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Attitude, Beliefs, and Intentions to Care for SARS Patients among Korean Clinical Nurses: An Application of Theory of Planned Behavior
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Cho Ja Kim, Hye Ra Yoo, Myung Sook Yoo, Bo Eun Kwon, Kyung Ja Hwang
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Journal of Korean Academy of Nursing 2006;36(4):596-603. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2006.36.4.596
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 Abstract
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Purpose
This study examined Korean clinical nurses' intentions to care for SARS patients and identify determinants of the intentions. Theory of planned behavior was the framework to explain the intentions of Korean nurses for SARS patients care.
Methods
A convenient sample of six hundreds and seventy nine clinical nurses from four university-affiliated hospitals located in Seoul and in Kyung-gi province was used. Self-administered (83-items) questionnaire was used to collect data. Intentions, attitude, subjective norm, perceive behavioral control, behavioral beliefs, normative beliefs, and control beliefs were the study variables. All items were measured using 7-point Likert scale (−3 to +3). Data were analyzed using descriptive statistics, Pearson correlation method, and stepwise multiple regression methods.
Results
Intentions and attitudes toward SARS patient care among Korean clinical nurses were moderate, but their subjective norm and perceive behavioral control of SARS patients care were negative. Stepwise multiple regression analysis indicated that attitude toward SARS patient care, perceived behavioral control, subjective norm were the determinants of the intentions for SARS patients care as theory proposed. Among the behavioral beliefs, “SARS-patient caring would be a new experience”, “during SARS-patient caring, I should be apart from my family”, “after completing SARS-patient caring, I would be proud of myself being able to cope with a stressful event” and “with my SARS-patient caring, patients could recover from SARS” were the significant determinants. Among the normative beliefs, colleague approval, spouse approval, and physician approval were significant determinants of the intentions. Among the control beliefs, “SARS-patient caring would be a challenge” “SARS-patient caring is a professional responsibility”, “tension during the care of SARS patients” and “support from team members” were the significant determinants of the intentions.
Conclusion
Korean clinical nurses in this study were not willing to care for SARS patients and showed negative attitude toward the care. They believed their friends and family were not approved their care for SARS patients. Nurses were in conflicts between professional responsibilities to care for SARS patients and personal safety. This study was the first to understand stress and burden of Korean clinical nurses who are in front line to care for newly developed communicable disease such as SARS. Under the circumstance where several fatal communicable diseases are predictable, conflicts between professional responsibility and their personal risks should be taken into considerations by nurses themselves and by nursing administrators in order to improve quality of care.
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Citations
Citations to this article as recorded by  - Caring behaviors and associated predictive factors in nurses caring for Covid-19 patients: An application of the theory of planned behavior
Reyhaneh Maleki, Afsaneh Raiesifar, Nasibeh Sharifi, Elham Shafiei, Fatemeh Darabi
Heliyon.2025; 11(4): e42683. CrossRef - Nursing Students’ Perceptions of Factors Influencing Nursing Intentions toward COVID-19 Patients
Nari Lee, Hae Ran Kim
Healthcare.2024; 12(3): 285. CrossRef - Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
Afsaneh Raiesifar, Reyhaneh Maleki, Nasibeh Sharifi, Fatemeh Darabi, Sayyadi Hojjat
Heliyon.2024; 10(4): e25900. CrossRef - Factors influencing nurses' intent to provide care involved in coronavirus disease 2019: Theory of planned behaviour perspectives
Areum Hwang, Donghee Kim
Journal of Clinical Nursing.2024; 33(1): 333. CrossRef - Predictors of nurses’ reporting for work at the time of epidemics and natural disasters; solutions for hospital surge capacity
Vahid Ghavami, Fatemeh Kokabi Saghi, Ali Asghari, Hamidreza Shabanikiya
Journal of Nursing Scholarship.2022; 54(4): 470. CrossRef - Factors Affecting Nursing Intention for Patients with Emerging Infectious Diseases among Nurses in Hospitals Dedicated to COVID-19: A Focus on the Mediating Effects of Job Crafting
Yu Na Lim, Ju Young Park
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(1): 105. CrossRef - Examining Primary Care Physicians' Intention to Perform Cervical Cancer Screening Services Using a Theory of Planned Behavior: A Structural Equation Modeling Approach
Zhiqing Hu, Yanjun Sun, Yuhao Ma, Kejin Chen, Ling Lv, Lingling Wang, Yuan He
Frontiers in Public Health.2022;[Epub] CrossRef - Behavioral Intentions and Factors Influencing Nurses' Care of COVID-19 Patients: A Cross-Sectional Study
Feifei Cui, Yundan Jin, Haiying Wu, Rongting Wang, Xinling Pan, Shuainan Chen, Yanyan Jin, Meiqi Yao, Huiqiang Fan, Jing Xu
Frontiers in Public Health.2022;[Epub] CrossRef - Factors influencing nursing students’ care intentions toward emerging infectious diseases patients: A descriptive-predictive study
Seungmi Park, Insun Jang, Soo-Young Yu
The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 421. CrossRef - Intention to Care for COVID-19 Patients Among Nurses Working at Health Care Institutions of Debre Tabor Town, North Central Ethiopia
