Factors influencing medical staff's intentions to implement family-witnessed cardiopulmonary resuscitation: A cross-sectional, multihospital survey

Chien Liang Chen, Jing Shia Tang, Meng-Kuan Lai, Chiu Hsia Hung, Hsiu Mei Hsieh, Hui Lin Yang, Chia-Chang Chuang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: In Taiwan, the current status of family-witnessed resuscitation (FWR) and the factors associated with behavioural intentions to implement FWR have not been systematically examined using representative medical staff. Aim: We explored predictive factors for behavioural intentions to implement FWR among medical staff using constructs from the theory of planned behaviour. Methods: A survey of 1605 medical staff from five hospitals in southern Taiwan was conducted. Data were collected using a researcher-made questionnaire containing theory of planned behaviour constructs and demographic items. The dependent variable was intention to implement FWR, and the independent variables were three theory of planned behaviour constructs (attitudes, subjective norms, and perceived behavioural control) and the demographic characteristics. A generalized estimating equation was used to identify factors associated with the behavioural intentions. Results: In total, 1122 valid questionnaires revealed that only 3.7% of participants advocated FWR policies. The construct scores for intention to implement FWR were 2.96 (on a five-point Likert scale), and the theory of planned behaviour constructs that significantly predicted intention to implement FWR were positive attitudes and subjective norms (p<0.001). Classification of hospitals (p=0.018) and restrictive provisions for FWR (p=0.004) were additional significant predictors of intention to implement FWR. Moreover, medical staff employed at regional hospitals demonstrated higher intentions, positive attitudes and subjective norms than did those employed at the medical centre. Conclusion: According to the findings of this study, it may be desirable for administrators to prioritize the implementation of the FWR policy in regional hospitals. We recommend affording the factors of positive attitudes and subjective norms high priority to improve the medical staff's behavioural intentions of FWR practice.

Original languageEnglish
Pages (from-to)492-501
Number of pages10
JournalEuropean Journal of Cardiovascular Nursing
Volume16
Issue number6
DOIs
Publication statusPublished - 2017 Aug 1

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Medical Staff
Cardiopulmonary Resuscitation
Resuscitation
Cross-Sectional Studies
Resuscitation Orders
Taiwan
Hospital Medical Staffs
Demography
Administrative Personnel
Research Personnel

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Medical–Surgical
  • Advanced and Specialised Nursing

Cite this

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title = "Factors influencing medical staff's intentions to implement family-witnessed cardiopulmonary resuscitation: A cross-sectional, multihospital survey",
abstract = "Background: In Taiwan, the current status of family-witnessed resuscitation (FWR) and the factors associated with behavioural intentions to implement FWR have not been systematically examined using representative medical staff. Aim: We explored predictive factors for behavioural intentions to implement FWR among medical staff using constructs from the theory of planned behaviour. Methods: A survey of 1605 medical staff from five hospitals in southern Taiwan was conducted. Data were collected using a researcher-made questionnaire containing theory of planned behaviour constructs and demographic items. The dependent variable was intention to implement FWR, and the independent variables were three theory of planned behaviour constructs (attitudes, subjective norms, and perceived behavioural control) and the demographic characteristics. A generalized estimating equation was used to identify factors associated with the behavioural intentions. Results: In total, 1122 valid questionnaires revealed that only 3.7{\%} of participants advocated FWR policies. The construct scores for intention to implement FWR were 2.96 (on a five-point Likert scale), and the theory of planned behaviour constructs that significantly predicted intention to implement FWR were positive attitudes and subjective norms (p<0.001). Classification of hospitals (p=0.018) and restrictive provisions for FWR (p=0.004) were additional significant predictors of intention to implement FWR. Moreover, medical staff employed at regional hospitals demonstrated higher intentions, positive attitudes and subjective norms than did those employed at the medical centre. Conclusion: According to the findings of this study, it may be desirable for administrators to prioritize the implementation of the FWR policy in regional hospitals. We recommend affording the factors of positive attitudes and subjective norms high priority to improve the medical staff's behavioural intentions of FWR practice.",
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Factors influencing medical staff's intentions to implement family-witnessed cardiopulmonary resuscitation : A cross-sectional, multihospital survey. / Chen, Chien Liang; Tang, Jing Shia; Lai, Meng-Kuan; Hung, Chiu Hsia; Hsieh, Hsiu Mei; Yang, Hui Lin; Chuang, Chia-Chang.

