组织支持和意图的否定。该结果凸显了安全规程需要意识到护士对自我的评估、社会线索以及对管理关怀和支持的感知之间的相互作用,因为必须同时考虑这些心理因素,才能在护士中实现最佳的安全合规行为。

结论

一项未能认识到心理前因对下属安全合规行为重要性的健康与安全规程,可能会限制安全政策在促使护士产生适当行为改变方面的效用。

影响

迄今为止,尚无研究将计划行为理论的前因与感知组织支持及行动线索相结合,以评估它们如何共同预测护士的安全合规行为。研究结果表明,初级卫生机构中的护士通过评估自身能力、上级和同事的社会信号以及对管理支持的感知来指导其安全合规行为。撒哈拉以南非洲地区的医院管理人员和护理经理可能会依靠这些心理力量来说服护士在医疗机构中养成积极的安全合规行为。

患者或公众贡献

无患者或公众贡献。

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