Determinants of the intention of elementary school nurses to adopt a redefined role in health promotion at school

详细信息    查看全文

• 作者：Guylaine Chabot (1)
  Gaston Godin (2)
  Marie-Pierre Gagnon (3)
  
• 刊名：Implementation Science
• 出版年：2010
• 出版时间：December 2010
• 年：2010
• 卷：5
• 期：1
• 全文大小：361KB
• 参考文献：1. Breton M, Levesque JF, Pineault R, Lamothe L, Denis JL: Integrating Public Health into Local Healthcare Governance in Quebec: Challenges in Combining Population and Organization Perspectives. / Healthc Policy 2009, 4:e159-e178.
  2. Barnes M, Courtney MD, Pratt J, Walsh AM: School-based youth health nurses: roles, responsibilities, challenges, and rewards. / Public Health Nursing 2004, 21:316-22. CrossRef
  3. Duplantie A: / Bilan de la pratique infirmière en milieu scolaire. Montréal: Ordre des infirmières et infirmiers du Québec; 1999.
  4. Kool B, Thomas D, Moore D, Anderson A, Bennetts P, Earp K, Dawson D, Treadwell N: Innovation and effectiveness: changing the scope of school nurses in New Zealand secondary schools. / Aust N Z J Public Health 2008, 32:177-80. CrossRef
  5. Maughan E: Part II--Factors associated with school nurse ratios: key state informants' perceptions. / J Sch Nurs 2009, 25:292-01. CrossRef
  6. Morberg S, Lagerstr?m M, Dellve L: The perceived perceptions of head school nurses in developing school nursing roles within schools. / J Nurs Manag 2009, 17:813-21. CrossRef
  7. Tossavainen K, Turunen H, Jakonen S, Tupala M, Vertio H: School nurses as health counsellors in Finnish ENHPS schools. / Health Education 2004, 104:33-4. CrossRef
  8. Phuphaibul R, Nantawan C, Tachudhong A, Arayanuchitkul S: Developing School Nurse Networking for Health Promotion Reorientation. In / RTG WHO Report - Health Promotion. WHO Thailand Office : Thailand; 2007.
  9. Liu SC, Yu SC: [Competition in school nursing: the development of the nursing role and its influences]. / Hu Li Za Zhi : The Journal of Nursing 2008, 55:17-4.
  10. Wainwright P, Thomas J, Jones M: Health promotion and the role of the school nurse: a systematic review. / J Adv Nurs 2000, 32:1083-091. CrossRef
  11. Smith SG, Firmin MW: School Nurse Perspectives of Challenges and How They Perceive Success in Their Professional Nursing Roles. / Journal of School Nursing 2009, 25:152-62. CrossRef
  12. Whitehead D: The health-promoting school: what role for nursing? / J Clin Nurs 2006, 15:264-71. CrossRef
  13. Beaudet N, Bisaillon A, Boisvert N, Boyer D, de Villers L, Garceau-Brodeur MH, Gendron C, Gendron S, Hyland C, Kuster M, / et al.: / La pratique infirmière de promotion de la santé et de prévention en CSSS, mission CLSC : De la volonté à la réalité - Rapport synthèse. Montréal: Agence de la santé et des services sociaux de Montréal;; 2008.
  14. Richard L, Fortin S, Bérubé F: Prévention et promotion de la santé pour les enfants et les jeunes : description et enjeux de la pratique infirmière en CLSC. / Santé Publique 2004, 16:273-85. CrossRef
  15. Brooks F, Kendall S, Bunn F, Bruya M: The school nurse as navigator of the school health journey: developping the theory and evidence for policy. / Primary Health Care Research & Development 2007, 8:226-34. CrossRef
  16. Shields M: L'embonpoint et l'obésité chez les enfants et les adolescents. In / Rapports sur la santé. Edited by: Statistique Canada. Ottawa: Ministère de l'Industrie; 2006:27-3.
  17. Tetuan TM, Akagi CG: The effects of budget, delegation, and other variables on the future of school nursing. / The Journal Of School Nursing: The Official Publication Of The National Association Of School Nurses 2004, 20:352-58.
  18. Quickfall J, Pollock L: Community nursing: redesign in Scotland. / Br J Community Nurs 2008, 13:373-77.
  19. Rowe A, Hogarth A: Use of complex adaptive systems metaphor to achieve professional and organizational change. / J Adv Nurs 2005, 51:396-05. CrossRef
  20. Godin G, Belanger-Gravel A, Eccles M, Grimshaw J: Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories. / Implement Sci 2008, 3:36. CrossRef
  21. Eccles MP, Hrisos S, Francis J, Kaner EF, Dickinson HO, Beyer F, Johnston M: Do self-reported intentions predict clinicians' behaviour: a systematic review. / Implement Sci 2006, 1:28. CrossRef
  22. Ajzen I: From intentions to actions : A theory of planned behavior. In / Action-control : From cogniton to behavior. Edited by: Kulh J, Beckman J. Heildelberg: Springer; 1985:11-9.
  23. Triandis HC: Values, attitudes, and interpersonal behavior. In / Nebraska symposium on motivation Beliefs, attitudes and values; Lincoln, NE. Edited by: Page MM. University of Nebraska; 1980:195-59.
  24. Gagné C, Godin G: / Les théories sociales cognitives : Guide pour la mesure des variables et le développement de questionnaire. Québec: Groupe de recherche sur les aspects psychosociaux de la santé, école des sciences infirmières, Université Laval; 1999:37.
  25. Vermette L, Godin G: Nurses' intentions to provide home care: The impact of AIDS and homosexuality. / Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv 1996, 8:479-88.
  26. Daneault S, Beaudry M, Godin G: Psychosocial Determinants of the Intention of Nurses and Dieteticians to Recommend Breastfeeding. / Canadian Journal of Public Health 2004, 95:151-54.
  27. Edwards HE, Nash RE, Najman JM, Yates PM, Fentiman BJ, Dewar A, Walsh AM, McDowell JK, Skerman HM: Determinants of nurses' intention to administer opioids for pain relief. / Nurs Health Sci 2001, 3:149-59. CrossRef
  28. Puffer S, Rashidian A: Practice nurses' intentions to use clinical guidelines. / Journal of Advanced Nursing 2004, 47:500-09. CrossRef
  29. Foy R, Walker A, Ramsay C, Penney G, Grimshaw J, Francis J: Theory-based identification of barriers to quality improvement: induced abortion care. / Int J Qual Health Care 2005, 17:147-55. CrossRef
  30. Nash R, Edwards H, Nebauer M: Effect of attitudes, subjective norms and perceived control on nurses' intention to assess patients' pain. / J Adv Nurs 1993, 18:941-47. CrossRef
  31. Perkins MB, Jensen PS, Jaccard J, Gollwitzer P, Oettingen G, Pappadopulos E, Hoagwood KE: Applying theory-driven approaches to understanding and modifying clinicians' behavior: What do we know? / Psychiatric Services 2007, 58:342-48. CrossRef
