Sudan Journal of Medical Sciences
ISSN: 1858-5051
High-impact research on the latest developments in medicine and healthcare across MENA and Africa
Understanding Factors Contributing to Nurses’ Intention to Care for COVID-19 Patients Using the Theory of Planned Behavior
Published date: Dec 31 2021
Journal Title: Sudan Journal of Medical Sciences
Issue title: Sudan JMS: Volume 16 (2021), Issue No. 4
Pages: 546–557
Authors:
Abstract:
Background: Globally, the nursing community has lost several colleagues during the Coronavirus Disease 2019 (COVID-19) battle. One of the negative consequences of the disease is the pressure on healthcare services and demands that exceed the system's capacity to provide sufficient resources. Similarly, the experiences of care providers might trigger emotional and physical stress, which could affect the healthcare system's readiness to manage infectious outbreaks. This study was aimed at investigating nurses’ intention to care for COVID-19 patients and determining factors contributing to their intentions to care at the Ministry of Health facilities in Saudi Arabia.
Methods: This descriptive cross-sectional survey design was used to recruit 336 nurses working in Al Madinah Ministry of Health hospitals where COVID-19 patients received medical and nursing care. The instrument was created following the framework of the Theory of Planned Behavior.
Results: Nurses’ intention to care for COVID-19 patients was significantly correlated with their education level, nationality, knowledge about COVID-19, and nurses’ exposure during their earlier education for emerging infectious diseases. Factors related to social pressure from friends, colleagues, and workplace administration support needed improvement. Examining the model fits through multiple regression revealed that the combination of six subscales – “attitude, subjective norms, perceived behavioral control, behavioral beliefs, normative beliefs, and control beliefs” – accounted for a significant (89%) variability of intention to care, R2 = 0.892, adjusted R2 = 0.793, F (6-329) = 201, p ≤ 0.000.
Conclusion: Providing nursing education is the main predictor of higher nurses' intention to care for COVID-19 patients, it is imperative that nursing education courses should continue investing in enhancing nurses' capabilities in caring for COVID-19 patients.
Keywords: nurses, intention, COVID-19, Saudi Arabia
References:
[1] Oaks Jr., S. C., Shope, R. E., and Lederberg, J. (Eds.). (1992). Emerging infections: microbial threats to health in the United States. National Academies Press.
[2] Daszak, P., Cunningham, A. A., and Hyatt, A. D. (2000). Emerging infectious diseases of wildlife--threats to biodiversity and human health. Science, vol. 287, no. 5452, pp. 443–449.
[3] MOH. (2020). Novel Coronavirus: (COVID-19). Retrieved from: https://www.moh.gov.sa/en/HealthAwareness/EducationalContent/Corona/Pages/corona.aspx
[4] World Health Organization. (2020). Coronavirus disease 2019 (COVID-19): situation report, 51. WHO. Retrieved from: https://apps.who.int/iris/handle/10665/331475
[5] Lee, J. and Kang, S. J. (2020). Factors influencing nurses' intention to care for patients with emerging infectious diseases: Application of the theory of planned behavior. Nursing & Health Sciences, vol. 22, no. 1, pp. 82–90.
[6] Xie, J., Tong, Z., Guan, X., et al. (2020). Critical care crisis and some recommendations during the COVID-19 epidemic in China. Intensive Care Medicine, vol. 46, pp. 837–840.
[7] Khalid, I., Khalid, T. J., Qabajah, M. R., et al. (2016). Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research, vol. 14, no. 1, pp. 7–14.
[8] Maunder, R. G., Lancee, W. J., Balderson, K. E., et al. (2006). Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerging Infectious Diseases, vol. 12, no. 12, pp. 1924–1932.
[9] Kim, J. S. and Choi, J. S. (2016). Factors predicting clinical nurses' willingness to care for Ebola virus disease‐infected patients: a cross‐sectional, descriptive survey. Nursing & Health Sciences, vol. 18, no. 3, pp. 299–305.
[10] Al-Rabiaah, Abdulkarim, Temsah M.-H., Al-Eyadhy, A. A., et al. (2020). Middle East Respiratory Syndrome – Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. Journal of Infection and Public Health, vol. 13, no. 5, pp. 687–691.
[11] Al Ghobain, M., Aldrees T., Alenezi, A., et al. (2017). Perception and attitude of emergency room resident physicians toward Middle East Respiratory Syndrome outbreak. Emergency Medicine International, vol. 2017, article 6978256.
[12] Raosoft. (2004). Sample size calculator. Retrieved from: http://www.raosoft.com/samplesize.html
[13] Yoo, H. R., Kwon, B. E., Jang, Y. S., et al. (2005). Validity and reliability of an instrument for the predictive nursing intention for SARS patient care. Journal of Korean Academy of Nursing, vol. 35, no. 6, pp. 1063–1071.
[14] Ajzen, I. (2002). Constructing a TPB questionnaire: conceptual and methodological considerations. Retrieved from: http://chuang.epage.au.edu.tw/ezfiles/168/1168/attach/20/pta_41176_7688352_57138.pdf
[15] Ajzen, I. (2006). Constructing a theory of planned behavior questionnaire. Retrieved from: http://www.people.umass.edu/aizen/ tpb.html
[16] Fleiss, J. L. (2011). Design and analysis of clinical experiments (vol. 73). John Wiley & Sons.
[17] Ko, N.-Y., Feng, M.-C., Chiu, D.-Y., et al. (2004). Applying the theory of planned behavior to predict nurses' intention and volunteering to care for SARS patients in southern Taiwan. The Kaohsiung Journal of Medical Sciences, vol. 20, no. 8, pp. 389–398.
[18] Alshmemri, M., Shahwan-Akl, L., and Maude, P. (2016). Job satisfaction of Saudi nurses working in Makkah region public hospitals, Saudi Arabia. Life Science Journal, vol. 13, no. 12, pp. 22–33.
[19] Huh, S. (2020). How to train health personnel to protect themselves from SARS-CoV-2 (novel coronavirus) infection when caring for a patient or suspected case. Journal of Educational Evaluation for Health Professions, vol. 17, no. 10.
[20] Legido-Quigley, H., Mateos-García, J. T., Campos, V. R., et al. (2020). The resilience of the Spanish health system against the COVID-19 pandemic. The Lancet Public Health, vol. 5, no. 5, pp. e251–e252.
[21] Via‐Clavero, G., Guàrdia-Olmos, J., Gallart-Vivé E., et al. (2019). Development and initial validation of a theory of planned behavior questionnaire to assess critical care nurses’ intention to use physical restraints. Journal of Advanced Nursing, vol. 75, no. 9, pp. 2036–2049.