Predicting Factors of Nurses' Intention to Care for COVID-19 Patients based on the Theory of Planned Behavior: The Moderating Effect of Perceived Behavior Control
10.22650/JKCNR.2024.30.1.24
- Author:
Beob Wang AHN
1
;
Mi YU
Author Information
1. Department of Nursing, Gyeongsang National University Hospital, Jinju, Korea
- From:
Journal of Korean Clinical Nursing Research
2024;30(1):24-34
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:This study aimed to identify factors influencing nurses' intention to care for COVID-19 patients based on the theory of planned behavior, and to test the moderating effect of perceived behavior control between attitude, subjective norms, and nurses' intention to care.
Methods:The participants were 167 nurses working at two designated hospitals for infectious diseases located in J and C city, South Korea. Data were collected from October 10th to 25th, 2020, and analyzed using independent t-test, ANOVA, and Pearson correlation coefficient, and hierarchical multiple regression analysis. The moderating effect was analyzed using the Process Macro model 1 (95% confidence interval, 10,000 bootstrapping), and a simple slope analysis was performed to identify the moderating effect of perceived behavior control.
Results:The factors affecting nurses’ intention to care for patients with COVID-19 were attitude toward the behavior (β=.32, p<.001) and perceived behavior control (β=.37, p<.001) in model 1, attitude toward the behavior (β=.28, p<.001) and perceived behavior control (β=.36, p<.001), and perspective taking (β=.26, p<.001) in model 2. The explanation power of this model was 65.0% (F=18.41, p<.001). The moderating effect of perceived behavioral control was statistically significant in the relationship between subjective norms and intention to care for patients with COVID-19 (F=16.37, p<.001). In the simple slope analysis, the reinforcement effect was greatest when the level of perceived behavioral control was at the mean (95% CI=0.46~0.67) and high (95% CI=0.70~1.08).
Conclusion:Developing and applying a training program that enhances confidence and improves empathy is necessary to increase nurses’ intention to care for COVID-19 patients.