UTILIZING THE HEALTH BELIEF MODEL TO PREDICT THE DELIVERY OF PATIENT EDUCATION BY REGISTERED NURSES.
Contributors: Indiana University School of Nursing.
Published: 1987
Number of pages: 136
Subjects: Health Sciences, Nursing.; Education, Health.
Description: Patient education has received considerable attention recently in the nursing literature. Current nursing models fail to include patient education in their framework. This finding provided the opportunity to expand the Health Belief Model (HBM) by crossing boundaries from predicting health related and disease prevention behaviors to the area of predicting patient education behaviors in registered nurses. The purposes of the study were to determine if it was possible to cross the domain boundaries of the HBM and to develop an instrument to test the predictability of the HBM in the area of patient education. The HBM variables tested were susceptibility, seriousness, benefits, and barriers. The four concepts were adapted and operationalized in terms of providing patient education.

Content validity of the instrument was established before data collection. Two phases of data collection, a pilot phase (N = 55), and a study phase (N = 85) were conducted with a population of staff nurses from two general hospitals using Likert type questionnaires modified from the work of Champion (1984). The pilot study refined items on the questionnaire and checked the reliability and validity of the HBM scales. The study phase examined the predictability of the HBM.

Internal consistency for the HBM scales was estimated by the Cronbach's alpha statistic (.53 to.83). Construct validity of the scales was obtained with factor analysis. The prediction of patient education using the independent HBM variables was tested by multiple regression analysis. A significant r of.28 was obtained accounting for 8% of the variance with seriousness as the only variable to enter the equation. Conclusions were that reliability coefficients were relatively stable for the HBM scales when modified and extended to include nurses' patient education behaviors, that the revised scales have evidence for construct validity, and that the predictability was probably compromised by the homogeneity of the sample. Nonetheless the data from this study indicated that expansion into another domain was warranted.
Notes: Source: Dissertation Abstracts International, Volume: 49-10, Section: B, page: 4239.

Thesis (D.N.S.)--INDIANA UNIVERSITY SCHOOL OF NURSING, 1987.

School code: 0815.