计划行为理论视角下儿科护士血管可视化设备应用行为意向的质性研究

Qualitative study on the behavioral intentions of pediatric nurses towards the use of vascular visualization devices in light of the theory of planned behavior

目的基于计划行为理论视角,探讨儿科护士使用血管可视化设备的行为意向。方法本研究为质性研究。于2023年3—11月,采用目的抽样法选取北京大学第一医院的20名儿科护士为研究对象,对其进行半结构式访谈,采用Colaizzi 7步分析法对访谈资料进行分析并提炼主题。结果基于计划行为理论,儿科护士血管可视化设备应用行为意向可归纳为9个主题,行为态度包括正性评价、负性评价、信息不清,主观规范包括同伴态度、患方的期望与压力,知觉行为控制包括工作负荷、知识掌握程度、设备性能局限较多、外部资源支持。结论儿科护士血管可视化设备应用行为意向受其行为态度、主观规范和感知行为控制因素的影响。护理管理人员应开展血管可视化设备规范化培训,提升护士知识技能水平,同时重视多种支持的来源,营造护士应用血管可视化设备的支持性环境,从而改善儿科护士的使用体验,促进血管可视化设备在儿科临床护理工作中的使用。

Objective To explore the behavioral intentions of pediatric nurses towards using vascular visualization devices in light of the theory of planned behavior.Methods This was a qualitative study.From March to November 2023,20 pediatric nurses from Peking University First Hospital were selected using purposive sampling for semi-structured interviews.The interview data were analyzed and themes were extracted using Colaizzi 7-step analysis method.Results The behavioral intentions of pediatric nurses towards the use of vascular visualization devices could be summarized into nine themes based on the theory of planned behavior.Attitudes towards behavior included positive evaluations,negative evaluations,and unclear information.Subjective norms involved peers'attitudes as well as expectations and pressures from patients.Perceived behavioral control encompassed workload,level of knowledge,more limited equipment performance,and external resource support.Conclusions The behavioral intentions of pediatric nurses towards the use of vascular visualization devices are influenced by their attitudes towards the behavior,subjective norms,and perceived behavioral control.Nursing managers should conduct standardized training on vascular visualization devices to enhance nurses'knowledge and skills,while also valuing the sources of various supports to create a supportive environment for the use of vascular visualization devices.This will improve the usage experience of pediatric nurses and promote the use of vascular visualization devices in pediatric nursing practice.