Development and initial validation of a Theory of Planned Behaviour questionnaire to assess critical care nurses' intention to use physical restraints.
Adult
Attitude of Health Personnel
Critical Care Nursing
/ standards
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Nursing Staff, Hospital
/ psychology
Pilot Projects
Program Development
Psychometrics
Reproducibility of Results
Restraint, Physical
/ psychology
Spain
Surveys and Questionnaires
Theory of Planned Behaviour
instrument development
intensive care units
intention
nursing
psychometric studies
reliability
restraint physical
validity
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
13
11
2018
revised:
22
02
2019
accepted:
27
02
2019
pubmed:
16
5
2019
medline:
13
2
2020
entrez:
16
5
2019
Statut:
ppublish
Résumé
To develop and psychometrically test a Theory of Planned Behaviour (TPB) questionnaire to assess nurses' intention to use physical restraints (PRs) in intubated patients. A psychometric instrument validation study conducted in three phases. A theory-driven questionnaire was developed. Eight experts validated the content of the preliminary 58-item questionnaire. A pilot study was conducted including 101 critical care nurses to test the reliability of the items. Construct validity and reliability were tested in a cross-sectional study of 12 units from eight hospitals in Spain (N = 354) from October - December 2017. Participants completed the questions based on the TPB, and socio-demographic and professional variables. The instrument comprised 48 items. All the direct and indirect constructs exhibited acceptable reliability. Confirmatory factor analysis indicated satisfactory fit indices for factorial structure according to the TPB. Nurses showed favourable attitudes, low perception of social pressure and modest perception of behaviour control. Perceived behavioural control and attitude were moderately positively correlated with the intention to use restraints, whereas subjective norm revealed the lowest correlation. Overall, the model explained 33% of the variance in intention. The Physical Restraint TPB questionnaire is a 48-item self-reporting theoretically based instrument with acceptable reliability and construct validity to identify nurses' intentions to use PRs in intubated patients. Unravelling the key determinants of nurses' intentions to use PRs should be examined to tailor quality improvement projects aimed at de-implementing restraints use in practice and to promote safer care.
Types de publication
Journal Article
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2036-2049Subventions
Organisme : Col·legi Oficial d'Infermeres i Infermers de Barcelona (COIB)
ID : PR2080/15
Organisme : College of Nurses of Barcelona
ID : 2080/15
Organisme : Health Department of the Generalitat de Catalunya
Organisme : Research and Innovation Health Strategy Plan PERIS 2016-2020
ID : PR2080/15
Organisme : modality of nursing research intensification
ID : SLT002/16/00017
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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