Raiesifar Afsaneh, Maleki Reyhaneh, Sharifi Nasibeh, Darabi Fatemeh, Hojjat Sayyadi
Department of Nursing, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Department of Midwifery, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Heliyon. 2024 Feb 9;10(4):e25900. doi: 10.1016/j.heliyon.2024.e25900. eCollection 2024 Feb 29.
The Covid-19 pandemic could compromise the quality of care by impacting nurses' intention to provide care. Hence, investigating nurses' behavioral intentions when caring for patients during epidemics is essential. This research aims to assess the psychometrics of the "Nursing Care Behavior in Epidemics of Emerging Diseases" questionnaire, based on the constructs of the Theory of Planned Behavior.
This cross-sectional study involved 311 nurses working in Covid-19 wards of selected hospitals in Ilam City, all of whom were enrolled through a census in 2021. The questionnaire underwent initial translation from English to Persian, followed by evaluations of its face, content, and construct validities. The nursing caring behavior questionnaire, comprising 46 items, was designed to assess behavioral beliefs, normative beliefs, control beliefs, behavioral attitudes, subjective norms, perceived behavioral control, and nurses' intentions to care for Covid-19 patients. Data were analyzed for face, content, and construct validity using the Theory of Planned Behavior and Pearson correlation. Reliability was determined by calculating the Cronbach's alpha coefficient.
The intention to care dimension demonstrated an inverse correlation with the behavioral attitude dimension (p < 0.001). The most robust correlations were observed between the following paired dimensions: behavioral attitude and perceived power (p < 0.001), subjective norms and intention to care (p < 0.001), perceived behavioral control and subjective norms (p < 0.001), care intention and behavioral beliefs (p < 0.001), behavioral beliefs and behavioral outcome evaluation (p < 0.001), and normative beliefs with motivation to comply (p = 0.001). The Cronbach's alpha coefficient of the instrument exceeded 0.75.
According to the Theory of Planned Behavior, the nursing care behavior questionnaire proved to be a valid and reliable tool for evaluating nurses' care behaviors amidst emerging disease epidemics.
新冠疫情可能会因影响护士提供护理的意愿而损害护理质量。因此，调查疫情期间护士在护理患者时的行为意图至关重要。本研究旨在基于计划行为理论的结构，评估“新发疾病流行期间的护理行为”问卷的心理测量学特性。
这项横断面研究涉及伊拉姆市选定医院新冠病房工作的311名护士，所有护士均于2021年通过普查纳入。问卷先从英文初步翻译成波斯文，随后对其表面效度、内容效度和结构效度进行评估。护理关怀行为问卷共46项，旨在评估行为信念、规范信念、控制信念、行为态度、主观规范、感知行为控制以及护士护理新冠患者的意图。使用计划行为理论和皮尔逊相关性分析数据的表面效度、内容效度和结构效度。通过计算克朗巴哈α系数确定信度。
护理意图维度与行为态度维度呈负相关（p<0.001）。在以下配对维度之间观察到最强的相关性：行为态度与感知能力（p<0.001）、主观规范与护理意图（p<0.001）、感知行为控制与主观规范（p<0.001）、护理意图与行为信念（p<0.001）、行为信念与行为结果评价（p<0.001）以及规范信念与遵守动机（p = 0.001）。该工具的克朗巴哈α系数超过0.75。
根据计划行为理论，护理关怀行为问卷被证明是评估新发疾病流行期间护士护理行为的有效且可靠的工具。
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