Intentions to Care for New Influenza A(H1N1) Patients and Influencing Factors: An application of theory of planned behavior

계획된 행위이론을 적용한 간호사의 신종인플루엔자 A 환자 간호의도와 영향 요인

  • Received : 2015.05.29
  • Accepted : 2015.06.19
  • Published : 2015.06.30


Purpose: The purpose of this study was to explore the intentions and influencing factors of intentions to care for New Influenza A ($H_1N_1$) patient Methods: This study involved a descriptive design using self-administered questionnaire. Intentions to care for H1N1 patient was evaluated by prediction tool, based on the Theory of Planned Behavior (TPB). The data were analyzed by SPSS 17.0 using descriptive statistics, t-test, ANOVA with a Scheffe test, Pearson's correlation and multiple regression analysis. Results: The level of intention was high, attitude was negative, subjective norm was high, and perceived behavioral control was moderate. The general regression model with intention as a dependent variable was statistically significant (F=39.31, p<.001). 28.1% of variance in intention was explained by subjective norm (t=8.75, p<.001), and perceived behavioral control (t=4.28, p<.001). Among the predictors, subjective norm had the greatest effect on intention (${\beta}=.44$). The nurse with the higher subjective norm and more positive perceived behavioral control reported the higher intention. Conclusion: The findings of this study suggested that the various aspects of nurse's characteristics should be considered when establishing strategies to improve the nurse's intention for care of infectious disease.


  1. Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckmann(Ed.), Action control: From cognition to behavior. Berin: Springer.
  2. Ajzen, I. (2005). Attitudes, personality, and behavior. New York: Open University Press.
  3. Anikeeva, O., Braunack-Mayer, A. J., & Street, J. M. (2008). How will australian general practitioners respond to an influenza pandemic? A qualitative study of ethical values. The Medical Journal of Australia, 189, 148-150.
  4. Bandura, A. (1977). Social Foundations of thought and action. Englewood Cliffs: Prince-Hall.
  5. Basta, N. E., Edwards, S. E., & Schulte, J. (2009). Assessing public health department employees' willingness to report to work during an influenza pandemic. Journal of Public Health Management and Practice, 15, 375-383. doi: 10.1097/PHH.0b013e3181a391e2
  6. Choi, E. J., Lee, J. S., & Kim, S. D. (2007). The prediction on the behavior of infection control of operating room nurses in Seoul: An application of the theory of planned behavior. Korean Journal of Nosocomial Infection Control, 12, 91-102.
  7. Draper, H., Wilson, S., Ives, J., Gratus, C., Greenfield, S., Parry, J. Petts, J., & Sorell T. (2008). Healthcare workers' attitudes towards working during pandemic influenza: A multi method study. BMC Public Health, 8, 192. doi:10.1186/1471-2458-8-192.
  8. Ju, H. O., Kim, J. S., Jo, Y. S., Park, N. H., Eo, Y. S., Jo, Y. L., & Jeong, I. S. (2003). A survey on cancer screening among nurses at general hospital in Busan. Korean Journal of Women Health Nursing, 9, 18-27.
  9. Honey, M., & Wang, W. Y. (2013). New Zealand nurses perceptions of caring for patients with influenza A (H1N1). Nursing in Critical Care, 18(2), 63-69.
  10. Kermode, M. K., Holmes, W., Langkham, B., Thomas, M. S., & Gifford, S. (2005). HIV-related knowledge, attitudes & risk perception amongst nurses, doctors & other healthcare workers in rural India. Indian Journal of Medicine Research, 122, 258-264.
  11. Kim, C. J., Yoo, H. R., Yoo, M. S., Kwon, B. E., & Hwang, K. J. (2006). Attitude, beliefs, and intentions to care for SARS patients among Korean clinical nurses: An application of theory of planned behavior. Journal of Korean Academy of Nursing, 36, 596-603.
  12. Kim, W. J. (2009). Pandemic of novel influenza A (H1N1): Perspective and countermeasures. The Korean Journal of Medicine, 77, 139-142.
  13. Korea Center for Disease Control and Prevention (KCDC) (2010a, June 23). News Letter, 6, 31. Retrieved November 5, 2010,
  14. Korea Center for Disease Control and Prevention (KCDC) (2010b, March 31). Influenza crisis phase "of interest" downgraded. Retrieved November 5, 2010, from
  15. Lee, D. H., Shin, S. S., Jun, B. Y., & Lee J. K. (2010). National level response to pandemic (H1N1) 2009. Journal of Preventive Medicine and Public Health, 43(2), 99-104.
  16. Lee, J. K. (2001). A study for investigating predictors of AIDS and patients care intention among nursing students. Journal of Korean Academy of Nursing, 31, 292-303.
  17. Lee, J. K. (2002). The effect of an AIDS education program of nursing students on knowledge, attitudes, fear of contagion and nursing intention about AIDS. Korean Journal of Adult Nursing, 14, 5-14.
  18. Martin, S. D., Brown, L. M., & Reid, W. Y. (2013). Predictores of nurses' intentions to work during the 2009 influenza A (H1N1) pandemic. American Journal of Nursing, 113(12), 24-31.
  19. Maunder, R. G., Lancee, W. J., Balderson, K. E., Bennett, J. P., Borgundvaag, B., Evans, S. Fernandes, C. M., Goldbloom, D. S., Hunter, J. J., McGillis, H. L., Nagle, L. M., Pain, C., Peczeniuk, S. S., Raymond, G., Read, N., Rourke, S. B., Steinberg, R. J., Stewart, T. E., VanDeVelde-Coke, S., Velhort, G. G., & Wasylenki, D. A. (2006). Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerging Infectious Diseases, 12, 1924-1932.
  20. McAlonan, G. M., Lee, A. M., Cheung, V., Cheung, C., Tsang, K. W., Sham, P. C., Chua, S. E., Wong, J. G. (2007). Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. The Canadian Journal of Psychiatry, 52, 241-247.
  21. Musau J., Baumann A., Kolotylo C., O'Shea T., & Bialachowski A. (2015). Infectious disease outbreaks and increased complexity of care. International Nursing review, http://www.doi.10.1111/inr.12188
  22. Shiao, J. S., Koh, D., Lo, L. H., Lim, M. K., & Guo, Y. L. (2007). Factors predicting nurses' consideration of leaving their job during the SARS outbreak. Nursing Ethics, 14, 5-17.
  23. Styra, R., Hawryluck, L., Robinson, S., Kasapinovic, S., Fones, C., & Gold, W. L. (2008). Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. Journal of Psychosomatic Research, 64, 177-183.
  24. Wang, S. J. (2014). Principles and system of disaster medicine. Journal of the Korean Medical Association, 57(12), 985-992.
  25. World Health Organization(2009, June 11). World now at the start of 2009 influenza pandemic. Retrieved October 3, 2009, from
  26. Yoo, H. R., Kwon, B. E., Jang, Y. S., & Youn, H. K. (2005). Validity and reliability of an instrument for predictive nursing intention for SARS patient care. Journal of Korean Academy of Nursing, 35, 1063-1071.