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Raiesifar A, Maleki R, Sharifi N, Darabi F, Hojjat S. Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach. Heliyon 2024; 10:e25900. [PMID: 38384562 PMCID: PMC10878908 DOI: 10.1016/j.heliyon.2024.e25900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 01/26/2024] [Accepted: 02/05/2024] [Indexed: 02/23/2024] Open
Abstract
Background and objective 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. Methods 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. Results 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. Conclusion 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.
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Affiliation(s)
- Afsaneh Raiesifar
- Department of Nursing, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran
| | - Reyhaneh Maleki
- Department of Nursing, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran
| | - Nasibeh Sharifi
- Department of Midwifery, School of Nursing & Midwifery, Ilam University of Medical Sciences, Ilam, Iran
| | - Fatemeh Darabi
- Department of Publice Health, Asadabad School of Medical Sciences, Asadabad Iran
| | - Sayyadi Hojjat
- Non-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran
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Hwang A, Kim D. Factors influencing nurses' intent to provide care involved in coronavirus disease 2019: Theory of planned behaviour perspectives. J Clin Nurs 2024; 33:333-343. [PMID: 35880260 PMCID: PMC9349801 DOI: 10.1111/jocn.16468] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 05/16/2022] [Accepted: 06/27/2022] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To identify the factors influencing the intent to provide care among nurses involved in coronavirus disease 2019 (COVID-19) care. BACKGROUND COVID-19 was first reported in Wuhan, China, in 2019. In 2020, the World Health Organisation declared it a pandemic, leading to 5,827,104 deaths and 421,203,495 confirmed cases as of 19 February 2022. The high transmissibility of COVID-19 has prolonged the pandemic for over 2 years, resulting in deleterious effects on nurses' physical and mental health. The fear of infection and isolation may lead to negative experiences and perceptions among COVID-19 frontline nurses, which may ultimately degrade the quality of patient care. Thus, it is essential to identify factors influencing of nurses' intent to provide care. DESIGN Cross-sectional study. METHODS Data were collected from 169 nurses involved in direct COVID-19 care at a hospital designated for infectious disease care in Korea from August to September 2021 using an online questionnaire. STROBE checklist was followed. RESULTS Nurses' intent to provide care significantly differed based on whether they lived with parents and had adequate availability of personal protection equipment. The correlation analysis indicated that the intent to provide care was significantly positively correlated with normative beliefs, control beliefs, attitude towards the behaviour, subjective norms and perceived behavioural control. Perceived behavioural control, control beliefs and attitude towards the behaviour were significant factors influencing nurses' intent to provide COVID-19 care. CONCLUSION This study showed that nurses perceived behavioural control and positive behaviour towards providing COVID-19 care fundamentally influenced their intent to provide care. RELEVANCE TO CLINICAL PRACTICE In clinical practice, the safety and rights of individual nurses who participated in COVID-19-related patient care are promoted, and ultimately, the quality of patient care is improved. Furthermore, active support at the organisation and government level is needed to strengthen the capabilities necessary for nursing patients with infectious diseases.
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Affiliation(s)
- Areum Hwang
- Pusan National University College of NursingPusanKorea
| | - Donghee Kim
- Pusan National University College of NursingPusanKorea
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Garnett A, Hui L, Oleynikov C, Boamah S. Compassion fatigue in healthcare providers: a scoping review. BMC Health Serv Res 2023; 23:1336. [PMID: 38041097 PMCID: PMC10693134 DOI: 10.1186/s12913-023-10356-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 11/20/2023] [Indexed: 12/03/2023] Open
Abstract
The detrimental impacts of COVID-19 on healthcare providers' psychological health and well-being continue to affect their professional roles and activities, leading to compassion fatigue. The purpose of this review was to identify and summarize published literature on compassion fatigue among healthcare providers and its impact on patient care. Six databases were searched: MEDLINE (Ovid), PsycINFO (Ovid), Embase (Ovid), CINAHL, Scopus, Web of Science, for studies on compassion fatigue in healthcare providers, published in English from the peak of the pandemic in 2020 to 2023. To expand the search, reference lists of included studies were hand searched to locate additional relevant studies. The studies primarily focused on nurses, physicians, and other allied health professionals. This scoping review was registered on Open Science Framework (OSF), using the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) extension to scoping review. From 11,715 search results, 24 met the inclusion criteria. Findings are presented using four themes: prevalence of compassion fatigue; antecedents of compassion fatigue; consequences of compassion fatigue; and interventions to address compassion fatigue. The potential antecedents of compassion fatigue are grouped under individual-, organization-, and systems-level factors. Our findings suggest that healthcare providers differ in risk for developing compassion fatigue in a country-dependent manner. Interventions such as increasing available personnel helped to minimize the occurrence of compassion fatigue. This scoping review offers important insight on the common causes and potential risks for compassion fatigue among healthcare providers and identifies potential strategies to support healthcare providers' psychological health and well-being.
