Osteoporosis health beliefs and self-efficacy among orthopedic nurses in Hunan Province, China

Weiwei Dai, Lingli Peng, Yang Xiong, Nancy Reynolds, Ailan He, Mingming Liu, Jiaqi Yang, Pan She, Yan Zhang

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Osteoporosis is a growing health problem worldwide. Health beliefs and self-efficacy in regard to osteoporosis may be important targets in preventive behaviours. This study aimed to describe beliefs around osteoporosis held by orthopaedic nurses as well as the nurses' self-efficacy and the associations between knowledge, health beliefs and self-efficacy. A cross-sectional study was conducted with nurses working in orthopaedic departments in 13 tertiary hospitals in Hunan Province, China. Participants completed a questionnaire consisting of the Osteoporosis Health Belief Scale (OHBS), the Osteoporosis Self-Efficacy Scale (OSES) and a survey of their socio-demographic characteristics. A total of 558 nurses completed the survey (response rate 95%). The nurses’ scores regarding their perception of the susceptibility to and seriousness of osteoporosis were moderately low (mean OHBS score = 124.72, range 45–171; SD = 14.71), while their corresponding self-efficacy scores were moderately high (mean OSES score = 72.01, range 0–120; SD = 23.15). Knowledge regarding osteoporosis was positively associated with self-efficacy (r = 0.232, p = 0.000) but not with health beliefs (r = 0.030, p = 0.484). The findings of this study revealed moderately high self-efficacy and moderate health beliefs related to osteoporosis among orthopaedic nurses. Osteoporosis knowledge was not associated with health beliefs or self-efficacy. The findings indicate that educational programs should not only focus on knowledge improvement but also changes in health beliefs to improve actual behaviour in practice.

Original languageEnglish (US)
Article number100839
JournalInternational Journal of Orthopaedic and Trauma Nursing
StatePublished - Feb 2021


  • China
  • Health beliefs
  • Orthopaedic nurse
  • Self-efficacy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Advanced and Specialized Nursing


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