摘要
目的:探索儿科护士局部麻醉剂临床应用采纳意愿的影响因素。方法:采用自行设计的调查问卷于2022年11月1日—15日对四川省10所医院的251名儿科护士进行调查,基于创新扩散理论和计划行为理论构建儿科护士局部麻醉剂临床应用采纳意愿模型。采用AMOS 24.0软件进行结构方程模型分析。结果:局部麻醉剂临床应用的相对优势和易用性对儿科护士态度有正向影响,局部麻醉剂临床应用的态度、主观规范及感知行为控制对儿科护士的采纳意愿有正向影响。模型卡方自由度比值为1.515,适配度指数为0.910,调整拟合优度指数为0.880,近似误差均方根为0.045,均方根残差为0.020。该模型可解释儿科护士采纳意愿71.4%的变异度。结论:局部麻醉剂临床应用的主观规范、感知行为控制和态度对儿科护士采纳意愿有正向影响,其中,态度对采纳意愿的影响作用最强;局部麻醉剂临床应用的相对优势和易用性通过态度对儿科护士采纳意愿产生正向影响。该模型对儿科护士应用局部麻醉剂减轻儿童静脉穿刺疼痛的采纳意愿有较强的解释力。
Objective:To explore the influencing factors of pediatric nurses′willingness to adopt local anesthetics in clinical practice.Methods:A total of 251 pediatric nurses from 10 hospitals in Sichuan province were surveyed by a self-designed survey questionnaire from November 1 to 15,2022.Model of pediatric nurses′willingness to adopt local anesthetics in clinical practice was constructed based on innovative diffusion theory and theory of planned behavior.AMOS 24.0 software was used for structural equation modeling analysis.Results:The relative advantages and ease of use of local anesthetics in clinical application had a positive impact on the attitude of pediatric nurses.The attitude,subjective norms,and perceived behavioral control of local anesthetics in clinical application had a positive impact on willingness to adopt them.Model Chi-square degree of freedom ratio was 1.515,goodness of fit index was 0.910,adjust the goodness of fit index was 0.880,root mean square residual was 0.045,and root-mean-square residual was 0.020.This model could explain 71.4%variability of adoption willingness in pediatric nurses.Conclusions:The subjective norms,perceived behavioral control,and attitudes have positive impact on pediatric nurses′willingness to adopt local anesthetics in clinical practice.Among them,attitude has the strongest impact.The relative advantages and ease of use have a positive impact on pediatric nurses′willingness to adopt local anesthetics in clinical practice through attitude.This model has strong explanatory power for pediatric nurses′willingness to adopt local anesthetics to alleviate venous puncture pain in children.
作者
赵丽萍
廖利梅
漆平
王雪
ZHAO Liping;LIAO Limei;QI Ping;WANG Xue(Sichuan Academy of Medical Sciences⋅Sichuan Provincial People′s Hospital,Sichuan 610072 China)
出处
《护理研究》
北大核心
2024年第6期967-975,共9页
Chinese Nursing Research
关键词
儿科
护士
静脉穿刺
疼痛
局部麻醉剂
采纳意愿
结构方程模型
护理管理
pediatrics
nurses
venous puncture
pain
local anesthetics
adoption willingness
structural equation modeling
nursing management
