RT journal article
T1 Romanian nurses’ beliefs on nursing diagnosis. A survey study based on the theory of planned behavior
A1 Gligor, Laura Elena
A1 Romero Sánchez, José Manuel
A1 Rusu, Horațiu
A1 Paloma Castro, Olga
A1 Domnariu, Carmen
A2 Enfermería y Fisioterapia
K1 attitudes
K1 behavior
K1 hospital
K1 nursing diagnosis
K1 Romania
K1 theory of planned behavior
AB Purpose: To identify clusters of beliefs about nursing diagnosis (ND) among Romanian hospital nurses and to ascertain variations in attitudes, intention to use, behavior associated with the use of ND, and sociodemographic characteristics. Methods: A cross-sectional online survey study was conducted on a convenience sample of 498 hospital nurses in Romania. The questionnaire comprises six scales measuring normative, behavioral, and control beliefs, intention to use, attitudes, and behavior toward ND. Results were reported through cluster analysis. Findings: Three clusters were identified: highly positive, average, and highly negative beliefs about ND. Romanian nurses have more homogeneous beliefs regarding ND than nurses from other countries. Comparisons among clusters showed significant differences in intention [H(2) = 111.59, p < 0.001], attitudes [H(2) = 145.27, p < 0.001], and reported behavior [H(2) = 43.84, p < 0.001]. The stronger the attitude toward ND, the intention to use it, and the behavior of using ND, the more favorable the beliefs and vice versa. Significant disparities among clusters were discovered regarding education in ND, whereas differences were not observed regarding years of experience, age, and gender. Conclusion: Nurses exhibited different belief patterns about ND. Those with more positive beliefs demonstrated a more favorable attitude, a higher intention, and a more frequent behavior in using ND. Training in ND facilitates positive beliefs about it. Implications for nursing practice: When designing interventions to promote ND in clinical practice, policymakers, administrators, and educators should consider addressing and potentially changing these beliefs. Modifying nurses’ attitudes could positively impact patient care quality during their hospital stay and post-discharge.
PB John Wiley and Sons Inc
SN 2047-3095
YR 2023
FD 2023
LK http://hdl.handle.net/10498/32256
UL http://hdl.handle.net/10498/32256
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 09-nov-2026