Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Predicting Factors of Nurses' Intention to Care for COVID-19 Patients based on the Theory of Planned Behavior: The Moderating Effect of Perceived Behavior Control

계획된 행위이론 기반 COVID-19 환자 간호의도 예측요인: 지각된 행위통제의 조절효과

  • Ahn, Beob Wang (Department of Nursing, Gyeongsang National University Hospital) ;
  • Yu, Mi (College of Nursing.Sustainable Health Research Institute, Gyeongsang National University)
  • 안법왕 (경상국립대학교병원 간호부) ;
  • 유미 (경상국립대학교 간호대학.지속가능건강연구소)
  • Received : 2023.07.18
  • Accepted : 2024.02.27
  • Published : 2024.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify factors influencing nurses' intention to care for COVID-19 patients based on the theory of planned behavior, and to test the moderating effect of perceived behavior control between attitude, subjective norms, and nurses' intention to care. Methods: The participants were 167 nurses working at two designated hospitals for infectious diseases located in J and C city, South Korea. Data were collected from October 10th to 25th, 2020, and analyzed using independent t-test, ANOVA, and Pearson correlation coefficient, and hierarchical multiple regression analysis. The moderating effect was analyzed using the Process Macro model 1 (95% confidence interval, 10,000 bootstrapping), and a simple slope analysis was performed to identify the moderating effect of perceived behavior control. Results: The factors affecting nurses' intention to care for patients with COVID-19 were attitude toward the behavior (β=.32, p<.001) and perceived behavior control (β=.37, p<.001) in model 1, attitude toward the behavior (β=.28, p<.001) and perceived behavior control (β=.36, p<.001), and perspective taking (β=.26, p<.001) in model 2. The explanation power of this model was 65.0% (F=18.41, p<.001). The moderating effect of perceived behavioral control was statistically significant in the relationship between subjective norms and intention to care for patients with COVID-19 (F=16.37, p<.001). In the simple slope analysis, the reinforcement effect was greatest when the level of perceived behavioral control was at the mean (95% CI=0.46~0.67) and high (95% CI=0.70~1.08). Conclusion: Developing and applying a training program that enhances confidence and improves empathy is necessary to increase nurses' intention to care for COVID-19 patients.

