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探索环境信息、信念和自我效能对护士气候健康行为的影响及其关系。

Exploring influences of environmental information, beliefs and self-efficacy on nurses' climate health behaviours and their relationships.

作者信息

Yi Jeongmin, Yi Yeojin

机构信息

College of Nursing, Hanyang University, Seoul, South Korea.

Uijeongbu ST. Mary's Hospital, Uijeongbu, South Korea.

出版信息

J Adv Nurs. 2024 Jun 14. doi: 10.1111/jan.16269.

DOI:10.1111/jan.16269
PMID:38877643
Abstract

BACKGROUND

To create a healthy nursing environment and protect human health in response to climate change, it is essential to encourage behaviour change among nurses. Although numerous studies have been conducted on nurses to address climate change, few studies have explored the relationships of factors that influence and promote nurses' climate health behavioural behavioural change, making it difficult to determine how nurses should act and prioritise regarding climate health behaviours.

AIMS

To investigate influential environmental factors on climate health behaviours among nurses through the causal relationships between environmental information, environmental beliefs and environmental self-efficacy using the Information-Motivation-Behavioural Skills (IMB) model.

DESIGN

A cross-sectional study.

METHODS

This study recruited 186 nurses working in hospitals nationwide in July 2023. Self-reported questionnaires (Climate, Health, and Nursing Tool; National Environmental Consciousness Survey; New Ecological Paradigm Scale; Personal Efficacy Scale) were used to collect the data. Path analysis was performed.

RESULTS

The factors influencing nurses' climate health behaviours were environmental information, environmental beliefs and environmental self-efficacy. Environmental self-efficacy was found to be more influenced by the exogenous variables of environmental information than environmental beliefs and to be the most significant factor affecting climate health behaviours.

CONCLUSIONS

It is more important for nurses to obtain environmental information than environmental beliefs to achieve the goal of climate health behaviours. This in turn, will lead to personal self-efficacy that nurses can mitigate the climate crisis. Their strong self-efficacy affects their climate health behaviours.

IMPLICATIONS FOR THE PROFESSION

Nurses should seek and draw on the appropriate environmental information related to climate health change and nurses with environmental self-efficacy become environmental nursing leaders, encouraging other health care workers to participate actively in climate health behaviours and continuously carry out the behaviours within daily life, hospital and community environments.

IMPACT

The study addressed the lack of relationship research on factors influencing nurses' climate health behaviours, emphasizing the importance of accessing environmental information to foster self-efficacy. Nurses with heightened self-efficacy can lead healthcare professionals in climate health actions.

REPORTING METHOD

This research has adhered to relevant EQUATOR and STROBE.

PATIENT OR PUBLIC CONTRIBUTION

No Patient or Public Contribution.

摘要

背景

为应对气候变化营造健康的护理环境并保护人类健康,鼓励护士改变行为至关重要。尽管已针对护士开展了大量应对气候变化的研究,但很少有研究探讨影响和促进护士气候健康行为改变的因素之间的关系,这使得难以确定护士在气候健康行为方面应如何行动及确定优先事项。

目的

运用信息-动机-行为技能(IMB)模型,通过环境信息、环境信念和环境自我效能之间的因果关系,调查影响护士气候健康行为的环境因素。

设计

横断面研究。

方法

本研究于2023年7月招募了全国医院的186名护士。使用自填式问卷(气候、健康与护理工具;国家环境意识调查;新生态范式量表;个人效能感量表)收集数据。进行路径分析。

结果

影响护士气候健康行为的因素为环境信息、环境信念和环境自我效能。发现环境自我效能比环境信念更受环境信息这一外生变量的影响,且是影响气候健康行为的最显著因素。

结论

对护士而言,获取环境信息比获取环境信念对于实现气候健康行为目标更为重要。这反过来会产生个人自我效能,使护士能够缓解气候危机。他们强烈的自我效能会影响其气候健康行为。

对该专业的启示

护士应寻求并利用与气候健康变化相关的适当环境信息,具备环境自我效能的护士成为环境护理领导者,鼓励其他医护人员积极参与气候健康行为,并在日常生活、医院和社区环境中持续开展这些行为。

影响

该研究解决了影响护士气候健康行为因素的关系研究不足的问题,强调获取环境信息以增强自我效能的重要性。自我效能增强的护士可引领医护专业人员采取气候健康行动。

报告方法

本研究遵循了相关的EQUATOR和STROBE。

患者或公众贡献

无患者或公众贡献。

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