Factors influencing critical care nurses’ intentions to use physical restraints adopting the theory of planned behaviour: A cross-sectional multicentre study

2020 ◽  
Vol 33 (5) ◽  
pp. 426-435
Author(s):  
Gemma Via-Clavero ◽  
Joan Guàrdia-Olmos ◽  
Anna Falcó-Pegueroles ◽  
Diana Gil-Castillejos ◽  
Anna Lobo-Cívico ◽  
...  
2018 ◽  
Vol 26 (5) ◽  
pp. 1458-1472 ◽  
Author(s):  
Gemma Via-Clavero ◽  
Marta Sanjuán-Naváis ◽  
Marta Romero-García ◽  
Laura de la Cueva-Ariza ◽  
Gemma Martínez-Estalella ◽  
...  

Background: Despite the reported harms and ethical concerns about physical restraint use in the critical care settings, nurses’ intention to apply them is unequal across countries. According to the theory of planned behaviour, eliciting nurses’ beliefs regarding the use of physical restraints would provide additional social information about nurses’ intention to perform this practice. Aim: To explore the salient behavioural, normative and control beliefs underlying the intention of critical care nurses to use physical restraints from the theory of planned behaviour. Research design: A belief elicitation study was conducted. Participants and research context: Twenty-six critical care nurses were purposively sampled across gender, work-shift patterns and professional experience in five intensive care units of three hospitals in Spain. Data were obtained from a nine-item open-ended questionnaire and a focus group. Deductive content analysis was performed. Ethical considerations: Ethical approval was obtained from the hospital ethics committee. Participants were assured their participation was voluntary. Findings: Nurses framed the use of restraints as a way of prioritising patients’ physical safety. They referred to contextual factors as the main reasons to justify their application. Nurses perceived that their decision is approved by other colleagues and the patients’ relatives. Some nurses started advocating against their use, but felt powerless to change this unsafe practice within an unfavourable climate. Control beliefs were linked to patients’ medical condition, availability of alternative solutions, analgo-sedation policies and work organisation. Discussion: Safety arguments based on the surrounding work environment were discussed. Conclusion: Nurses’ behavioural and control beliefs were related. Nurses should be trained in alternatives to physical restraint use. The impact of analgo-sedation protocols, relatives’ involvement, leadership support and intensive care unit restraint policies on physical restraint practices need to be revised. Further research is required to explore why nurses do not act with moral courage to change this harmful practice.


2019 ◽  
Vol 75 (9) ◽  
pp. 2036-2049 ◽  
Author(s):  
Gemma Via‐Clavero ◽  
Joan Guàrdia‐Olmos ◽  
Elisabeth Gallart‐Vivé ◽  
Susana Arias‐Rivera ◽  
Aaron Castanera‐Duro ◽  
...  

2021 ◽  
Vol 13 (4) ◽  
pp. 1954
Author(s):  
Daan Kabel ◽  
Mattias Elg ◽  
Erik Sundin

The lack of consumer acceptance for remanufactured products is preventing the transition towards sustainable consumption. When knowledge about remanufacturing among consumers is limited, more insight is required into the consumer’s expectations. The purpose of this paper is to examine the consumer’s expectations and willingness to engage in sustainable purchasing behaviour when considering buying remanufactured robotic lawn mowers. The theory of planned behaviour and variables from green marketing help form the research model, which was tested empirically using survey data from 118 samples. The results indicate that sustainable purchasing behaviour of remanufactured robotic lawn mowers is primarily influenced by the consumer’s attitude and evaluation of the remanufactured product, and less so by external influences. Consumers expecting high product quality, low price, and low risk, had a positive evaluation and were therefore more willing to engage in sustainable purchasing behaviour of remanufactured robotic lawn mowers. More concisely, consumers value performance and price reductions, and worry about the time the remanufactured robotic lawn mower remains functional. Environmental knowledge among consumers is sufficient but cannot be fully translated into positive evaluations and sustainable purchases of remanufactured robotic lawn mowers. This research provides guidance for how remanufacturing firms can improve their circular marketing and remanufacturing strategies.


2009 ◽  
Vol 20 (5) ◽  
pp. 346-350 ◽  
Author(s):  
G Webber ◽  
N Edwards ◽  
I D Graham ◽  
C Amaratunga ◽  
I Gaboury ◽  
...  