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Affiliation(s)
- Anna Garnett
- Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
| | - Lucy Hui
- Medical Sciences, Western University, London, ON, Canada
| | - Christina Oleynikov
- Arthur Labatt Family School of Nursing, Western University, London, ON, Canada
| | - Sheila Boamah
- School of Nursing, McMaster University, Hamilton, ON, Canada
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Grace KA, Efua SDV. Nurses' behavioural intentions towards intravenous fluid administration for pediatric patients: Application of the theory of planned behaviour. J Pediatr Nurs 2023; 73:e632-e638. [PMID: 37957080 DOI: 10.1016/j.pedn.2023.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 11/06/2023] [Accepted: 11/06/2023] [Indexed: 11/15/2023]
Abstract
BACKGROUND 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. METHOD 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. RESULTS 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). CONCLUSION 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.
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Affiliation(s)
- Kulley Ackah Grace
- Ghana College of Nurses and Midwives, Accra, Ghana; Englishie Amanfrom Polyclinicl-Ghana Health Service, Accra, Ghana
| | - Senoo-Dogbey Vivian Efua
- 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.
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Jiang W, Jiang J, Zhao X, Liu Z, Valimaki MA, Li X. Nurse and Patient Assessments of COVID-19 Care Quality in China: A Comparative Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2717. [PMID: 36768083 PMCID: PMC9915960 DOI: 10.3390/ijerph20032717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 01/29/2023] [Accepted: 01/31/2023] [Indexed: 06/18/2023]
Abstract
During the COVID-19 pandemic, the quality of nursing care was a concern due to nurses' overwhelming workload. A cross-sectional design was conducted to compare perceptions between nurses and patients about the quality of nursing care for COVID-19 patients and to explore factors associated with these perceptions. Data were collected during the COVID-19 pandemic from 17 March to 13 April 2020 in five hospitals in Wuhan, China. Perceptions of care quality were assessed among nurses and patients using the Caring Behaviors Inventory. Nurses rated the quality of caring behaviors higher than patients. Both nurses and patients rated technical caring behaviors at high levels and rated the item related to "spending time with the patient" the lowest, while patients rated it much lower than nurses. Nurses' sex, participation in ethical training organized by the hospital, professional title, being invited to Wuhan, and length of working experience in years were significantly associated with nurses' self-evaluated caring behaviors. Moreover, inpatient setting and communication mode were significantly associated with patients' self-evaluated caring behaviors.
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Affiliation(s)
- Wenjing Jiang
- Department of Nursing, Zigong First People’s Hospital, Zigong 643000, China
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Jia Jiang
- West China School of Pharmacy, Sichuan University, Chengdu 610041, China
| | - Xing’e Zhao
- Department of Liver Transplantation, The Second Xiangya Hospital of Central South University, Changsha 410011, China
| | - Zina Liu
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | | | - Xianhong Li
- Xiangya School of Nursing, Central South University, Changsha 410013, China
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Yi LJ, Cai J, Ma L, Lin H, Yang J, Tian X, Jiménez-Herrera MF. Prevalence of Compassion Fatigue and Its Association with Professional Identity in Junior College Nursing Interns: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15206. [PMID: 36429923 PMCID: PMC9690934 DOI: 10.3390/ijerph192215206] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 11/13/2022] [Accepted: 11/14/2022] [Indexed: 06/16/2023]
Abstract
Background: The issue of compassion fatigue among clinical nurses has received considerable attention, particularly during the COVID-19 pandemic. Yet, the current status of compassion fatigue among junior college nursing interns remains unclear. Additionally, professional identity can modulate the impact of compassion fatigue or burnout on psychological well-being; however, whether professional identity still works in this group is also unclear. This study aimed to reveal the current status of compassion fatigue among nursing interns in junior colleges and also investigate the association between compassion fatigue and professional identity. Methods: This cross-sectional survey evaluated the levels of participants' compassion fatigue (The Compassion Fatigue Short Scale) and professional identity (Professional Identity Scale) in 2256 nursing interns. Results: The mean score of compassion fatigue was 44.99, and 19.5% of the participants scored above The Compassion Fatigue Short Scale median scores for compassion fatigue. A moderate negative correlation was detected between compassion fatigue and professional identity. Conclusions: The level of compassion fatigue among nursing interns is low but nearly one in five nursing students is at risk of compassion fatigue. More attention should be paid to nursing interns with a high risk of compassion fatigue. Future studies are warranted to explore which pathways could mediate the relationship between professional identify and comparison fatigue.
