title: Applying Theory to Understand and Modify Nurse Intention to Adhere to Recommendations regarding the Use of Filter Needles: An Intervention Mapping Approach.
abstract: 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.
authors.affiliation: CHU de Québec, 2705 boulevard Laurier, Quebec City, QC, Canada G1V 2L9.
authors.forename: Julianne
authors.initials: J
authors.lastname: Cassista
authors.affiliation: Population Health and Optimal Health Practices, CHU de Québec Research Centre, 10 rue de l'Espinay, Quebec City, QC, Canada G1L 3L5.
authors.forename: Julie
authors.initials: J
authors.lastname: Payne-Gagnon
authors.affiliation: Nursing Directorate, CHU de Québec, 11 Côte du Palais, Quebec City, QC, Canada G1R 2J6.
authors.forename: Brigitte
authors.initials: B
authors.lastname: Martel
authors.affiliation: Population Health and Optimal Health Practices, CHU de Québec Research Centre, 10 rue de l'Espinay, Quebec City, QC, Canada G1L 3L5 ; Faculty of Nursing, Université Laval, 2325 rue de l'Université, Quebec City, QC, Canada G1V 0A6.
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Gagnon