scholarly journals What factors influence older people’s intention to enrol in nursing homes? A cross-sectional observational study in Shanghai, China

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021741 ◽  
Author(s):  
Mengyun Luo ◽  
Yajiong Xue ◽  
Shunxing Zhang ◽  
Yuanyuan Dong ◽  
Dandan Mo ◽  
...  

ObjectivesGiven the increasing need of long-term care and the low occupancy rate of nursing homes in Shanghai, this study attempts to explore what factors influence older people’s intention to enrol in nursing homes.DesignA cross-sectional observational study based on the theory of reasoned action was conducted. Survey data were collected from subjects during face-to-face interviews. Structural equation modelling was employed for data analysis.SettingThis study was conducted in six community health service centres in Shanghai, China. Two service centres were selected in urban, suburban and rural areas, respectively.ParticipantsA total of 641 Shanghai residents aged over 60 were surveyed.ResultsStructural equation modelling analysis showed that the research model fits the data well (χ2/df=2.948, Comparative Fit Index=0.972 and root mean squared error of approximation =0.055). Attitude (β=0.41, p<0.01), subjective norm (β=0.28, p<0.01) and value-added service (β=0.16, p<0.01) were directly associated with enrolment intention, explaining 32% of variance in intention. Attitude was significantly influenced by loneliness (β=−0.08, p<0.05), self-efficacy (β=0.32, p<0.01) and stigma (β=−0.24, p<0.01), while subjective norm was significantly influenced by life satisfaction (β=−0.15, p<0.01) and stigma (β=−0.43, p<0.01).ConclusionsThis study advances knowledge regarding the influencing factors of older people’s intention to enrol in nursing homes. It suggests that Chinese older persons’ perceived stigma has the strongest indirect effect on their intention to enrol in nursing homes. This is unique to the Chinese context and has practical implications for eldercare in China and other Asian countries with similar sociocultural contexts.

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A28.3-A29
Author(s):  
Joshua Adekeye ◽  
Eustasius Musenge ◽  
Oyedunni Arulogun

BackgroundThere is paucity of literature on organisational readiness in the health space. Previous studies focus on epidemic preparedness and often depict readiness as a minor element in the implementation space. This study investigated the predictors of health institutional readiness to implement innovations for combating an Ebola epidemic outbreak in Nigeria.MethodsThe cross-sectional, mixed methods design was employed. The study population was 785 health care workers and non-health workers working at University of Port-Harcourt Teaching Hospital (Nigeria). The purposive sampling was used for qualitative study while the stratified random sampling technique was utilised for the quantitative study. Qualitative data were collected from fifteen respondents while a total of 511 questionnaires were administered at the study site. The qualitative data was analysed using inductive thematic analysis. The quantitative data was analysed using structural equation modelling (SEM).ResultsThe qualitative study suggested that quality improvement was perceived as most useful in influencing all the tree sub-components of readiness. Training is perceived as most useful in building readiness while it is perceived to be moderately useful in influencing the sub-component of readiness. The OLS estimates indicates that QI/QA exert a positive and significant effect on motivation (β=0.004, p<0.05) and general capacity score (β=0.28 p<0.05) while it inversely but significantly exerts influence on innovation specific capacity (β=−0.21×10–3, p<0.05). The SEM/pathway analysis shows the direct and indirect routes of interactions among predictors of readiness after adjusting for confounders. All the explanatory variables have significant effect on readiness except gender which was dropped from the final model.ConclusionThe strength of evidence of how an evidence-based system for innovation support can influence readiness was established. Though readiness is a rate-determining step in ensuring robust and effective implementation outcomes for epidemic containment, exploring innovation outcomes and their amplification through explicitly target readiness dynamics requires further investigation.


Due to the rise of media technology and the abundance of Social Media platforms, healthcare awareness and information gathering are simple, easy, and efficient. This study also aims to investigate the role of Social Media to obtain Coivd-19 information and updates. The researcher used the cross-sectional study design and selected a sample of n= 265 respondents from Islamabad, Pakistan. Further, to validate the phenomenon, the researcher developed and tested the self-structured model using Structural Equation Modelling. The SEM analysis involved Internal consistency assessments, Coefficients of Determination R2, and Path Analysis. Findings indicated a strong significant relationship between Social Media, Ease of Access (p≥ .000), Ease of Use (p≥ .011), Internet Availability (p≥ .013), and Information Acceptance (p≥ .042). Thus the results revealed a significant role of Social Media to spread Covid-19 awareness reinforcing positive healthcare attitudes among the public. Therefore, the researcher suggests more studies on the proposed research model, to scrutinize the role of the Social Media infodemic during the Coronavirus outbreak.