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Affiliation(s)
- Li-Juan Yi
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou 412000, China
- Department of Nursing, Universitat Rovira i Virgili, 43002 Tarragona, Spain
| | - Jian Cai
- School of Nursing, Yongzhou Vocational Technical College, Yongzhou 425000, China
| | - Li Ma
- Department of Nursing, Guiyang Medical University, Guiyang 550025, China
| | - Hang Lin
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou 412000, China
| | - Juan Yang
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou 412000, China
| | - Xu Tian
- Department of Nursing, Universitat Rovira i Virgili, 43002 Tarragona, Spain
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Cui F, Jin Y, Wu H, Wang R, Pan X, Chen S, Jin Y, Yao M, Fan H, Xu J. Behavioral Intentions and Factors Influencing Nurses' Care of COVID-19 Patients: A Cross-Sectional Study. Front Public Health 2022; 10:914599. [PMID: 35844847 PMCID: PMC9278515 DOI: 10.3389/fpubh.2022.914599] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 06/03/2022] [Indexed: 11/13/2022] Open
Abstract
Objective Behavioral intentions to care for patients with infectious diseases are crucial for improving quality of care. However, there have been few studies of the behavioral intentions and factors influencing patient care by clinical nurses during the COVID-19 pandemic. This study aims to explore cognition, attitudes, subjective norms, self-efficacy, and behavioral intentions of clinical nurses while caring for COVID-19 patients and to explore any influencing factors. Method A cross-sectional survey was conducted of nurses through convenience sampling in southeast China from February 2020 to March 2020. The questionnaire was developed based on the theory of planned behavior and self-efficacy. Results A total of 774 nurses completed the survey. Of these, 69.12% (535/774) reported positive behavioral intentions, 75.58% (585/774) reported a positive attitude, and 63.82% (494/774) reported having the confidence to care for patients. However, the lack of support from family and friends and special allowance affected their self-confidence. Attitude, self-efficacy, subjective norms, and ethical cognition were significantly positively correlated with behavioral intentions (r = 0.719, 0.690, 0.603, and 0.546, respectively, all P < 0.001). Structural equation model showed that self-efficacy, attitude, ethical cognition, and subjective norms had positive effects on behavioral intentions (β = 0.402, 0.382, 0.091, and 0.066, respectively, P < 0.01). The total effect of behavioral intentions was influenced by attitude, ethical cognition, self-efficacy, and subjective norms (β = 0.656, 0.630, 0.402, and 0.157, respectively, P < 0.01). In addition, ethical cognition had a positive mediating effect on behavioral intentions (β = 0.539, P < 0.001). Conclusion The study results indicated that attitude, ethical cognition, and self-efficacy were the main factors influencing nurses' behavioral intention. Efforts should be made to improve nurses' attitude and self-efficacy through ethical education and training to increase behavioral intentions to care for patients with infectious diseases, which will improve the quality of nursing care.
