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http://dx.doi.org/10.4040/jkan.2015.45.6.802

Structural Equation Modeling on Living and Brain Death Organ Donation Intention in Nursing Students  

Kim, Eun A (Department of Nursing, Honam University)
Choi, So Eun (Department of Nursing, Mokpo National University)
Publication Information
Journal of Korean Academy of Nursing / v.45, no.6, 2015 , pp. 802-811 More about this Journal
Abstract
Purpose: The purpose of this study was to test and validate a model to predict living and brain death organ donation intention in nursing students. The conceptual model was based on the theory planned behavior. Methods: Quota sampling methodology was used to recruit 921 nursing students from all over the country and data collection was done from October 1 to December 20, 2013. Results: The model fit indices for the hypothetical model were suitable for the recommended level. Knowledge, attitude, subjective norm and perceived behavioral control explained 40.2% and 40.1% respectively for both living and brain death organ donation intention. Subjective norm was the most direct influential factor for organ donation intention. Knowledge had significant direct effect on attitude and indirect effect on subjective norm and perceived behavioral control. These effects were higher in brain death organ donation intention than in living donation intention. Conclusion: The overall findings of this study suggest the need to develop systematic education programs to increases knowledge about brain death organ donation. The development, application, and evaluation of intervention programs are required to improve subjective norm.
Keywords
Tissue and organ procurement; Intention; Students; Nursing;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Siegel JT, Alvaro EM, Lac A, Crano WD, Dominick A. Intentions of becoming a living organ donor among Hispanics: A theory-based approach exploring differences between living and nonliving organ donation. Journal of Health Communication. 2008;13(1):80-99. http://dx.doi.org/10.1080/10810730701807142   DOI
2 Kopfman JE, Smith SW. Understanding the audiences of a health communication campaign: A discriminant analysis of potential organ donors based on intent to donate. Journal of Applied Communication Research. 1996;24(1):33-49. http://dx.doi.org/10.1080/00909889609365438   DOI
3 Morgan S, Miller J. Communicating about gifts of life: The effect of knowledge, attitudes, and altruism on behavior and behavioral intentions regarding organ donation. Journal of Applied Communication Research. 2002;30(2):163-178. http://dx.doi.org/10.1080/00909880216580   DOI
4 Bae HS, Kang S. The influence of viewing an entertainment-education program on cornea donation intention: A test of the theory of planned behavior. Health Communication. 2008;23(1):87-95. http://dx.doi.org/10.1080/10410230701808038   DOI
5 Morgan S, Miller J, Arasaratnam L. Signing cards, saving lives: An evaluation of the worksite organ donation promotion project. Communication Monographs. 2002;69(3):253-273. http://dx.doi.org/10.1080/03637750216540   DOI
6 Mitchell RJ. Path analysis: Pollination. In: Scheiner SM, Gurevitch J, editors. Design and analysis of ecological experiments. 2nd ed. New York, NY: Oxford University Press; 1993. p. 211-231.
7 Ajzen I. TPB questionnaire construction: Constructing a theory of planned behavior questionnaire. Amherst, MA: University of Massachusetts Amherst; 2001 [cited 2013 July 30]. Available from: http://people.umass.edu/aizen/pdf/tpb.measurement.pdf.
8 Kim YH. A study on the knowledge and attitude of civil servants at city, county, ward offices and health centers engaged in organ transplant registration upon organ donation and transplantation [master's thesis]. Seoul: Yonsei University; 2010.
9 Giles M, McClenahan C, Cairns E, Mallet J. An application of the theory of planned behaviour to blood donation: The importance of self-efficacy. Health Education Research. 2004;19(4):380-391. http://dx.doi.org/10.1093/her/cyg063   DOI
10 Bae HS. A prediction model for the effects of emotion and issue involvement on entertainment-education viewers' intention to register as cornea donors. Journal of Broadcasting Research. 2006; 62:273-301.
