Ghana College of Nurses and Midwives, Accra, Ghana; Englishie Amanfrom Polyclinicl-Ghana Health Service, Accra, Ghana.
Department of Public Health, School of Nursing and Midwifery, University of Ghana, P. O. Box LG 25, Legon, Accra Ghana Legon, Accra, Ghana; Ghana Institute of Management and Public Administration (GIMPA), School of Public Service and Governance, Ghana.
J Pediatr Nurs. 2023 Nov-Dec;73:e632-e638. doi: 10.1016/j.pedn.2023.11.010. Epub 2023 Nov 11.
For pediatric patients, the demand for quality and safe Intravenous Fluid (IVF) therapy is huge. This is because, compared to adults, children have a lower tolerance for IVF therapy errors and present devastating physiological responses to errors. Nurses play a vital role in IVF administration; therefore, adequate knowledge, positive attitudes, positive perceived behavioural control, and good behavioural intentions are required to achieve effective and successful therapy, patient safety and prevention of complications, and overall positive patient outcomes. This study sought to assess the behaviour of nurses towards IVF administration for pediatric patients.
A cross-sectional facility-based study was designed and randomly recruited 112 nurses. The theory of planned behaviour was used as a conceptual framework to assess nurses' behavioural intentions towards IVF administration for pediatric patients. Mean scores and their respective standard deviations, reliability tests, exploratory factor analysis, and linear logistic regression were all performed using SPSS version 27, with the level of significance set at 0.05.
Nurses' behavioural intentions for IVF administration for pediatric patients were influenced by their knowledge of standards and protocols for IVF use (β = 0.320; p = 0.01), attitudes (β = 0.339; p = 0.006) subjective norms (β 0.240; p = 0.003) and perceived behavioural control (β = 0.26; p = 0.001).
Nurses' behavioural intentions for IVF administration were significantly influenced by their knowledge of procedures and standards for IVF administration. Additionally, the nurses' subjective norms, perceived behavioural control, and attitude towards IVF administration have a significant effect on their behavioural intentions to administer IVFs to pediatric patients. For nurses to administer IVF effectively, safely, and successfully to pediatric patients, there is a need to enhance their knowledge of standards and guidelines for IVF administration. The nurses need to have good attitudes and positive support and influence from all others to be able to administer IVFs safely and successfully to their pediatric patients.
对于儿科患者，对高质量和安全的静脉输液（IVF）治疗的需求巨大。这是因为与成人相比，儿童对 IVF 治疗错误的耐受性较低，并且对错误会产生毁灭性的生理反应。护士在 IVF 给药中起着至关重要的作用；因此，为了实现有效的和成功的治疗、患者安全和预防并发症以及整体积极的患者结果，需要具备足够的知识、积极的态度、积极的感知行为控制和良好的行为意向。本研究旨在评估护士对儿科患者 IVF 给药的行为。
设计了一项横断面基于机构的研究，并随机招募了 112 名护士。采用计划行为理论作为概念框架，评估护士对儿科患者 IVF 给药的行为意向。使用 SPSS 版本 27 进行均值和标准差、可靠性测试、探索性因子分析和线性逻辑回归，显著性水平设置为 0.05。
护士对儿科患者 IVF 给药的行为意向受到他们对 IVF 使用标准和方案的知识（β=0.320；p=0.01）、态度（β=0.339；p=0.006）、主观规范（β=0.240；p=0.003）和感知行为控制（β=0.26；p=0.001）的影响。
护士对 IVF 给药的行为意向受到他们对 IVF 给药程序和标准的知识的显著影响。此外，护士对 IVF 给药的主观规范、感知行为控制和态度对他们对儿科患者给予 IVF 的行为意向有显著影响。为了让护士能够有效、安全、成功地给儿科患者使用 IVF，需要提高他们对 IVF 给药标准和指南的认识。护士需要有良好的态度，并且得到所有其他人的积极支持和影响，以便能够安全、成功地给他们的儿科患者使用 IVF。
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