Romanian nurses’ beliefs on nursing diagnosis. A survey study based on the theory of planned behavior

IF 1.4 4区 医学 Q3 NURSING International Journal of Nursing Knowledge Pub Date : 2023-10-08 DOI:10.1111/2047-3095.12449
Laura Elena Gligor MSc RN, José Manuel Romero-Sánchez PhD RN, Horațiu Rusu PhD, Olga Paloma-Castro PhD RN, Carmen Daniela Domnariu PhD
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Abstract

Purpose

To identify clusters of beliefs about nursing diagnosis (ND) among Romanian hospital nurses and to ascertain variations in attitudes, intention to use, behavior associated with the use of ND, and sociodemographic characteristics.

Methods

A cross-sectional online survey study was conducted on a convenience sample of 498 hospital nurses in Romania. The questionnaire comprises six scales measuring normative, behavioral, and control beliefs, intention to use, attitudes, and behavior toward ND. Results were reported through cluster analysis.

Findings

Three clusters were identified: highly positive, average, and highly negative beliefs about ND. Romanian nurses have more homogeneous beliefs regarding ND than nurses from other countries. Comparisons among clusters showed significant differences in intention [H(2) = 111.59, p < 0.001], attitudes [H(2) = 145.27, p < 0.001], and reported behavior [H(2) = 43.84, p < 0.001]. The stronger the attitude toward ND, the intention to use it, and the behavior of using ND, the more favorable the beliefs and vice versa. Significant disparities among clusters were discovered regarding education in ND, whereas differences were not observed regarding years of experience, age, and gender.

Conclusion

Nurses exhibited different belief patterns about ND. Those with more positive beliefs demonstrated a more favorable attitude, a higher intention, and a more frequent behavior in using ND. Training in ND facilitates positive beliefs about it.

Implications for nursing practice

When designing interventions to promote ND in clinical practice, policymakers, administrators, and educators should consider addressing and potentially changing these beliefs. Modifying nurses’ attitudes could positively impact patient care quality during their hospital stay and post-discharge.

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罗马尼亚护士对护理诊断的看法。基于计划行为理论的调查研究。
目的:确定罗马尼亚医院护士对护理诊断(ND)的信念集群,并确定态度、使用意向、与ND使用相关的行为和社会人口学特征的变化。方法:对罗马尼亚498名医院护士进行横断面在线调查。该问卷包括六个量表,测量对ND的规范、行为和控制信念、使用意图、态度和行为。结果通过聚类分析报告。研究结果:确定了三个集群:对ND的高度积极、平均和高度消极的信念。罗马尼亚护士对ND的看法比其他国家的护士更加一致。集群之间的比较显示出意图的显著差异[H(2)=111.59,p结论:护士对ND表现出不同的信念模式。那些信念更积极的人在使用ND时表现出更积极的态度、更高的意图和更频繁的行为。ND培训有助于树立积极的信念。对护理实践的启示:在设计干预措施以促进临床实践中的ND时,政策制定者、管理者和教育工作者应考虑解决并潜在地改变这些信念。改变护士的态度可以对住院期间和出院后的患者护理质量产生积极影响。
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来源期刊
CiteScore
2.90
自引率
14.30%
发文量
47
审稿时长
>12 weeks
期刊介绍: The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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