title: Using the Theory of Planned Behavior to explore hospital-based nurses' intention to use peripherally inserted central catheter (PICC): a survey study.
abstract: The peripherally inserted central catheters (PICC) have become an alternative to the traditional CVC. PICCs are usually inserted by trained nurses who decided to attend and complete a special training on PICC insertion and management. The present work aimed to investigate the intention of using PICC in a sample of hospital-based nurses using the theory of planned behavior as theoretical framework.
  
  
  
  A cross-sectional design was used in which a questionnaire was delivered to 199 nurses.
  
  
  
  According to the theory of planned behavior, the attitude toward the use of PICC, subjective norms and perceived self-efficacy predicted the intention to use PICC. Contrary to the expectations, the effect of subjective norms on intention to use PICC was mediated by attitude and self-efficacy. Finally, age of participants was negatively related to the intention to use the PICC.
  
  
  
  The theory of planned behavior offers a useful framework to explain nurses' intention to use PICC. Shared norms favoring the use of PICC seem to increase both nurse's positive attitudes and self-efficacy whit respect to the use of these devices. Thus, it appears that to train professionals individually does not necessarily results in an increased use of PICC.
authors.affiliation: ONLUS Foundation "Casa Insieme", Bagnolo in Piano, Reggio Emilia. laurabertani@hotmail.it.
authors.forename: Laura
authors.initials: L
authors.lastname: Bertani
authors.forename: Maria
authors.initials: M
authors.lastname: Carone
authors.forename: Luca
authors.initials: L
authors.lastname: Caricati
authors.forename: Serena
authors.initials: S
authors.lastname: Demaria
authors.forename: Silvia
authors.initials: S
authors.lastname: Fantuzzi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Guarasci
authors.forename: Luca
authors.initials: L
authors.lastname: Pirazzoli
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002406:Catheterization, Peripheral / Q000451:nursing*; D062905:Central Venous Catheters; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D009742:Nursing Theory; D020377:Self Efficacy; D011795:Surveys and Questionnaires
keywords: Theory of planned behavior, PICC, CVC, behavioural intention