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Affiliation(s)
- Feifei Cui
- Department of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
| | - Yundan Jin
- Department of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
| | - Haiying Wu
- Department of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
| | - Rongting Wang
- Department of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
| | - Xinling Pan
- Department of Biomedical Sciences Laboratory, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
| | - Shuainan Chen
- Department of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
| | - Yanyan Jin
- Department of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
| | - Meiqi Yao
- Department of Nursing, School of Medicine, The Second Affiliated Hospital, Zhejiang University, Hangzhou, China
| | - Huiqiang Fan
- Department of Nursing, Foresea Life Insurance Xi'an Hospital, Xi'an, China
| | - Jing Xu
- Department of Nursing, The Affiliated Dongyang Hospital, Wenzhou Medical University, Dongyang, China
- *Correspondence: Jing Xu
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Zhong Y, Zhao H, Wang X, Ji J. Using the Theory of Planned Behaviour to explain junior nurses’ and final‐year student nurses’ intention to care for COVID‐19 patients in China: a multisite cross‐sectional study. J Nurs Manag 2022; 30:2259-2267. [PMID: 35434870 PMCID: PMC9115239 DOI: 10.1111/jonm.13639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 03/12/2022] [Accepted: 04/13/2022] [Indexed: 11/26/2022]
Abstract
Aim To explore junior nurses' and final‐year student nurses' intention to care for COVID‐19 patients amidst the Delta COVID‐19 variant outbreak in China using the theory of planned behaviour (TPB) as a framework. Background The COVID‐19 pandemic has intensified global nursing shortage. Junior nurses and final‐year student nurses represent the backbone of the future frontline nursing workforce. The TPB is a valid theoretical model for predicting nurses' caring behaviours. Methods A 47‐item self‐administered questionnaire was disseminated online to a convenience sample of 547 junior nurses and final‐year student nurses located in 13 regions across mainland China. Results Approximately 63.4% of the participants intended to care for COVID‐19 patients voluntarily and 65.6% by non‐voluntary assignment. The TPB model significantly predicted 45% of the variance in behavioural intention, subjective norms being the strongest predictor. Gender, vaccination status and ethical perceptions regarding frontline work significantly correlated with the intention to provide care. Conclusions Our findings highlight the importance of social, organisational and family support underpinning future junior nurses' professional commitment in times of public health crisis. Implications for nursing management Pandemic‐tailored workplace training programmes for nurses/student nurses that emphasize on self‐care and ethical issue discussions are warranted. Hospital managers should collaborate with community partners to offer additional family support for nurses in need.
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Affiliation(s)
- Yaping Zhong
- School of Nursing and Midwifery, Monash University, Clayton Campus Clayton Victoria Australia
| | - Huan Zhao
- School of Science, Psychology, and Sport, Federation University, Berwick Campus Berwick VIC Australia
| | - Xiaolei Wang
- School of Nursing, Shandong First Medical University & Shandong Academy of Medical Sciences Shandong P.R. China
| | - Ji Ji
- Department of Nursing Shandong Provincial Hospital Affiliated to Shandong First Medical University Shandong P.R. China
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Kwon YH, Han HJ, Park E. Nursing Experience of New Nurses Caring for COVID-19 Patients in Military Hospitals: A Qualitative Study. Healthcare (Basel) 2022; 10:healthcare10040744. [PMID: 35455921 PMCID: PMC9027116 DOI: 10.3390/healthcare10040744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 04/08/2022] [Accepted: 04/14/2022] [Indexed: 02/05/2023] Open
Abstract
This qualitative study explored the experiences of new nurses with less than one year of clinical experience in caring for COVID-19 patients in a military hospital. In-depth interviews were conducted with six new nurses working in a negative-pressure isolation unit of the Armed Forces Capital Hospital. Data were analyzed using the phenomenological method proposed by Colaizzi, and 12 themes were derived and classified into four clusters: burden of nursing in isolation units; hardship of nursing critically ill patients; efforts to perform nursing tasks; positive changes through patient care. The participants were anxious while caring for COVID-19 patients with severe illness due to a lack of clinical experience. Furthermore, the wearing of heavy personal protective equipment impeded communication with patients, leading to physical and psychological exhaustion. However, they tried to utilize their own know-how and provide the best nursing care, resulting in them gaining confidence. Participants were able to think critically and took pride in being military nursing professionals. This study is meaningful as it provides insight into the experiences of new military nurses who were rapidly dispatched during a national medical crisis. The results can be applied to develop future strategies aimed at improving new nurses’ competency in military hospitals.
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Affiliation(s)
- Young-Hoon Kwon
- College of Nursing, Chungnam National University, Daejeon 35015, Korea;
- Nursing Department, Armed Forces Capital Hospital, Seongnam 13574, Korea;
| | - Hye-Ju Han
- Nursing Department, Armed Forces Capital Hospital, Seongnam 13574, Korea;
| | - Eunyoung Park
- College of Nursing, Chungnam National University, Daejeon 35015, Korea;
- Correspondence: ; Tel.: +82-42-580-8323; Fax: +82-42-580-8309
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