Cambodia has one of the highest prevalence rates of HIV in Asia and is scaling up HIV testing. We conducted a cross-sectional survey with 358 health care providers in Phnom Penh, Cambodia to assess readiness for voluntary testing and counselling for HIV. We measured HIV knowledge and attitudes, and predictors of intentions to take a sexual history using the Theory of Planned Behaviour. Over 90% of health care providers correctly answered knowledge questions about HIV transmission, but their attitudes were often not positive towards people living with HIV. The Theory of Planned Behaviour constructs explained 56% of the variance in intention to take a sexual history: the control providers perceive they have over taking a sexual history was the strongest contributor (51%), while social pressure explained a further 3%. Attitudes about taking a sexual history did not contribute to intention. Interventions with Cambodian health care providers should focus on improving skills in sexual history-taking.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kojo Kakra Twum ◽  
Daniel Ofori ◽  
Gloria Kakrabah-Quarshie Agyapong ◽  
Andrews Agya Yalley

Purpose This study examines the factors influencing intention to vaccinate against COVID-19 in a developing country context using the theory of planned behaviour (TPB) and health belief model (HBM). Design/methodology/approach Through a cross-sectional survey design, the study adopted a quantitative approach to data collection and analysis. The study used an online survey to collect data from 478 respondents eligible to take the COVID-19 vaccine in Ghana. Findings Attitude, social norm, perceived behavioural control, perceived susceptibility and cues to action were found to be predictors of COVID-19 vaccination intention. The results also showed that perceived severity, perceived benefits and perceived barriers did not predict COVID-19 vaccination intention. Practical implications To enhance the effectiveness of COVID-19 social marketing campaigns, social marketing theories such as the TPB and HBM can aid in assessing the intention of the target population to take the vaccines. An assessment of vaccination intention will help understand disease threat perception and behavioural evaluation. The consideration of the effect of demography on vaccination intention will aid in developing effective campaigns to satisfy the needs of segments. Originality/value This study adds to the limited research on understanding citizens’ intention to vaccinate against COVID-19 by combining the TPB and HBM to predict vaccination intention. The study contributes towards the use of social marketing practices to enhance the efficacy of vaccination campaigns.


2017 ◽  
Vol 6 (1) ◽  
pp. 11
Author(s):  
Amal Abd El-Hafez1 ◽  
Asmaa Mahjoub ◽  
Eman Ahmad

Background: Acute kidney injury (AKI) is one of the most challenging and serious complications of pregnancy and postpartum period that facing critical care nurses in Intensive Care Unit (ICU). Having a uniform standard for identifying and classifying AKI would enhance critical care nurses’ ability to recognize these patients and leading to better outcomes.Objective: This work aimed to explore the risk factors and outcome of early identified acute kidney injury of critically obstetric patients in Obstetric ICU. Design. A descriptive cross sectional research design was used in this study. Participants: A total sample of 338 women admitted to Obstetric ICU at Woman Health Hospital, Assiut City, Egypt. Method: Three tools were used.Tool I was developed by the researcher and included demographic and obstetric history, lab parameters, complications and outcomes arising from AKI. The Sequential Organ Failure Assessment (SOFA) score as tool II to determine the extent of a patient's organ function or rate of failure. Measurement of serum creatinine and urine output were used to early identify AKI stages according to Acute Kidney Injury Network (AKIN) Criteria (tool III). Results: The prevalence of AKI among obstetric patients admitted to obstetric ICU was 10.1%; of them 52.9% needed renal replacement therapy and the mortality rate was 29.4%. Postpartum hemorrhage was the most common cause of AKI and its prevalence was 41.2%. It was also found that 74.5% of AKI patients developed complications. Conclusion: AKI complicated 10.1% of total admitted women to the OICU in the studied period. Postpartum hemorrhage represents the most prevalent risk factors with a highly significant SOFA score compared to other risk factors as sever preeclampsia, eclampsia, HEELP & APH with acute fatty liver.


2021 ◽  
Vol 6 (11) ◽  
pp. 358-365
Author(s):  
Oraphan Leenanithikul

As environmental problems keep being concerned by many parties, not only actors in the production side are accused as roots of the problem, the consumer side should not also be neglected. Since it has been suggested that pro-environmental intention will probably lead to some responsible behavior, this study aims to explore factors influencing consumers’ pro-environmental behavioral intention by applying the framework of the theory of planned behavior (TPB). The study focused on exploring the behavior of international tourists from Russia, Australia and China who travel in Phuket Province, Thailand. The result of multiple regression analysis indicated that all factors were positively predictors of pro-environmental intention. Perceived behavioral control provided the highest impact (Beta = 0.543) whereas attitude toward pro-environmental behavior (Beta = 0.140) and subjective norms (Beta = 0.140) provided the lower impact and finally, perceived value (Beta = 0.087) provided the lowest impact.


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