11 Radecki CM, Jaccard J. Psychological aspects of organ donation: A critical review and synthesis of individual and next-of-kin donation decisions. Health Psychology. 1997;16(2):183-195.   DOI
12 Sander SL, Miller BK. Public knowledge and attitudes regarding organ and tissue donation: An analysis of the northwest Ohio community. Patient Education and Counseling. 2005;58(2):154-163. http://dx.doi.org/10.1016/j.pec.2004.08.003   DOI
13 Brug J, van Vugt M, van den Borne B, Brouwers A, van Hooff H. Predictors of willingness to register as an organ donor among dutch adolescents. Psychology & Health. 2000;15(3):357-368. http://dx.doi.org/10.1080/08870440008401998   DOI
14 Browne C, Desmond DM. Intention to consent to living organ donation: An exploratory study. Psychology Health & Medicine. 2008;13(5):605-609. http://dx.doi.org/10.1080/13548500701842958   DOI
15 Shon YH, Cho CM. Public's attitude to organ transplants and factors influencing attitudes. Journal of Korean Academy of Fundamentals of Nursing. 2002;9(2):279-287.
16 Kim D. A study on the factors affecting people's attitude toward organ donation. Health and Social Welfare Review. 2003;12:96-135.
17 Cha DP. Factors affecting the college students' intentions to resister and discuss the decision of organ donation with their family in situations of living, brain death, and heart death: Using an extended theory of planned behavior. Advertising Research. 2010;87:7-40.
18 Korean Network for Organ Sharing. Annual report of the transplant 2013 [Internet]. Seoul: Author; 2014 [cited 2015 January 20]. Available from: https://www.konos.go.kr/konosis/common/bizlogic.jsp.
19 You HR. A study on knowledge and attitude of intensive care unit nurses regarding brain dead organ transplantation [master's thesis]. Seoul: Sungkyungkwan University; 2004.
20 Lee JA, Kim SY. The knowledge and attitude of medical students towards the organ donation. The Journal of the Korean Society for Transplantation. 2008;22(1):120-129.
21 Kim M, Joo SJ, Choi JH, Kim KS, Yoo M, Kim HJ. Knowledge, attitude, and will for organ donation of nursing students and non-nursing students toward the brain death organ donation. Korean Journal of Medical Ethics. 2012;15(2):231-243.
22 Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211. http://dx.doi.org/10.1016/0749-5978(91)90020-T   DOI
23 Kim HI, Cha H. The effect of social capital and interpersonal communication on the posthumous organ donation intentions: Application and expansion of the theory of planned behavior. Korean Journal of Journalism & Communication Studies. 2010;54(6):173-198.
24 Hyde MK, Knowles SR, White KM. Donating blood and organs: Using an extended theory of planned behavior perspective to identify similarities and differences in individual motivations to donate. Health Education Research. 2013;28(6):1092-1104. http://dx.doi.org/10.1093/her/cyt078   DOI
25 Bresnahan M, Lee SY, Smith SW, Shearman S, Nebashi R, Park CY, et al. A theory of planned behavior study of college students' intention to register as organ donors in Japan, Korea, and the United States. Health Communication. 2007;21(3):201-211. http://dx.doi.org/10.1080/10410230701307436   DOI
26 Feeley TH. College students' knowledge, attitudes, and behaviors regarding organ donation: An integrated review of the literature. Journal of Applied Social Psychology. 2007;37(2):243-271. http://dx.doi.org/10.1111/j.0021-9029.2007.00159.x   DOI
27 Hyde MK, White KM. To be a donor or not to be? Applying an extended theory of planned behavior to predict posthumous organ donation intentions. Journal of Applied Social Psychology. 2009; 39(4):880-900. http://dx.doi.org/10.1111/j.1559-1816.2009.00464.x   DOI
28 Stephenson MT, Morgan SE, Roberts-Perez SD, Harrison T, Afifi W, Long SD. The role of religiosity, religious norms, subjective norms, and bodily integrity in signing an organ donor card. Health Communication. 2008;23(5):436-447. http://dx.doi.org/10.1080/10410230802342119   DOI
29 Hyde MK, White KM. Disclosing donation decisions: The role of organ donor prototypes in an extended theory of planned behaviour. Health Education Research. 2009;24(6):1080-1092. http://dx.doi.org/10.1093/her/cyp028   DOI
30 Horton RL, Horton PJ. A model of willingness to become a potential organ donor. Social Science and Medicine. 1991;33(9):1037-1051.   DOI