title: Examination of psychosocial predictors of Chinese hospital pharmacists' intention to provide clinical pharmacy services using the theory of planned behaviour: a cross-sectional questionnaire study.
abstract: Main study aim was as follows: (1) to explore the usefulness of the theory of planned behaviour (TPB) model in predicting Chinese hospital pharmacists' intention to provide clinical pharmacy services (CPSs), including auxiliary CPSs and core CPSs; (2) to identify the main factors affecting the Chinese hospital pharmacists' intention to provide core CPSs based on TPB quantitatively.
  
  
  
  Cross-sectional questionnaire study.
  
  
  
  The study was conducted in 22 general hospitals in seven cities located in the eastern and western part of China.
  
  
  
  416 hospital pharmacists (292 (70.2%) female) entered and completed the study.
  
  
  
  Quantitative responses with hospital pharmacists' intention, attitude, subjective norms (SNs) and perceived behavioural control (PBC) over provision of CPSs and their past behaviour (PB)-related CPSs.
  
  
  
  The structural equation model analysis found that attitude (p=0.0079, β=0.12), SN (p=0.038, β=0.10) and the pharmacists' intention to provide auxiliary CPSs (p=0.0001, β=0.63) significantly predicted of their intention to provide core CPSs, accounting for 54.0% of its variance. Attitude (p=0.0001, β=0.35), PBC (p=0.0182, β=0.12) and PB (p=0.0009, β=0.15) are significant predictors of pharmacists' intention, accounting for 21% of the variance in pharmacists' intention to provide auxiliary CPSs.
  
  
  
  The TPB with the addition of PB is a useful framework for predicting pharmacists' intention to provide CPSs in Chinese hospital care context. Strategies to improve hospital pharmacists' intention to provide CPSs should focus on helping the individuals related medical care see the value of CPSs, altering their perception of social pressure towards core CPSs and the removal of obstacles that impede the translation of intentions into behaviour.
authors.affiliation: Department of Psychology, School of Health Policy and Management, Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: He
authors.affiliation: Department of Psychology, School of Education Science, Jiangsu Normal University, Xuzhou, People's Republic of China.
authors.forename: Fan
authors.initials: F
authors.lastname: Yang
authors.affiliation: Department of English Languages, School of Foreign Languages, Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Dongqin
authors.initials: D
authors.lastname: Mu
authors.affiliation: Department of Health Policy, School of Health Policy and Management, Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Xing
authors.affiliation: Department of Health Policy, School of Health Policy and Management, Nanjing Medical University, Nanjing, People's Republic of China Department of Clinical Pharmacy, School of Pharmacy, Nanjing Medical University, Nanjing, People's Republic of China.
authors.forename: Xin
authors.initials: X
authors.lastname: Li
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D018802:Patient-Centered Care / Q000379:methods; D010595:Pharmacists / Q000523:psychology*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D024382:Professional Role; D011795:Surveys and Questionnaires
keywords: Attitude; Clinical Pharmacy Services; Intention; Pharmacist; Structural equation model; Theory of planned behavior