Research Unit of Population Health, Faculty of Medicine, University of Oulu, Finland.
Northern Finland Birth Cohorts, Arctic Biobank, Infrastructure for Population Studies, Faculty of Medicine, University of Oulu, Finland.
Acta Odontol Scand. 2024 Nov 6;83:616-621. doi: 10.2340/aos.v83.42220.
This study aimed to investigate factors associated with nurses' self-efficacy in oral care among infection-sensitive patients in a university hospital.
All the nurses working in five wards of internal medicine and one department of oncology at Oulu University Hospital, Finland (n = 114) were recruited. Data were collected with a questionnaire containing 10 self-efficacy items (scored 0 to 10) and nine knowledge items (five-point Likert scale) that were validated in an earlier pilot study. Factor analysis was performed for the self-efficacy scale and a mean score was calculated for the knowledge scale. A multivariate linear regression model was used to analyze the association between explanatory variables and self-efficacy factor scores.
Factor analysis revealed self-efficacy factors: Practical skills, Self-confidence in taking care of patients' oral hygiene, and Confidence in detecting oral problems (factor scores varied between 4.9 and 8.8). A higher mean score for the knowledge scale was positively associated with the factor Practical skills (B = 0.5, p < 0.05). Longer working experience was associated with higher factor scores in Self-confidence in taking care of patients` oral hygiene and Confidence in detecting oral problems.
Better oral health-related knowledge and longer working experience were positively associated with oral health-related self-efficacy.
本研究旨在探讨与感染敏感患者口腔护理护士自我效能相关的因素，该研究在芬兰奥卢大学医院的五个内科病房和一个肿瘤科进行。
所有在芬兰奥卢大学医院内科五个病房和一个肿瘤科工作的护士（n=114）均被纳入研究。数据收集使用的是一份问卷，其中包含 10 个自我效能项目（评分范围 0-10）和 9 个知识项目（五点李克特量表），这些项目在早期的试点研究中已经过验证。自我效能量表进行因子分析，并计算知识量表的平均得分。使用多元线性回归模型分析解释变量与自我效能因子得分之间的关联。
因子分析揭示了自我效能的三个因子：实践技能、照顾患者口腔卫生的自信和发现口腔问题的信心（因子得分在 4.9 到 8.8 之间）。知识量表的平均得分越高，与实践技能因子得分呈正相关（B=0.5，p<0.05）。更长的工作经验与照顾患者口腔卫生的自信和发现口腔问题的信心的因子得分更高相关。
更好的口腔健康相关知识和更长的工作经验与口腔健康相关的自我效能呈正相关。
