{"title":"The influence of general hospital nurses' intention to care for patients with COVID-19 on infection control practices: A cross-sectional study.","authors":"Jeong Ha Choi, Ka Young Kim","doi":"10.1177/17571774261456669","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nurses' infection control practices are crucial for managing infectious diseases like coronavirus disease 2019 (COVID-19). While various factors influence these practices, they may be mediated by nurses' intention to provide care. Research on intention-based factors remains limited. This study aimed to identify factors influencing infection control practices based on nurses' intention to care for COVID-19 patients.</p><p><strong>Methods: </strong>This cross-sectional study surveyed 240 nurses from three general hospitals in Korea in March 2021 regarding individual and environmental factors. Multiple regression analyzed predictors of infection control practices based on care intention levels.</p><p><strong>Results: </strong>The findings revealed distinct influencing factors based on nurses' intention levels. Among nurses with high care intention, individual factors were predominant: COVID-19-related infection control awareness (<i>β</i> = .449, <i>p</i> < .001) and psychosocial stress (<i>β</i> = -.271, <i>p</i> = .012) were significantly associated with their practices. In contrast, for nurses with moderate intention, both individual and environmental factors were significant: infection control awareness (<i>β</i> = .362, <i>p</i> < .001) and the availability of negative pressure rooms (<i>β</i> = .224, <i>p</i> = .042) played key roles.</p><p><strong>Conclusion: </strong>Factors influencing infection control practices vary depending on nurses' care intention. Specifically, strategies should focus on maintaining awareness and managing stress for nurses with high intention, while enhancing environmental support and infrastructure is more effective for those with moderate intention. These results emphasize the need for tailored, multi-level interventions-integrating both individual and environmental strategies-to sustain effective infection control during infectious disease outbreaks.</p>","PeriodicalId":16094,"journal":{"name":"Journal of Infection Prevention","volume":" ","pages":"17571774261456669"},"PeriodicalIF":1.0000,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216098/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Infection Prevention","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17571774261456669","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Nurses' infection control practices are crucial for managing infectious diseases like coronavirus disease 2019 (COVID-19). While various factors influence these practices, they may be mediated by nurses' intention to provide care. Research on intention-based factors remains limited. This study aimed to identify factors influencing infection control practices based on nurses' intention to care for COVID-19 patients.
Methods: This cross-sectional study surveyed 240 nurses from three general hospitals in Korea in March 2021 regarding individual and environmental factors. Multiple regression analyzed predictors of infection control practices based on care intention levels.
Results: The findings revealed distinct influencing factors based on nurses' intention levels. Among nurses with high care intention, individual factors were predominant: COVID-19-related infection control awareness (β = .449, p < .001) and psychosocial stress (β = -.271, p = .012) were significantly associated with their practices. In contrast, for nurses with moderate intention, both individual and environmental factors were significant: infection control awareness (β = .362, p < .001) and the availability of negative pressure rooms (β = .224, p = .042) played key roles.
Conclusion: Factors influencing infection control practices vary depending on nurses' care intention. Specifically, strategies should focus on maintaining awareness and managing stress for nurses with high intention, while enhancing environmental support and infrastructure is more effective for those with moderate intention. These results emphasize the need for tailored, multi-level interventions-integrating both individual and environmental strategies-to sustain effective infection control during infectious disease outbreaks.
期刊介绍：
Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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