Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach

Background and objective: The Covid-19 pandemic could compromise the quality of care by impacting nurses' intention to provide care. Hence, investigating nurses' behavioral intentions when caring for patients during epidemics is essential. This research aims to assess the psychometrics of...

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Main Authors: Afsaneh Raiesifar, Reyhaneh Maleki, Nasibeh Sharifi, Fatemeh Darabi, Sayyadi Hojjat
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024019315
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author Afsaneh Raiesifar
Reyhaneh Maleki
Nasibeh Sharifi
Fatemeh Darabi
Sayyadi Hojjat
author_facet Afsaneh Raiesifar
Reyhaneh Maleki
Nasibeh Sharifi
Fatemeh Darabi
Sayyadi Hojjat
author_sort Afsaneh Raiesifar
collection DOAJ
description Background and objective: The Covid-19 pandemic could compromise the quality of care by impacting nurses' intention to provide care. Hence, investigating nurses' behavioral intentions when caring for patients during epidemics is essential. This research aims to assess the psychometrics of the “Nursing Care Behavior in Epidemics of Emerging Diseases” questionnaire, based on the constructs of the Theory of Planned Behavior. Methods: This cross-sectional study involved 311 nurses working in Covid-19 wards of selected hospitals in Ilam City, all of whom were enrolled through a census in 2021. The questionnaire underwent initial translation from English to Persian, followed by evaluations of its face, content, and construct validities. The nursing caring behavior questionnaire, comprising 46 items, was designed to assess behavioral beliefs, normative beliefs, control beliefs, behavioral attitudes, subjective norms, perceived behavioral control, and nurses' intentions to care for Covid-19 patients. Data were analyzed for face, content, and construct validity using the Theory of Planned Behavior and Pearson correlation. Reliability was determined by calculating the Cronbach's alpha coefficient. Results: The intention to care dimension demonstrated an inverse correlation with the behavioral attitude dimension (p < 0.001). The most robust correlations were observed between the following paired dimensions: behavioral attitude and perceived power (p < 0.001), subjective norms and intention to care (p < 0.001), perceived behavioral control and subjective norms (p < 0.001), care intention and behavioral beliefs (p < 0.001), behavioral beliefs and behavioral outcome evaluation (p < 0.001), and normative beliefs with motivation to comply (p = 0.001). The Cronbach's alpha coefficient of the instrument exceeded 0.75. Conclusion: According to the Theory of Planned Behavior, the nursing care behavior questionnaire proved to be a valid and reliable tool for evaluating nurses' care behaviors amidst emerging disease epidemics.
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spelling doaj.art-c4461acf06994042a2ee3321a94c3fc52024-03-09T09:26:30ZengElsevierHeliyon2405-84402024-02-01104e25900Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approachAfsaneh Raiesifar0Reyhaneh Maleki1Nasibeh Sharifi2Fatemeh Darabi3Sayyadi Hojjat4Department of Nursing, School of Nursing &amp; Midwifery, Ilam University of Medical Sciences, Ilam, IranDepartment of Nursing, School of Nursing &amp; Midwifery, Ilam University of Medical Sciences, Ilam, IranDepartment of Midwifery, School of Nursing &amp; Midwifery, Ilam University of Medical Sciences, Ilam, Iran; Corresponding author.Department of Publice Health, Asadabad School of Medical Sciences, Asadabad IranNon-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, IranBackground and objective: The Covid-19 pandemic could compromise the quality of care by impacting nurses' intention to provide care. Hence, investigating nurses' behavioral intentions when caring for patients during epidemics is essential. This research aims to assess the psychometrics of the “Nursing Care Behavior in Epidemics of Emerging Diseases” questionnaire, based on the constructs of the Theory of Planned Behavior. Methods: This cross-sectional study involved 311 nurses working in Covid-19 wards of selected hospitals in Ilam City, all of whom were enrolled through a census in 2021. The questionnaire underwent initial translation from English to Persian, followed by evaluations of its face, content, and construct validities. The nursing caring behavior questionnaire, comprising 46 items, was designed to assess behavioral beliefs, normative beliefs, control beliefs, behavioral attitudes, subjective norms, perceived behavioral control, and nurses' intentions to care for Covid-19 patients. Data were analyzed for face, content, and construct validity using the Theory of Planned Behavior and Pearson correlation. Reliability was determined by calculating the Cronbach's alpha coefficient. Results: The intention to care dimension demonstrated an inverse correlation with the behavioral attitude dimension (p < 0.001). The most robust correlations were observed between the following paired dimensions: behavioral attitude and perceived power (p < 0.001), subjective norms and intention to care (p < 0.001), perceived behavioral control and subjective norms (p < 0.001), care intention and behavioral beliefs (p < 0.001), behavioral beliefs and behavioral outcome evaluation (p < 0.001), and normative beliefs with motivation to comply (p = 0.001). The Cronbach's alpha coefficient of the instrument exceeded 0.75. Conclusion: According to the Theory of Planned Behavior, the nursing care behavior questionnaire proved to be a valid and reliable tool for evaluating nurses' care behaviors amidst emerging disease epidemics.http://www.sciencedirect.com/science/article/pii/S2405844024019315PsychometricsNursesEmerging diseasesItem-response theory
spellingShingle Afsaneh Raiesifar
Reyhaneh Maleki
Nasibeh Sharifi
Fatemeh Darabi
Sayyadi Hojjat
Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
Heliyon
Psychometrics
Nurses
Emerging diseases
Item-response theory
title Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
title_full Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
title_fullStr Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
title_full_unstemmed Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
title_short Psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics: A theory of planned behavior approach
title_sort psychometric validation of the nursing care behavior questionnaire during emerging disease epidemics a theory of planned behavior approach
topic Psychometrics
Nurses
Emerging diseases
Item-response theory
url http://www.sciencedirect.com/science/article/pii/S2405844024019315
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