Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

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Nurses' Attitude, Subjective Norm, Perceived Behavioral Control, and Behavior Regarding Pressure Ulcer Prevention Behavior Based on Theory of Planned Behavior

계획적 행위이론에 근거한 간호사의 욕창예방에 대한 태도, 주관적 규범, 지각된 행위통제 및 욕창예방 행위에 관한 연구

  • Received : 2019.10.08
  • Accepted : 2019.12.06
  • Published : 2019.12.31
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Abstract

The purpose of this study was to investigate how attitude, subjective norm, and perceived behavioral control affect nurses' pressure ulcer (PU) prevention behavior among general hospital nurses based on the theory of planned behavior. A total of 111 nurses in four general hospitals in Korea participated in this study and replied to a survey on attitude, subjective norm, perceived behavioral control, and behavior regarding PU prevention. Data were analyzed with multiple regressions by all participants, education level, working department, and hospital size group. In all participants, the more positive attitude and the higher subjective norm, the more PU prevention behavior. However, in the group of 'more than bachelor degree' and 'tertiary hospital', the more clinical experience, the more behavior. In the group of 'surgical ward & intensive care unit', the higher attitude, the more behavior. In the group of 'more than bachelor degree', the higher subjective norm, the more behavior. Therefore, personalized and tailored intervention for nurses may be provided depending on nurses' education level, work department, and hospital size to enhance PU prevention behavior by means of improving nurses' attitude, subjective norm toward PU prevention.

본 연구는 계획된 행위이론에 근거하여 태도, 주관적 규범, 지각된 행위통제가 종합병원 간호사의 욕창예방 행위에 미치는 영향을 규명하기 위하여 수행되었다. 서울과 경기도의 4개 종합병원에서 총 111명의 간호사가 연구에 참여하여 욕창예방에 대한 태도, 주관적 규범, 지각된 행위통제 및 욕창예방 행위와 관련된 설문조사에 응답하였다. 수집된 자료는 전체 대상자뿐만 아니라 대상자를 각각 학력수준, 근무병동 및 병원규모로 나누어 집단별 다중 회귀분석을 시행하여 분석하였다. 전체 대상자에 대한 연구결과에서는 욕창예방에 대한 태도가 긍정적이고 주관적 규범에 대한 인식이 높을수록 간호사의 욕창예방 행위의 수준이 높았다. 반면에 집단별 분석 결과에서는 '학사이상'이거나 '3차 종합병원'에 근무하는 간호사는 임상경험이 많을수록 행위 수준이 높았고, '외과병동 및 중환자실'에 근무하는 간호사는 태도 점수가 높을수록 욕창예방 행위의 수준이 높았다. 또한 '학사이상'인 간호사는 주관적 규범에 대한 인식이 높을수록 욕창예방 행위의 수준이 높았다. 따라서 간호사의 욕창예방에 대한 태도, 주관적 규범의 수준을 개선함으로써 욕창예방 행위를 증진하기 위해서는 간호사의 교육수준, 근무부서, 병원규모를 고려한 개별화된 맞춤형 중재가 제공되어야 한다.

Keywords

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