In: European Journal of Cardiovascular Nursing, Vol. 16, No. 6, 01.08.2017, p. 492-501.

Research output: Contribution to journalArticle

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AU - Chen, Chien Liang

AU - Tang, Jing Shia

AU - Lai, Meng-Kuan

AU - Hung, Chiu Hsia

AU - Hsieh, Hsiu Mei

AU - Yang, Hui Lin

AU - Chuang, Chia-Chang

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N2 - Background: In Taiwan, the current status of family-witnessed resuscitation (FWR) and the factors associated with behavioural intentions to implement FWR have not been systematically examined using representative medical staff. Aim: We explored predictive factors for behavioural intentions to implement FWR among medical staff using constructs from the theory of planned behaviour. Methods: A survey of 1605 medical staff from five hospitals in southern Taiwan was conducted. Data were collected using a researcher-made questionnaire containing theory of planned behaviour constructs and demographic items. The dependent variable was intention to implement FWR, and the independent variables were three theory of planned behaviour constructs (attitudes, subjective norms, and perceived behavioural control) and the demographic characteristics. A generalized estimating equation was used to identify factors associated with the behavioural intentions. Results: In total, 1122 valid questionnaires revealed that only 3.7% of participants advocated FWR policies. The construct scores for intention to implement FWR were 2.96 (on a five-point Likert scale), and the theory of planned behaviour constructs that significantly predicted intention to implement FWR were positive attitudes and subjective norms (p<0.001). Classification of hospitals (p=0.018) and restrictive provisions for FWR (p=0.004) were additional significant predictors of intention to implement FWR. Moreover, medical staff employed at regional hospitals demonstrated higher intentions, positive attitudes and subjective norms than did those employed at the medical centre. Conclusion: According to the findings of this study, it may be desirable for administrators to prioritize the implementation of the FWR policy in regional hospitals. We recommend affording the factors of positive attitudes and subjective norms high priority to improve the medical staff's behavioural intentions of FWR practice.

AB - Background: In Taiwan, the current status of family-witnessed resuscitation (FWR) and the factors associated with behavioural intentions to implement FWR have not been systematically examined using representative medical staff. Aim: We explored predictive factors for behavioural intentions to implement FWR among medical staff using constructs from the theory of planned behaviour. Methods: A survey of 1605 medical staff from five hospitals in southern Taiwan was conducted. Data were collected using a researcher-made questionnaire containing theory of planned behaviour constructs and demographic items. The dependent variable was intention to implement FWR, and the independent variables were three theory of planned behaviour constructs (attitudes, subjective norms, and perceived behavioural control) and the demographic characteristics. A generalized estimating equation was used to identify factors associated with the behavioural intentions. Results: In total, 1122 valid questionnaires revealed that only 3.7% of participants advocated FWR policies. The construct scores for intention to implement FWR were 2.96 (on a five-point Likert scale), and the theory of planned behaviour constructs that significantly predicted intention to implement FWR were positive attitudes and subjective norms (p<0.001). Classification of hospitals (p=0.018) and restrictive provisions for FWR (p=0.004) were additional significant predictors of intention to implement FWR. Moreover, medical staff employed at regional hospitals demonstrated higher intentions, positive attitudes and subjective norms than did those employed at the medical centre. Conclusion: According to the findings of this study, it may be desirable for administrators to prioritize the implementation of the FWR policy in regional hospitals. We recommend affording the factors of positive attitudes and subjective norms high priority to improve the medical staff's behavioural intentions of FWR practice.

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