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ATTITUDE, SUBJECTIVE NORMS, PERCEIVED BEHAVIORAL CONTROL, AND INTENTION OF EGYPTIAN NURSES TOWARDS PREVENTION OF DEEP VEIN THROMBOSIS AMONG CRITICALLY ILL PATIENTS IN INTENSIVE CARE UNITS

Hebeshy, Mona Ibrahim
http://rave.ohiolink.edu/etdc/view?acc_num=kent1524226281287546

Abstract Details

2018, PHD, Kent State University, College of Nursing.
Background: Prevention of DVT is an effective method in reducing morbidity and mortality among critically patients in the intensive care units. Previous research has found nurses who lack motivation or have little support for practice change contributed to unsuccessful behavioral changes, suggesting that nurses' attitudes and beliefs strongly predict behavioral outcomes. The Theory of Planned Behavior (TPB) was used to investigate attitudes and behavioral relationships and to understand persons' behavioral intentions in relation to their performance. Furthermore, the TPB has not been used as a theory-based approach to predict nurses' intention to use DVT preventive measures in the ICU. Objective: The purposes of this study were 1) to develop a reliable and valid questionnaire to assess the constructs of the TPB in relation to nurses' intention to use DVT preventive measures and 2) to determine whether attitude, subjective norms, and perceived behavior control predict the ICU nurses' intention to use DVT preventive measures. Methods: A cross-sectional study was conducted on 78 ICU nurse of Suez Canal University Hospital in Egypt. Data was collected via online survey questionnaire based on the TPB constructs. The development of the intention to use DVT preventive measures' questionnaire included several steps. First, the instrument was constructed using the TBP construction guidelines, next the panel of experts provided critical feedback to the development of the questionnaire. After which, the questionnaire was piloted with eight ICU nurses. Results: Convergent and discriminant validity supported the construct validity of the instrument. Cronbach's alpha was >82 for the TPB scale. Correlation coefficient r = - .115 (p < .001), which did not support the association between intention to use DVT preventive measures and the GSE scales for criterion validity. The results revealed that subjective norms and perceived behavioral control were significant predictors of nurses' intention to use DVT preventive measures while attitude was not. The TPB explained 26 % of the variance in the Egyptian ICU nurses' intention. Conclusion: Subjective norms and perceived behavioral control is a powerful determinant of nurses' intention to use DVT preventive measures in the ICU. The findings support previous studies and the TPB in predicting nurses' intention. This study adds to our understanding of the variables predicting nurses' intention. Hence, the current study can serve as a practical basis for planning and implementing DVT prevention programs and/or articulating or revising the Egyptian hospital policies. Future research can build on the current study by seeking to replicate the findings reported here and expanding the list of demographic variables investigated. Also, to reexamine the scale in other cohorts of nurses.
Barbara Broome (Committee Chair)
Dana Hansen (Committee Co-Chair)
Carolyn Murrock (Committee Member)
Donna Bernert (Committee Member)
Somaya Abou Abdou (Committee Member)
149 p.
Nursing
DVT, ICU, Critically Ill Patients

Recommended Citations

Citations

  • Hebeshy, M. I. (2018). ATTITUDE, SUBJECTIVE NORMS, PERCEIVED BEHAVIORAL CONTROL, AND INTENTION OF EGYPTIAN NURSES TOWARDS PREVENTION OF DEEP VEIN THROMBOSIS AMONG CRITICALLY ILL PATIENTS IN INTENSIVE CARE UNITS [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1524226281287546

    APA Style (7th edition)

  • Hebeshy, Mona. ATTITUDE, SUBJECTIVE NORMS, PERCEIVED BEHAVIORAL CONTROL, AND INTENTION OF EGYPTIAN NURSES TOWARDS PREVENTION OF DEEP VEIN THROMBOSIS AMONG CRITICALLY ILL PATIENTS IN INTENSIVE CARE UNITS . 2018. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1524226281287546.

    MLA Style (8th edition)

  • Hebeshy, Mona. "ATTITUDE, SUBJECTIVE NORMS, PERCEIVED BEHAVIORAL CONTROL, AND INTENTION OF EGYPTIAN NURSES TOWARDS PREVENTION OF DEEP VEIN THROMBOSIS AMONG CRITICALLY ILL PATIENTS IN INTENSIVE CARE UNITS ." Doctoral dissertation, Kent State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1524226281287546

    Chicago Manual of Style (17th edition)

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© 2018, some rights reserved.Creative Commons License ATTITUDE, SUBJECTIVE NORMS, PERCEIVED BEHAVIORAL CONTROL, AND INTENTION OF EGYPTIAN NURSES TOWARDS PREVENTION OF DEEP VEIN THROMBOSIS AMONG CRITICALLY ILL PATIENTS IN INTENSIVE CARE UNITS by Mona Ibrahim Hebeshy is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by Kent State University and OhioLINK.