Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach

The manipulation of glass ampoules involves risk of particle contamination of parenteral medication, and the use of filter needles has often been recommended in order to reduce the number of particles in these solutions. This study aims to develop a theory-based intervention to increase nurse intent...

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Main Authors: Julianne Cassista, Julie Payne-Gagnon, Brigitte Martel, Marie-Pierre Gagnon
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/356153
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author Julianne Cassista
Julie Payne-Gagnon
Brigitte Martel
Marie-Pierre Gagnon
author_facet Julianne Cassista
Julie Payne-Gagnon
Brigitte Martel
Marie-Pierre Gagnon
author_sort Julianne Cassista
collection DOAJ
description The manipulation of glass ampoules involves risk of particle contamination of parenteral medication, and the use of filter needles has often been recommended in order to reduce the number of particles in these solutions. This study aims to develop a theory-based intervention to increase nurse intention to use filter needles according to clinical guideline recommendations produced by a large university medical centre in Quebec (Canada). Using the Intervention Mapping framework, we first identified the psychosocial determinants of nurse intention to use filter needles according to these recommendations. Second, we developed and implemented an intervention targeting nurses from five care units in order to increase their intention to adhere to recommendations on the use of filter needles. We also assessed nurse satisfaction with the intervention. In total, 270 nurses received the intervention and 169 completed the posttest questionnaire. The two determinants of intention, that is, attitude and perceived behavioral control, were significantly higher after the intervention, but only perceived behavioral control remained a predictor of intention. In general, nurses were highly satisfied with the intervention. This study provides support for the use of Intervention Mapping to develop, implement, and evaluate theory-based interventions in order to improve healthcare professional adherence to clinical recommendations.
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spelling doaj-art-2de3468cc5694e60bf9306fa523bd9062025-08-20T03:55:07ZengWileyNursing Research and Practice2090-14292090-14372014-01-01201410.1155/2014/356153356153Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping ApproachJulianne Cassista0Julie Payne-Gagnon1Brigitte Martel2Marie-Pierre Gagnon3CHU de Québec, 2705 boulevard Laurier, Quebec City, QC, G1V 2L9, CanadaPopulation Health and Optimal Health Practices, CHU de Québec Research Centre, 10 rue de l’Espinay, Quebec City, QC, G1L 3L5, CanadaNursing Directorate, CHU de Québec, 11 Côte du Palais, Quebec City, QC, G1R 2J6, CanadaPopulation Health and Optimal Health Practices, CHU de Québec Research Centre, 10 rue de l’Espinay, Quebec City, QC, G1L 3L5, CanadaThe manipulation of glass ampoules involves risk of particle contamination of parenteral medication, and the use of filter needles has often been recommended in order to reduce the number of particles in these solutions. This study aims to develop a theory-based intervention to increase nurse intention to use filter needles according to clinical guideline recommendations produced by a large university medical centre in Quebec (Canada). Using the Intervention Mapping framework, we first identified the psychosocial determinants of nurse intention to use filter needles according to these recommendations. Second, we developed and implemented an intervention targeting nurses from five care units in order to increase their intention to adhere to recommendations on the use of filter needles. We also assessed nurse satisfaction with the intervention. In total, 270 nurses received the intervention and 169 completed the posttest questionnaire. The two determinants of intention, that is, attitude and perceived behavioral control, were significantly higher after the intervention, but only perceived behavioral control remained a predictor of intention. In general, nurses were highly satisfied with the intervention. This study provides support for the use of Intervention Mapping to develop, implement, and evaluate theory-based interventions in order to improve healthcare professional adherence to clinical recommendations.http://dx.doi.org/10.1155/2014/356153
spellingShingle Julianne Cassista
Julie Payne-Gagnon
Brigitte Martel
Marie-Pierre Gagnon
Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach
Nursing Research and Practice
title Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach
title_full Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach
title_fullStr Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach
title_full_unstemmed Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach
title_short Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach
title_sort applying theory to understand and modify nurse intention to adhere to recommendations regarding the use of filter needles an intervention mapping approach
url http://dx.doi.org/10.1155/2014/356153
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