  32. Godin G, Kok G: The theory of planned behavior: a review of its applications to health-related behaviors. / Am J Health Promot 1996, 11:87-8.
  33. Ouellette JA, Wood W: Habit and intention in everyday life: The multiple processes by which past behavior predicts future behavior. / Psychological Bulletin 1998, 124:54-4. CrossRef
  34. Rashidian A, Miles J, Russell D, Russell I: Sample size for regression analyses of theory of planned behaviour studies: case of prescribing in general practice. / Br J Health Psychol 2006, 11:581-93. CrossRef
  35. Hamric AB, Hanson CM: Educating advanced practice nurses for practice reality. / Journal of Professional Nursing 2003, 19:262-68. CrossRef
  36. Sparacino P: The Clinical Nurse Specialist. In / Advanced practice nursing : an integrative approach. 3rd edition. Edited by: Hamric AB, Spross JA, Hanson CM. St. Louis: Saunders; 2005:415-47.
  37. Ross SK: The clinical nurse specialist's role in school health. / Clinical Nurse Specialist 1999, 13:28-3. CrossRef
  38. Schoenfeld BM: A school nursing practicum at the University of Saskatchewan, Canada. / J Sch Health 2003, 73:281-83. CrossRef
  39. Constructing a TpB Questionnaire : Conceptual and Methodological Considerations [http://people.umass.edu/aizen/pdf/tpb.measurement.pdf]
  40. Pelto PJ: / Anthropological Research : The structure of inquiry. New York: Harper & Row; 1970:67-8.
  41. Davidson AR, Jaccard JJ, Triandis HC, Morales ML, Diazguerrero R: Cross-Cultural Model Testing - toward a Solution of Etic Emic Dilemma. / International Journal of Psychology 1976, 11:1-3. CrossRef
  42. Cronbach LJ: Coefficient alpha and the internal structure of tests. / Psychometrika 1951, 16:297-34. CrossRef
  43. Shrout P, Fleiss JL: Intraclass correlations: Uses in assessing rater reliability. / Psychol Bulletin 1979, 86:420-27. CrossRef
  44. SAS Institute: / SYS/STAT user's guide version 9.1. Edited by: Institute S. Cary, NC: SAS Institute; 2004.
  45. Portrait sommaire de l'effectif infirmier du Québec 2008-009 [http://www.oiiq.org/uploads/publications/statistiques/stats2009/portrait_sommaire_2008-009.pdf]
  46. National Association of School Nurses: / Position Statement. Education, Licensure, and Certification of School Nurses. Silver Spring, MD: National Association of School Nurses; 2005.
  47. Merrell J, Carnwell R, Williams A, Allen D, Griffiths L: A survey of school nursing provision in the UK. / Journal of Advanced Nursing 2007, 59:463-73. CrossRef
  48. Kline RB: / Principles and practice of structural equation modeling. New York: Guilford Press; 1998.
  49. Keith TZ: / Multiple Regression and Beyond. Boston: Pearson Education; 2006.
  50. Bandura A: Self-efficacy: toward a unifying theory of behavioral change. / Psychol Rev 1977, 84:191-15. CrossRef
  51. Broussard L: School nursing: not just band-aids any more! / Journal for Specialists in Pediatric Nursing 2004, 9:77-3. CrossRef
  52. Beaudet N, Bisaillon A, Boisvert N, Boyer D, de Villers L, Garceau-Brodeur MH, Gendron C, Gendron S, Hyland C, Kuster M, / et al.: / Les pratiques infirmières de promotion de la santé et de prévention dans une perspective de santé publique/populationnelle en CLSC : Portrait du contexte organisationnel et de la formation infirmière en établissement CLSC de quatre CSSS de Montréal - Rapport intérimaire. Montréal: Agence de la santé et des services sociaux de Montréal; 2007.
  53. Pearcey P: Shifting roles in nursing - does role extension require role abdication? / Journal of Clinical Nursing 2008, 17:1320-326. CrossRef
  54. Croghan E, Johnson C, Aveyard P: School nurses: policies, working practices, roles and value perceptions. / J Adv Nurs 2004, 47:377-85. CrossRef
  55. Yoo IY, Yoo MS, Lee GY: Self-evaluated competencies of school nurses in Korea. / J Sch Health 2004, 74:144-46. CrossRef
  56. Crabtree E, Davis T: Marketing the role of the school nurse. / British Journal of School Nursing 2009, 4:395-98.
  57. Guttu M: North Carolina School Nurse Leadership Institute. / The Journal Of School Nursing: The Official Publication Of The National Association Of School Nurses 2007, 23:144-50.
  58. Resha CA: / National Certified School Nurses' Perceptions of their Roles, the Organizations Where They Work, and their Ability to Exercise Informal Leadership: A descriptive Case Study. University of Hartford, Education; 2006.
  59. Pulcini J, Couillard M, Harrigan J, Mole D: Personal and professional characteristics of exemplary school nurses. / J Sch Nurs 2002, 18:33-0. CrossRef
  60. Deschaine JE, Schaffer MA: Strengthening the role of public health nurse leaders in policy development. / Policy, politics & Nursing Practice 2003, 4:266-74. CrossRef
  61. Antrobus S, Kitson A: Nursing leadership: influencing and shaping health policy and nursing practice. / Journal of Advanced Nursing 1999, 29:746-53. CrossRef
  62. Joint statement on delegation [https://www.ncsbn.org/Joint_statement.pdf]
  63. Gordon SC, Barry C: Delegation guided by school nursing values: comprehensive knowledge, trust, and empowerment. / Journal of School Nursing 2009, 25:8. CrossRef
  64. Kirchofer G, Telljohann SK, Price JH, Dake JA, Ritchie M: Elementary school parents'/guardians' perceptions of school health service personnel and the services they provide. / Journal of School Health 2007, 77:607-14. CrossRef
  65. Guttu M, Engelke MK, Swanson M: Does the school nurse-to-student ratio make a difference? / Journal of School Health 2004, 74:6-. CrossRef
  66. MacDonald MB, Schoenfeld BM: Expanding roles for public health nursing. / Can Nurse 2003, 99:18-2.
  67. Broussard L: Empowerment in school nursing practice: a grounded theory approach. / J Sch Nurs 2007, 23:322-28. CrossRef
  68. Deschesnes M, Martin C, Jomphe Hill A: Comprehensive approaches to school health promotion : How to achieve broader implementation? / Health Promotion International 2003, 18:387-96. CrossRef
  69. Kreft I, de Leeuw J: / Introducing multilevel modeling. London: Sage; 1998.
  