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Harmatuti Harmatuti

Perdarahan pasca persalinan masih tinggi kejadiannya dikarenakan masih rendahnya perilaku pencegahan yang dilakukan saat masa kehamilan. Beberapa upaya yang dapat mengurangi gangguan fisik maupun psikis seperti  promosi hidup sehat serta deteksi awal dapat diterapkan dalam strategi pencegahan perdarahan pasca persalinan. Penelitian ini bertujuan mengetahui pengaruh pemberdayaan, peran suami, peran peer group, status kesehatan, pengetahuan dan sikap terhadap perilaku ibu hamil dalam pencegahan perdarahan pasca persalinan di RS Kesdam Cijantung Tahun 2019. Metode penelitian yang digunakan yaitu kuantitatif dengan desain cross-sectional. Analisis data menggunakan smartPLS 2.0 dan SPSS 18. Hasil pengujian hipotesis menggunakan Structural Equation Modelling (SEM) temuan penelitian yakni pemberdayaan (16,58%), peran suami (4,8%), peran peer group (18,30%), status kesehatan (24,37%), pengetahuan (10,07%) dan sikap (10,50%), pengaruh langsung perilaku ibu hamil dalam pencegahan perdarahan pasca persalinan sebesar 84,61%, dan pengaruh tidak langsung sebesar 1,1%. Status kesehatan merupakan faktor dominan yang sangat mempengaruhi perilaku ibu hamil dalam pencegahan perdarahan pasca persalinan. Peneliti menyarankan agar beberapa pihak bekerja sama untuk membantu ibu hamil dalam pencegahan perdarahan pasca persalinan.


2016 ◽  
Vol 47 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Frederick Stander ◽  
Sebastiaan Rothmann ◽  
Elrie Botha

Information is needed regarding the antecedents and outcomes of flourishing, particularly in sports contexts, where the study of this optimal well-being state has remained largely unexplored. This study examined the role of strength use to facilitate flourishing, enhance team embeddedness, and counter withdrawal behaviour of athletes. It further investigated the role of flourishing to retain athletes to their sport and teams and examined the role of team embeddedness in this relationship. A cross-sectional research design was utilised with structural equation modelling to assess model fit and examine postulated relationships. The sample comprised 235 student athletes. The results suggested that team strength use predicts flourishing. It further revealed positive paths to team embeddedness from both individual and team strength use. Flourishing was also positively related to team embeddedness. Lastly, a negative association was found between team embeddedness and withdrawal behaviour among the athletes.


2020 ◽  
Vol 1 (1) ◽  
pp. 47-61 ◽  
Author(s):  
Chris Ryan

Purpose After expressing an initial disquiet about the nature of many studies that are published using structural equation modelling (SEM), a rationale for using the technique is provided. Given the advantages provided by the technique, the differences between covariance-based and partial least squares techniques are briefly described. The argument progresses by indicating assumptions behind the techniques and what it is that referees require before being able to properly referee the paper. Some issues are fundamental to survey-based materials and include the requirement to distinguish between importance and discriminatory power, and the over-dependency on cross-sectional analysis when making claims of generalisation. Other issues of scale creation and sample size are touched upon. This paper finishes by suggesting a checklist for referees who are asked to review papers using SEM.


2020 ◽  
Vol 2 (3) ◽  
pp. 765
Author(s):  
Leonardo Tan ◽  
Keni Keni

The purpose of this paper is to examine whether 1) E-WOM and subjective norm can predict purchase intention 2) E-WOM and subjective norm can predict brand attitude 3) brand attitude can predict purchase intention 4) brand attitude mediates the prediction E-WOM and subjective norm on purchase intention. The conceptual model and the analysis of related hypotheses were based on a convenience sampling of one of bubble tea brand’s consumers based in Jakarta. The data were collected using quetionnaire. In total, 153 participants responded to the survey. Structural equation modelling (SEM), specifically partial least square (PLS) was employed to analyze the data. The results indicate that E-WOM and subjective norm are positive and significant predictors towards brand attitude. E-WOM and brand attitude are positive and significant predictors towards purchase intention. brand attitude is positive and significant mediate E-WOM and subjective norm towards purchase intention. While subjective norm is negative and significant predictors towards purchase intention. Theoretical and practical contributions are discussed. Tujuan dari penelitian ini adalah untuk menguji apakah 1) E-WOM dan subjective norm dapat memprediksi purchase intention 2) E-WOM dan subjective norm dapat memprediksi brand attitude 3) brand attitude dapat memprediksi purchase intention 4) brand attitude dapat memediasi prediksi E-WOM dan subjective norm terhadap purchase intention. Penelitian ini menggunakan metode convenience sampling terhadap konsumen salah satu merek minuman boba yang berdomisili di Jakarta. Data dikumpulkan menggunakan kuesioner dan data yang terkumpul sebanyak 153 responden. Teknik analisis data yang digunakan dalam penelitian ini yaitu menggunakan structural equation modelling (SEM), tepatnya yaitu partial least square (PLS). Hasil dari penelitian ini menunjukkan bahwa EWOM dan subjective norm memprediksi secara positif dan signifikan terhadap brand attitude. E-WOM dan brand attitude memprediksi secara positif dan signifikan terhadap purchase intention. brand attitude memediasi prediksi E-WOM dan subjective norm terhadap purchase intention secara positif dan signifikan, sedangkan subjective norm memprediksi secara signifikan dan negatif terhadap purchase intention. Kontribusi teoritikal dan praktikal juga dibahas dalam penelitian ini.


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