Keywords

References

  1. World Health Organization. R&D blueprint and COVID-19 [Internet]. Geneva: World Health Organization; 2020 [cited 2023 Nov 07]. Available from: https://www.who.int/teams/blueprint/covid-19.
  2. Fauci AS, Morens DM. The perpetual challenge of infectious diseases. New England Journal of Medicine. 2012;366(5):454-461. https://doi.org/10.1056/NEJMra1108296
  3. Park HJ, Yu M. Effects of fatigue, nursing professionalism, and nursing work environment on nursing intention for COVID19 patients among nurses in a designated COVID-19 hospital. Journal of Korean Academy of Nursing Administration. 2023;29(3):223-233. https://doi.org/10.11111/jkana.2023.29.3.223
  4. Martin SD, Brown LM, Reid WM. Predictors of nurses' intentions to work during the 2009 influenza A (H1N1) pandemic. American Journal of Nursing. 2013;113(12):24-31. https://doi.org/10.1097/01.NAJ.0000438865.22036.15
  5. Kim CJ, Yoo HR, Yoo MS, Kwon BE, Hwang KJ. Attitude, beliefs, and intentions to care for SARS patients among Korean clinical nurses: An application of theory of planned behavior. Journal of Korean Academy of Nursing. 2006;36(4):596-603. https://doi.org/10.4040/jkan.2006.36.4.596
  6. Lee JY, Kang SJ. Factors influencing nurses' intention to care for patients with emerging infectious diseases: Application of the theory of planned behavior. Nursing & Health Sciences. 2020;22(1):82-90. https://doi.org/10.1111/nhs.12652
  7. Moon HJ, Park JY. Factors influencing intentions to care for emerging infectious disease patients among national and public hospitals nurses. Journal of Korean Academy of Fundamentals of Nursing. 2021;28(1):11-22. https://doi.org/10.7739/jkafn.2021.28.1.11
  8. Lee JK. A study for investigating predictors of AIDS and patients care intention among nursing students. Journal of Korean Academy of Nursing. 2001;31(2):292-303. https://doi.org/10.4040/jkan.2001.31.2.292
  9. Kim JS, Choi JS. Factors predicting clinical nurses' willingness to care for Ebola virus disease-infected patients: A cross-sectional, descriptive survey. Nursing & Health Sciences. 2016;18(3):299-305. https://doi.org/10.1111/nhs.12269
  10. Ajzen I. The theory of planned behavior: Reactions and reflections. Psychology & Health. 2011;26(9):1113-1127. https://doi.org/10.1080/08870446.2011.613995
  11. Javadi M, Kadkhodaee M, Yaghoubi M, Maroufi M, Shams A. Applying theory of planned behavior in predicting of patient safety behaviors of nurses. Materia Socio-Medica. 2013;25(1): 52-55. https://doi.org/10.5455/msm.2013.25.52-55
  12. Lee MR, So HY, Cho MK. Determinants of nurses' handwashing practice. Korean Journal of Adult Nursing. 2005;17(2): 268-275.
  13. Moon JE, Song MO. A convergence study about the performance of healthcare-associated infection control guidelines of hospital nurses-based on the theory of planned behavior. Journal of the Korea Convergence Society. 2017;8(5):117-125. https://doi.org/10.15207/JKCS.2017.8.5.117
  14. Armitage CJ, Conner M. Efficacy of the theory of planned behaviour: A meta-analytic review. British Journal of Social Psychology. 2001;40(4):471-499. https://doi.org/10.1348/014466601164939
  15. La Barbera F, Ajzen I. Moderating role of perceived behavioral control in the theory of planned behavior: A preregistered study. Journal of Theoretical Social Psychology. 2021;5(1):35-45. https://doi.org/10.1002/jts5.83
  16. La Barbera F, Ajzen I. Control interactions in the theory of planned behavior: Rethinking the role of subjective norm. Europe's Journal of Psychology. 2020;16(3):401-417. https://doi.org/10.5964/ejop.v16i3.2056
  17. Earle AM, Napper LE, LaBrie JW, Brooks-Russell A, Smith DJ, de Rutte J. Examining interactions within the theory of planned behavior in the prediction of intentions to engage in cannabis-related driving behaviors. Journal of American College Health. 2020;68(4):374-380. https://doi.org/10.1080/07448481.2018.1557197
  18. Davis MH. A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology. 1980;10:85.
  19. Campbell-Yeo M, Latimer M, Johnston C. The empathetic response in nurses who treat pain: Concept analysis. Journal of Advanced Nursing. 2008;61(6):711-719. https://doi.org/10.1111/j.1365-2648.2007.04562.x
  20. Goubert L, Caring KD, Vervoort T, Morley S, Sullivan MJ, Williams CA, et al. Facing other in pain: The effects of empathy. Pain. 2005;118(3):285-288. https://doi.org/10.1016/j.pain.2005.10.025
  21. Bae MK. The effect of sequential structure in charity advertising on message elaboration and donation intention: The mediating role of empathy. Journal of Promotion Management. 2021;27(1):177-209. https://doi.org/10.1080/10496491.2020.1809597
  22. Younis A, Xiaobao P, Nadeem MA, Kanwal S, Pitafi AH, Qiong G, et al. Impact of positivity and empathy on social entrepreneurial intention: The moderating role of perceived social support. Journal of Public Affairs. 2021;21(1):e2124. https://doi.org/10.1002/pa.2124
  23. Roh HJ, Kim EJ, Sok SH. Influences of nurses' empathy and self-efficacy on nursing care of older adults in an integrated nursing care services (INCS) unit. Journal of East-West Nursing Research. 2019;25(1):9-16. https://doi.org/10.14370/jewnr.2019.25.1.9
  24. FeldmanHall O, Dalgleish T, Evans D, Mobbs D. Empathic concern drives costly altruism. Neuroimage. 2015;105:347-356. https://doi.org/10.1016/j.neuroimage.2014.10.043
  25. Kang I, Kee S, Kim SE, Jeong B, Hwang JH, Song JE, et al. Reliability and validity of the Korean-version of Interpersonal Reactivity Index. Journal of Korean Neuropsychiatric Association. 2009:48(5):352-358.
  26. Jeong SY, Park HS, Wang HJ, Kim MJ. Intentions to care for new influenza A (H1N1) patients and influencing factors: An application of theory of planned behavior. Journal of Korean Academic Society of Home Health Care Nursing. 2015;22(1):78-87.
  27. Garske T, Legrand J, Donnelly CA, Ward H, Cauchemez S, Fraser C, et al. Assessing the severity of the novel influenza A/H1N1 pandemic. BMJ. 2009:339:b2840. https://doi.org/10.1136/bmj.b2840
  28. Ko NY, Feng MC, Chiu DY, Wu MH, Feng JY, Pan SM. Applying theory of planned behavior to predict nurses' intention and volunteering to care for SARS patients in southern Taiwan. Kaohsiung Journal of Medical Sciences. 2004;20 (8):389-398. https://doi.org/10.1016/S1607-551X(09)70175-5
  29. Kim SH, Park HO. Effects of ego-resilience, nursing professionalism and empathy on clinical competency of general hospital nurses. Journal of Korean Academic Society of Nursing Education. 2020;26(2):101-110. https://doi.org/10.5977/jkasne.2020.26.2.101
  30. Kang MO. A study on relationship among self-awareness, other-awareness and empathy in nursing students. Journal of Korean Philosophical History. 2015;47:207-238. https://doi.org/10.35504/kph.2015..47.008