• 作者单位：Guylaine Chabot (1)
  Gaston Godin (2)
  Marie-Pierre Gagnon (3)
  
  1. Research Group on Behaviour and Health, Faculty of Nursing, Laval University, Québec, Canada
  2. Canada Research Chair on Behaviour and Health, Laval University, Québec, Canada
  3. Faculty of Nursing, Laval University, Québec, Canada
  

文摘

Background The quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option for the health-promoting school. Methods This study was based on an extended version of the theory of planned behaviour (TPB). A total of 251 respondents (response rate of 70%) from 42 school health programs across the Province of Québec completed a mail survey regarding their intention to adopt the proposed health-promotion role. Multiple hierarchical linear regression analyses were performed to assess the relationship between key independent variables and intention. A discriminant analysis of the beliefs was performed to identify the main targets of action. Results A total of 73% of respondents expressed a positive intention to accept to play the proposed role. The main predictors were perceived behavioural control (β = 0.36), moral norm (β = 0.27), attitude (β = 0.24), and subjective norm (β = 0.21) (ps < .0001), explaining 83% of the variance. The underlying beliefs distinguishing nurses who had a high intention from those who had a low intention referred to their feelings of being valued, their capacity to overcome the nursing shortage, the approval of the school nurses' community and parents of the students, their leadership skills, and their gaining of a better understanding of school needs. Conclusions Results suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources.