Test of the Fishbein and Ajzen models as predictors of health care workers' glove use

Levin, Pamela F.

doi:10.1002/(sici)1098-240x(199908)22:4<295::aid-nur4>3.0.co;2-n

Cited by 55 publications

(27 citation statements)

References 30 publications

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“…Other clinicians included pharmacists [85,88,90,94], dentists [83,95], mental health professionals [86,87], psychologists [35], social workers [91], and a mix of different professions [84,89,92,93]. Among studies of physicians' intention, the prediction of intention related to clinical practice ( e.g.…”

Section: Resultsmentioning

confidence: 99%

Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories

et al. 2008

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Background: There is an important gap between the implications of clinical research evidence and the routine clinical practice of healthcare professionals. Because individual decisions are often central to adoption of a clinical-related behaviour, more information about the cognitive mechanisms underlying behaviours is needed to improve behaviour change interventions targeting healthcare professionals. The aim of this study was to systematically review the published scientific literature about factors influencing health professionals' behaviours based on social cognitive theories. These theories refer to theories where individual cognitions/thoughts are viewed as processes intervening between observable stimuli and responses in real world situations.

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Section: Resultsmentioning

confidence: 99%

Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories

et al. 2008

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“…Examples include smoking cessation [25], condom use [26], healthcare worker glove use [27], and nurses’ pain management behaviour [28]. The TPB has also been suggested as a framework for assessing and teaching professionalism [29, 30].…”

Section: Diagnosing Ownership Problemsmentioning

confidence: 99%

Ownership of patient care: a behavioural definition and stepwise approach to diagnosing problems in trainees

et al. 2013

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In medical education, behavioural definitions allow for more effective evaluation and supervision. Ownership of patient care is a complex area of trainee development that crosses multiple areas of evaluation and may lack clear behavioural definitions. In an effort to define ownership for educational purposes, the authors surveyed psychiatry teaching faculty and trainees about behaviours that would indicate that a physician is demonstrating ownership of patient care. Emerging themes were identified through analysis of narrative responses in this qualitative descriptive study. Forty-one faculty (54 %) and 29 trainees (52 %) responded. Both faculty and trainees identified seven core elements of ownership: advocacy, autonomy, commitment, communication, follow-through, knowledge and teamwork. These seven elements provide a consensus-derived behavioural definition that can be used to determine competency or identify deficits. The proposed two-step process enables supervisors to identify problematic ownership behaviours and determine whether there is a deficit of knowledge, skill or attitude. Further, the theory of planned behaviour is applied to better understand the relationship between attitudes, intentions and subsequent behaviour. By structuring the diagnosis of problems with ownership of patient care, supervisors are able to provide actionable feedback and intervention in a naturalistic setting. Three examples are presented to illustrate this stepwise process.

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“…Both the TRA and TPB have been useful in predicting various adherence intentions and behaviours including exercise programmes (Norman & Smith, 1995); antimalarial prophylaxis (Abraham et al, 1999); antihypertensive medication (Miller et al, 1992); and blood donation (Amponsah et al, 2000). Levin (1999) investigated whether the TRA or TPB could predict self-report glove use in health care workers. They found that the TRA was the most parsimonious predictor, explaining 70% of self-report glove use; although a study investigating physicians' intentions to wear gloves found that all three TPB constructs, including perceived behavioural control, were the most important predictors of intention to wear gloves (Godin et al, 1998).…”

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confidence: 99%

Which cognitive factors predict clinical glove use amongst nurses?

Watson¹,

Myers²

2001

Psychol. Health Med.

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Since the advent of awareness to the human immunodeficiency virus (HIV) in the early 1980s, much attention has been focused on the risks of infection faced by health care personnel in clinical settings. Although professional guidelines have been published in an attempt to limit the risk of exposure to such individuals, it would appear that optimal adherence is inadequate. One hundred and three registered nurses completed a questionnaire including items on actual glove use behaviour, barriers and Theory of Planned Behaviour variables (perceived behavioural control, intention, attitude and subjective norms). Multiple regression analyses revealed that the proposed model was successful in explaining 45% and 61% of the variance in intention and behaviour, respectively. Attitudes, perceived behavioural control and the amount of anticipated contact with blood were significant predictors of intention. Intention and perceived time availability to wear gloves were significant predictors of behaviour. Furthermore, nurses appeared to display a considerable degree of selectivity with respect to glove use based on patients infection status. It is concluded that future interventions should emphasize the importance and efficacy of wearing gloves in all situations where contact with blood could occur, irrespective of the procedure performed or the volume of blood anticipated.

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Test of the Fishbein and Ajzen models as predictors of health care workers' glove use

Cited by 55 publications

References 30 publications

Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories

Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories

Ownership of patient care: a behavioural definition and stepwise approach to diagnosing problems in trainees

Which cognitive factors predict clinical glove use amongst nurses?

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