The association between attitude, perceived norm, and perceived behavioral control with the provision of Clinical Work-Integrating Care: A reasoned action approach

Authors: Lana Kluit , Annechien Beumer , Coen A.M. van Bennekom , Angela G.E.M. de Boer , Astrid de Wind
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Abstract

Background

Clinical Work-Integrating Care (CWIC) brings important attention to issues emerging from the interrelationship between health and work. Yet, for various reasons, CWIC is not routinely delivered in clinical healthcare. This study focuses on why medical specialists do or do not provide CWIC, applying a reasoned action approach.

Objective

To examine the associations between attitude, perceived norm, and perceived behavioral control with the provision of CWIC.

Methods

A cross-sectional survey was distributed to Dutch medical specialists. Multivariable regression analysis was used to investigate the associations between attitude, perceived norm, and perceived behavioral control on the ability to provide CWIC with the frequency of actual CWIC provision.

Results

In total, 160 medical specialists completed the survey. The sample consisted of 12 surgical specialists (8 %), 113 non-surgical specialists (71 %), and 35 rehabilitation specialists (22 %). After adjustment for confounders, a favorable attitude was significantly associated with providing CWIC (p < .01), while perceived norm and perceived control were not (p = .74 and p = .85, respectively).

Conclusions

Medical specialists who expressed a favorable attitude towards addressing work during consultations were more likely to provide CWIC. Thus, addressing specialists' attitudes is an important element to implementing CWIC.
态度、知觉规范和知觉行为控制与临床工作整合护理之间的关系:理性行动方法
临床工作整合护理(CWIC)引起了人们对健康与工作相互关系中出现的问题的重视。然而,由于各种原因,在临床医疗保健中没有常规提供CWIC。本研究的重点是为什么医学专家提供或不提供CWIC,采用合理的行动方法。目的探讨态度、知觉规范和知觉行为控制与ccic的关系。方法对荷兰医学专家进行横断面调查。采用多变量回归分析探讨态度、知觉规范和知觉行为控制对实际提供CWIC的频率与提供CWIC能力的关系。结果共有160名医学专家完成调查。样本包括12名外科专家(8%),113名非外科专家(71%)和35名康复专家(22%)。调整混杂因素后,良好的态度与提供ccic显著相关(p <;知觉规范和知觉控制差异无统计学意义(p = 0.74和p = 0.85)。结论会诊时对解决工作态度较好的专科医师更有可能提供ccic。因此,解决专家的态度是实施ccic的一个重要因素。
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来源期刊
PEC innovation
PEC innovation Medicine and Dentistry (General)
CiteScore
0.80
自引率
0.00%
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审稿时长
147 days
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