title: 'An exploration of the health beliefs of Chinese nurses' and nurse academics' health beliefs: A Q-methodology study'.
abstract: Q-methodology was used to investigate the health beliefs of Chinese clinical nurses and nurse academics. Twenty-eight participants from one hospital and nursing school in China were involved. The four stages of this study included: (i) concourse development from literature review, Internet searches, and key informant interviews; (ii) A pilot study to develop the Q-sample from the concourse; (iii) participants sorted the Q-sample statements along a continuum of preference (Q-sorting); and (iv) PQ data analysis using principal component analysis and varimax rotation. Five viewpoints were revealed: (i) factor 1--health management and the importance of evidence; (ii) factor 2--challenging local cultural belief, and Eastern and Western influences; (iii) factor 3--commonsense; (iv) factor 4--health and clinical practice; and (v) factor 5--health and nursing education. This study presents a need for nurses and nurse academics to think critically, examine their long-held health beliefs, and promote the use of evidence-based practice.
authors.affiliation: HOPE School of Nursing, Wuhan University, Wuhan, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Cai
authors.affiliation: Graduate School of Medicine, Yamaguchi University, Ube, Japan.
authors.forename: Teresa E
authors.identifier: http://orcid.org/0000-0003-0673-1763
authors.initials: TE
authors.lastname: Stone
authors.affiliation: HOPE School of Nursing, Wuhan University, Wuhan, China.
authors.forename: Marcia A
authors.initials: MA
authors.lastname: Petrini
authors.affiliation: School of Nursing and Midwifery, University of Newcastle, Australia.
authors.forename: Margaret
authors.initials: M
authors.lastname: McMillan
mesh_terms: D002681:China; D003466:Cultural Characteristics; D055318:Evidence-Based Nursing; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D009726:Nurses / Q000523:psychology*; D010865:Pilot Projects; D025341:Principal Component Analysis
keywords: China; Q-methodology; clinical nurse; culture; evidence-based practise; health belief; nurse academic