DOI QR코드

DOI QR Code

Factors influencing nursing students' care intentions toward emerging infectious diseases patients: A descriptive-predictive study

  • Park, Seungmi (Department of Nursing Science, College of Medicine, Chungbuk National University) ;
  • Jang, Insun (Department of Nursing, Korean Bible University) ;
  • Yu, Soo-Young (College of Nursing, Chonnam National University)
  • Received : 2022.09.18
  • Accepted : 2022.10.11
  • Published : 2022.11.30

Abstract

Purpose: As coronavirus disease 2019 (COVID-19) and other emerging infectious diseases continue to threaten health security, a strategy is required to increase nursing students' care intention for patients with such diseases. This study aimed to identify factors influencing Korean nursing students' care intentions in regard to patients with emerging infectious diseases. Methods: The care intention, COVID-19 knowledge level, ethical sensitivity, beliefs, attitudes toward the care intention, subjective norms, and perceived behavioral control were investigated using the theory of planned behavior. An online survey was completed from December 2020 to January 2021 by 227 nursing students who had complete a clinical practicum. Descriptive statistics, correlation, and hierarchical regression analyses were conducted on the data. Results: The care intention was higher in men than in women nursing students and in junior than in senior students. Behavioral and normative beliefs, attitude toward the behavior, and perceived behavioral control significantly predicted care intention. Ethical sensitivity increased the predictability of nursing students' care intentions for emerging infectious disease patients. Conclusion: The theory of planned behavior predicted nursing students' care intentions for emerging infectious diseases. Therefore, an experience-based response program on emerging infectious diseases is required for nursing students.

Keywords

Acknowledgement

The authors would like to thank the nursing scholars for allowing us to use the instruments and tools to conduct this study.

