Khandan Maryam, Ghorbani Zinab, Golestani Mohsen, Moradi Faranak
Department of Nursing, Faculty of Nursing and Midwifery, Kerman Branch, Islamic Azad University, Kerman, Iran.
Department of Nursing and Midwifery, Kerman Branch, Islamic Azad University, Kerman, Iran.
Heliyon. 2024 Aug 2;10(15):e35568. doi: 10.1016/j.heliyon.2024.e35568. eCollection 2024 Aug 15.
The outbreak of COVID-19 as a global disaster has required nurses, as front-line providers of safe and quality care to patients with this disease, for proper disaster management to have a high level of competence, which demands an acceptable level of knowledge, attitude, and performance. Therefore, this study was conducted to model the relationship between knowledge, attitude, and performance with the competence of nurses caring for patients with COVID-19 regarding disaster management.
This descriptive-correlational study was conducted on 291 hospital nurses using the structural equation modeling approach in three provinces of Iran, including Kerman, Hormozgan, and Fars, from June to December 2021. Data were collected through a researcher-made questionnaire that provided information on demographics, knowledge, attitude, performance, and competence regarding disaster management. Data analysis, which included descriptive and inferential statistics, was performed using SPSS and AMOS software. Moreover, the structural equation modeling method was based on the covariance to examine the proposed model of the relationship between knowledge, attitude, and performance with nurses' competence.
The study revealed that the nurses had average knowledge, acceptable attitudes, high performance, and acceptable competence scores. A positive and significant relationship was found between knowledge, attitude, and performance with nurses' competencies (P < 00.05). Furthermore, the coefficient of determination of nurses' competence in the modified structural model indicates that exogenous variables, namely knowledge, attitude, and performance, could predict 36 % of the changes in nurses' competence. Finally, the path coefficient of the effect of knowledge, attitude, and performance on nurses' competence was higher than 1.96.
According to the study, although the knowledge, attitude, performance, and competence of nurses caring for patients with COVID-19 were at an acceptable level, there were obstacles to improving their competence. Hence, identifying and prioritizing educational needs and learning preferences based on their cultural backgrounds are also emphasized.
新冠疫情的爆发作为一场全球灾难，要求护士作为为该疾病患者提供安全和优质护理的一线人员，具备高水平的能力以进行妥善的灾难管理，这需要达到可接受水平的知识、态度和表现。因此，本研究旨在构建在灾难管理方面护理新冠患者的护士的知识、态度、表现与能力之间的关系模型。
本描述性相关性研究于2021年6月至12月在伊朗的克尔曼、霍尔木兹甘和法尔斯三省的291名医院护士中采用结构方程建模方法进行。通过研究者自制的问卷收集数据，该问卷提供了有关人口统计学、知识、态度、表现和灾难管理能力的信息。使用SPSS和AMOS软件进行数据分析，包括描述性和推断性统计。此外，结构方程建模方法基于协方差来检验所提出的知识、态度和表现与护士能力之间关系的模型。
研究表明护士的知识水平中等、态度可接受、表现良好且能力得分可接受。发现知识、态度和表现与护士能力之间存在积极且显著的关系（P < 0.05）。此外，修正结构模型中护士能力的决定系数表明，外生变量，即知识、态度和表现，可以预测护士能力变化的36%。最后，知识、态度和表现对护士能力影响的路径系数高于1.96。
根据该研究，尽管护理新冠患者的护士的知识、态度、表现和能力处于可接受水平，但在提高他们的能力方面仍存在障碍。因此，还强调要根据他们的文化背景确定教育需求和学习偏好的优先级。
