Student Theses, Dissertations and Capstones
Document Type
Dissertation - NSU Access Only
Degree Name
Doctor of Philosophy (PhD) in Nursing Education
Copyright Statement
All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.
Department
College of Nursing
Publication Date / Copyright Date
2013
Publisher
Nova Southeastern University
NSUWorks Citation
Kathleen Russell-Babin. 2013. Comparison of educational interventions to impact behavioral intent toward pressure ulcer prevention among nurses on medical surgical units. Doctoral dissertation. Nova Southeastern University. Retrieved from NSUWorks, College of Nursing. (5)
https://nsuworks.nova.edu/hpd_con_stuetd/5.
Abstract
Background: Implementation of evidence-based knowledge in healthcare is challenging with success rates less than optimal at times. This is particularly true in the area of pressure ulcer prevention. Attention to use of the affective domain in educational interventions to implement best practices may be part of the solution. Purpose: The ultimate purpose of this study was to compare the use of two different educational interventions on medical-surgical nurses' behavioral intent to use evidence-based practice in preventing pressure ulcers. Theoretical Framework: The theoretical framework for this study was the theory of planned behavior. Methods: This study proceeded in three phases and collected both qualitative and quantitative data for instrument development and instrument testing. The resultant instrument was used to collect data for hypothesis testing in a cluster randomized experiment. Results: The theory of planned behavior was not fully supported in this study. Attitudes toward pressure ulcers were predictive of behavioral intent. Nurses who experienced the affective domain educational intervention showed significant improvements over the control group on attitude and perceived behavioral control. Behavioral intent and subjective norm were not impacted. Conclusions: A reliable and valid theory of planned behavior derived instrument was created. The theory of planned behavior was partially supported. An affective domain intervention has the potential to favorably impact nurses in valuing pressure ulcer prevention, despite any barriers.
Disciplines
Nursing
Keywords
Health and environmental sciences, Education, Affective domain, Evidence-based care, Medical education, Medical surgical nurses, Pressure ulcer, Theory of planned behavior
Files
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