The mediating roles of social benefits and social influence on the relationships between collectivism, power distance, and influenza vaccination among Hong Kong nurses: A cross-sectional study
The mediating roles of social benefits and social influence on the relationships between collectivism, power distance, and influenza vaccination among Hong Kong nurses: A cross-sectional study
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DOI：
10.1016/j.ijnurstu.2019.05.007
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发表时间：
2019-11-01
影响因子：
8.1
通讯作者：
Kwok, Kin On
中科院分区：
文献类型：
--
作者：
Li, Kin-Kit;Chan, Michael Wing Ho;Kwok, Kin On
背景：尽管许多医疗机构都推荐接种季节性流感疫苗，但包括护士在内的医护人员的季节性流感疫苗接种率仍然不理想。考虑到文化价值观对组织行为的影响，护士的疫苗接种也可能通过其对社会导向动机和社会影响接受度的影响而受到文化价值观的影响。 目的：本研究探讨了两个个体层面的文化维度，集体主义和权力距离，是否以及以何种方式分别通过社会效益（即自我和宗族保护和社区保护）和社会影响（即权威建议和家庭和同伴建议）影响疫苗接种。设计：横断面在线调查。设置：通过香港专业护理组织的联系人名单和个人推荐，向护士发出参与调查的邀请。参与者：共有 1386 名护士（平均年龄 = 37.82，SD = 10.36；89% 女性）完成了调查。方法：调查包括有关文化价值观、感知社会效益和社会影响的工具，以及有关 2 年疫苗接种的问题记录。使用结构方程模型和引导样本测试中介模型。进行亚组分析，以检查不同水平的人口因素的中介路径是否不同。结果：中介模型中的结构路径在过去接种过疫苗的护士和未接种疫苗的护士之间是不同的。在采用模型中（即过去未接种疫苗的护士），集体主义对疫苗接种的积极影响是通过自我和家族保护和权威建议来调节的，而集体主义对疫苗接种的消极影响是通过社区保护来调节的。此外，权力距离对疫苗接种的积极影响是由权威建议调节的。在维持模型中（即对于过去接种过疫苗的护士），除了集体主义通过权威建议对疫苗接种产生积极影响外，其他间接影响并不显着。集体主义对疫苗接种的直接影响是负的，而权力距离对疫苗接种的直接影响是正的。结论：集体主义和权力距离可能指导护士如何关注和处理社会信息，进而影响他们的疫苗接种行为。需要更多的研究来检验文化因素如何影响疫苗接种的维持以及当前研究结果对其他文化的适用性。 (C) 2019 Elsevier Ltd. 保留所有权利。
Background: Despite being recommended by many medical organizations, the uptake rates of seasonal influenza vaccination among healthcare workers, including nurses, are still unsatisfactory. Considering the impact of cultural values on organizational behaviors, vaccination among nurses may also be influenced by cultural values via their impacts on socially oriented motivation and the acceptance of social influence.Objectives: This study examined whether and in what way two individual-level cultural dimensions, collectivism and power distance, would influence vaccination via social benefits (i.e., self-and-clan protection and community protection) and social influence (i.e., authority advice, and family-and-peer advice), respectively, among nurses.Design: A cross-sectional online survey.Setting: An invitation to participate in the survey was sent to nurses using the contact list of a professional nursing organization in Hong Kong and by personal referrals.Participants: A total of 1386 nurses (mean age = 37.82, SD = 10.36; 89% women) completed the survey.Methods: The survey included instruments on cultural values, perceived social benefits, and social influence, and questions regarding 2-year vaccination records. The mediation model was tested using structural equation modeling with bootstrapped samples. Subgroup analyses were conducted to examine whether the mediation paths were different across different levels of demographic factors.Results: The structural paths in the mediation model were different between nurses that had been vaccinated in the past and those who had not. In the adoption model (i.e., for nurses non-vaccinated in the past), the positive effects of collectivism on vaccination were mediated by self-and-clan protection and authority advice, whereas the negative effect of collectivism on vaccination was mediated by community protection. In addition, the positive effect of power distance on vaccination was mediated by authority advice. In the maintenance model (i.e., for nurses vaccinated in the past), except for the positive effect of collectivism on vaccination via authority advice, the other indirect effects were not significant. The direct effect of collectivism on vaccination was negative, whereas the direct effect of power distance on vaccination was positive.Conclusions: Collectivism and power distance may guide how nurses attend to and process social information and subsequently influence their vaccination adoption behaviors. More research is needed to examine how cultural dimensions may influence vaccination maintenance and the applicability of the current findings to other cultures. (C) 2019 Elsevier Ltd. All rights reserved.