Binyam Minuye, Wubet Alebachew, Melese Kebede, Sintayehu Asnakew, Demeke Mesfin Belay
Risk Management and Healthcare Policy.2021; Volume 14: 2475. CrossRef - Identifying Occupational and Non-Occupational Factors Affecting the Retention of Health Care Employees in the Covid-19 Pandemic: A Systematic Review Study
Masoud Khosravipour, Payam Khanlari, Mohammad Reza Jafari
Journal of Ergonomics.2021; 9(1): 15. CrossRef - Latent Profile Analysis of Perceptions and Attitudes Towards COVID-19 in a Sample of Chinese People
Zhimin Niu, Li Li, Hongying Li, Songli Mei, Hui Jiang, Zhiyong Deng, Jun Xin
Frontiers in Public Health.2021;[Epub] CrossRef - Providing care to patients with COVID-19 in a reference hospital: health care staff intentional behavior and factors that affect it
Theodoros Pesiridis, Petros Galanis, Eleni Anagnostopoulou, Athena Kalokerinou, Panayota Sourtzi
AIMS Public Health.2021; 8(3): 456. CrossRef - Factors influencing nurses’ behavioral intention toward caring for COVID-19 patients on mechanical ventilation: A cross-sectional study
Jingxia Cheng, Jinbo Cui, Wenwen Yu, Hua Kang, Yongming Tian, Xiaolian Jiang, Khatijah Lim Abdullah
PLOS ONE.2021; 16(11): e0259658. CrossRef - Factors Associated With the Intention to Participate in Coronavirus Disease 2019 Frontline Prevention Activities Among Nursing Students in Vietnam: An Application of the Theory of Planned Behavior
Quynh Anh Tran, Huong Thi Thanh Nguyen, Tung Van Bui, Nguyet Thi Tran, Nguyet Thi Nguyen, Tham Thi Nguyen, Hien Thu Nguyen, Son Hoang Nguyen
Frontiers in Public Health.2021;[Epub] CrossRef - Determinants of Workforce Preparedness during Pandemics Among Healthcare Workers at the U.S. Department of Veterans Affairs
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Hea-Jin Moon, Ju Young Park
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Jiyeon Lee, Sook Jung Kang
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Validity and Reliability of an Instrument for Predictive Nursing Intention for SARS Patient Care
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Hye Ra Yoo, Bo Eun Kwon, Yon Soo Jang, Heun Keung Youn
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Journal of Korean Academy of Nursing 2005;35(6):1063-1071. Published online October 31, 2005
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DOI: https://doi.org/10.4040/jkan.2005.35.6.1063
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Abstract
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Purpose
This study was done to develop and test validity and reliability of on instrument for predicting nursing intention for SARS patient care.
Method
The psychometric properties of a SARS patient care attrition prediction tool, based on the Theory of Planned Behavior, were examined in this study. The Three-phase design involved a) salient beliefs generated from clinical nurses (n=43) b) content validation by expert panel evaluations(n=5) c) face validation by plot testing (n=10) d) and instrument validation in a cross sectional survey (n=299). Psychometric analysis of survey data provided empirical evidence of the construct validity and reliability of the instrument.
Result
Principal component analysis verified the hypothesized 6-factor solution, explaining 68.2% of variance, and Alpha coefficients of .7538 to .9389 indicated a high internal consistency of the instrument.
Conclusion
The instrument can be used by nurse administrators and researcher to assess clinical nurses' salient beliefs about caring for SARS patients, guide tailored intervention strategies to effective caring, and evaluate the effectiveness of interventions.
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Citations
Citations to this article as recorded by
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Factors Influencing Functional Status in People with Chronic Lung Disease
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Eui Geum Oh, Cho Ja Kim, Won Hee Lee, So Sun Kim, Bo Eun Kwon, Yeon Soo Chang, Ji Yeon Lee, Young Jin Kim
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Journal of Korean Academy of Nursing 2002;32(5):643-653. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2002.32.5.643
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Abstract
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PURPOSE: The purpose of this study was to identify factors that influence the functional status of chronic lung disease patients.
METHOD: A descriptive, correlational study design was used. The study was conducted at the outpatient respiratory clinic of the large university hospital in Korea. A convenience sample of 128 chronic lung patients (age = 64.2 yrs; 106 COPD, 17 bronchiectasis, 5 DILD) with mean FEV1 64.4 % predicted. Functional status was measured with SIP. Physical variables (FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress), psychological variables (mood, stress), and situational variable (sleep quality) were examined. Dyspnea was measured by the BDI, fatigue was measured with the MFI. Mood was measured with the modified Korean version of POMS. Sleep quality was measured with the Pittsburgh Sleep Quality Index. Potential independent variables for the regression were age, gender, years since diagnosis, FEV1% predicted, dyspnea, fatigue, pulmonary symptom distress, stress, and sleep quality.
RESULT: In general, functional status was relatively good. In regression analysis, functional status were significantly influenced by dyspnea, mood, age and fatigue. These variables explained 70 % of the variances in functional status.
CONCLUSION: The results suggest that psychophysiologic symptom management should be a focus to enhance the functional status in this group.
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