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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
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Healthcare.2024; 12(3): 285. CrossRef - Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
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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
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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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