References

  1. Ali I, Alharbi OML. COVID-19: Disease, management, treatment, and social impact. Science of the Total Environment. 2020;728:138861. https://doi.org/10.1016/j.scitotenv.2020.138861
  2. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Bio-Medica: Atenei Parmensis. 2020;91(1):157-160. https://doi.org/10.23750/abm.v91i1.9397
  3. Korean Law Information Center. Infectious disease control and prevention act [Internet]. Sejong: Korean Law Information Center; 2021 [cited 2021 May 26]. Available from: https://elaw.klri.re.kr/kor_mobile/viewer.do?hseq=53530&type=sogan&key=10
  4. Chou R, Dana T, Buckley DI, Selph S, Fu R, Totten AM. Epidemiology of and risk factors for coronavirus infection in health care workers: A living rapid review. Annals of Internal Medicine. 2020;173(2):120-136. https://doi.org/10.7326/M20-1632
  5. Choi JR, Ko IS, Yim YY. Factors influencing nursing students' performance of infection control. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(2):136-148. https://doi.org/10.7739/jkafn.2016.23.2.136
  6. Sutantri S, Putri AF, Ismiyati R. "Getting caught unprepared": A phenomenological study of Indonesian nurses dealing with difficulties when caring for patients with coronavirus disease (COVID-19). Nursing & Health Sciences. 2022;24(2):469-478. https://doi.org/10.1111/nhs.12944
  7. Vazquez-Calatayud M, Rumeu-Casares C, Olano-Lizarraga M, Regaira Martinez E. Nursing students' experience of providing frontline COVID-19 support: A qualitative study. Nursing & Health Sciences. 2022;24(1):123-131. https://doi.org/10.1111/nhs.12902
  8. Choi YE, Lee ES. A study on knowledge, attitude, infection management intention & educational needs of new respiratory infectious disease among nurses who unexperienced NRID (SARS & MERS). Journal of the Korea Academia-Industrial Cooperation Society. 2019;20(2):721-731. https://doi.org/10.5762/KAIS.2019.20.2.721
  9. Koh Y, Hegney DG, Drury V. Comprehensive systematic review of healthcare workers' perceptions of risk and use of coping strategies towards emerging respiratory infectious diseases. International Journal of Evidence-Based Healthcare. 2011;9(4):403-419. https://doi.org/10.1111/j.1744-1609.2011.00242.x
  10. Moon HJ, Park JY. Factors influencing intentions to care for emerging infectious disease patients among national and public hospitals nurses. Journal of Korean Academy of Fundamentals of Nursing. 2021;28(1):11-22. https://doi.org/10.7739/jkafn.2021.28.1.11
  11. Kim HS, Park JH. Predictors of MERS-related preventive behaviors performance among clinical practice students in a tertiary hospital. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(9):174-185. https://doi.org/10.5762/KAIS.2018.19.9.174
  12. Ben Natan M, Zilberstein S, Alaev D. Willingness of future nursing workforce to report for duty during an avian influenza pandemic. Research and Theory for Nursing Practice. 2015;29(4):266-275. https://doi.org/10.1891/1541-6577.29.4.266
  13. Tzeng HM. Nurses' professional care obligation and their attitudes towards SARS infection control measures in Taiwan during and after the 2003 epidemic. Nursing Ethics. 2004;11(3):277-289. https://doi.org/10.1191/096733004ne695oa
  14. Ajzen I. From intentions to actions: A theory of planned behavior. In: Kuhl J, Beckmann J, editors. Action control. Berlin, Heidelberg: Springer; 1985. p. 11-39.
  15. Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  16. Kang SY, Kim HW. Comparison of awareness about alcohol use during pregnancy among female college students by drinking levels: Using the theory of planned behavior. Journal of Korean Academy of Nursing. 2019;49(6):690-700. https://doi.org/10.4040/jkan.2019.49.6.690
  17. Kim Y, Lee CM, Kang SY. Development of a scale for alcohol drinking prevention behavior in early elementary school based on Ajzen's theory of planned behavior. Journal of Korean Academy of Nursing. 2020;50(2):210-227. https://doi.org/10.4040/jkan.2020.50.2.210
  18. Lee J, Kang SJ. Factors influencing nurses' intention to care for patients with emerging infectious diseases: Application of the theory of planned behavior. Nursing & Health Sciences. 2020;22(1):82-90. https://doi.org/10.1111/nhs.12652
  19. Ko NY, Feng MC, Chiu DY, Wu MH, Feng JY, Pan SM. Applying theory of planned behavior to predict nurses' intention and volunteering to care for SARS patients in southern Taiwan. The Kaohsiung Journal of Medical Sciences. 2004;20(8):389-398. https://doi.org/10.1016/S1607-551X(09)70175-5
  20. Jeong SY, Park HS, Wang HJ, Kim MJ. Intentions to care for new influenza A(H1N1) patients and influencing factors: An application of theory of planned behavior. Journal of Korean Academic Society of Home Health Care Nursing. 2015;22(1):78-87.
  21. Kim CJ, Yoo HR, Yoo MS, Kwon BE, Hwang KJ. Attitude, beliefs, and intentions to care for SARS patients among Korean clinical nurses: An application of theory of planned behavior. Journal of Korean Academy of Nursing. 2006;36(4):596-603. https://doi.org/10.4040/jkan.2006.36.4.596
  22. Alsahafi AJ, Cheng AC. Knowledge, attitudes and behaviours of healthcare workers in the Kingdom of Saudi Arabia to MERS coronavirus and other emerging infectious diseases. International Journal of Environmental Research and Public Health. 2016;13(12):1214. https://doi.org/10.3390/ijerph13121214
  23. Des Jarlais DC, Galea S, Tracy M, Tross S, Vlahov D. Stigmatization of newly emerging infectious diseases: AIDS and SARS. American Journal of Public Health. 2006; 96(3):561-567. https://doi.org/10.2105/AJPH.2004.054742
  24. Park SJ, Han JE, Kwak KH. The influence of nursing students' knowledge, attitudes and infection prevention behaviors for COVID-19 upon the nursing intention for patients with the emerging infectious diseases. The Journal of Korean Nursing Research. 2021;5(1):13-23. https://doi.org/10.34089/jknr.2021.5.1.13
  25. Yoo HR, Kwon BE, Jang YS, Youn HK. Validity and reliability of an instrument for predictive nursing intention for SARS patient care. Journal of Korean Academy of Nursing. 2005;35(6):1063-1071. https://doi.org/10.4040/jkan.2005.35.6.1063
  26. Yun SR. Correlations between nurses' knowledge of COVID-19 and infection control compliance, resilience, and psychosocial well-being [master's thesis]. Seoul: Chung-Ang University; 2020.
  27. Joung MY, Seo JM. Development of an ethical sensitivity scale for clinical nurses. Journal of Korean Academy of Fundamentals of Nursing. 2020;27(4):375-386. https://doi.org/10.7739/jkafn.2020.27.4.375
  28. Jung HJ. Development and application of self-directed simulation education program based on planned behavior theory: MERS scenario experience and nursing intention. Journal of Humanities and Social Sciences. 2018;9(2):1035-1048. https://doi.org/10.22143/HSS21.9.2.82