|Author:||Chow, Chum-ming Meyrick|
|Title:||Identification of factors that influence the behavioural intentions of nurses toward mechanically ventilated patients : a test of the theory of reasoned action|
|Subject:||Hong Kong Polytechnic University -- Dissertations|
Nurse and patient
|Department:||School of Nursing|
|Pages:||xii, 317 leaves : ill. ; 30 cm|
|Abstract:||Nurses operate in complex environments where teams interact with technology. A preliminary study conducted by the author found that nurses perceived the mechanical ventilator as the medical device that they were least competent to operate. Yet, nurses in Hong Kong have to take care of ventilator-dependent patients both in general wards and intensive care units. Little is reflected in the literature regarding nurses' behavioural intention towards this particularly vulnerable group of patients. Through testing the theoretical framework, the Theory of Reasoned Action (TRA), as applied to nurses, it is possible to determine the behavioural intention of nurses toward ventilated patients, as well as the factors affecting the acquisition of such intention. This study has significance for the discipline and practice of nursing, and also for ventilator-dependent patients who are receiving the direct care of nurses. Data were collected via the "Attitude, Subjective Norm, and Behavioural Intention of Nurses Toward Mechanically Ventilated Patients" (ASIMP) questionnaire, which was developed using standard TRA method. The sampling population included nurses working in four hospitals under the management of the Hospital Authority and located in Kowloon, Hong Kong Island, and New Territories regions of Hong Kong. For the final analysis there were 562 usable questionnaires. The model was analyzed with SPSS AMOS 4.0. The overall fit of the model to the data was good, as judged by a comparative fit index (CFI) of 1 and a chi-square of 1.13 (df = 3, p = 0.77). Results of this study showed that nurses' subjective norm and attitude related significantly to their behavioural intention toward ventilated patients. There was a significant postive relationship between subjective norm and attitude. These two latent constructs accounted for 32% of the variance in behavioural intention toward ventilated patients. It appears that attitude and subjective norm are what direct the behavioural intention of nurses toward ventilated patients. Implications and recommendations for nursing practice, education and research are suggested, such as changing the salient beliefs of nurses and communicating the expectations of important others to nurses in order to improve the quality of ventilatory care.|
|Rights:||All rights reserved|
Files in This Item:
|b18181041.pdf||For All Users (off-campus access for PolyU Staff & Students only)||1.78 MB||Adobe PDF||View/Open|
As a bona fide Library user, I declare that:
- I will abide by the rules and legal ordinances governing copyright regarding the use of the Database.
- I will use the Database for the purpose of my research or private study only and not for circulation or further reproduction or any other purpose.
- I agree to indemnify and hold the University harmless from and against any loss, damage, cost, liability or expenses arising from copyright infringement or unauthorized usage.
By downloading any item(s) listed above, you acknowledge that you have read and understood the copyright undertaking as stated above, and agree to be bound by all of its terms.
Please use this identifier to cite or link to this item: