Factors influencing advance care planning behaviors among geriatric nurses: knowledge, attitudes, and self-efficacy

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2024-11-20 DOI:10.1016/j.gerinurse.2024.11.018

Chieh-Ju Chen , Sui-Whi Jane , Hsiu-Chin Hsu , Su-Ying Yu , Yueh-E Lin , Yung-Chang Lin , Hsiang-Ping Huang

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Abstract

Objectives

To explore the knowledge, attitudes, behaviors, and self-efficacy of geriatric nurses regarding Advance Care Planning (ACP) for older adults.

Methods

Cross-sectional study of 281 geriatric nurses in a Northern Taiwan teaching hospital using ACP knowledge, attitudes, actions, and self-efficacy scales.

Results

Nurses showed slightly insufficient ACP knowledge and self-efficacy, positive attitudes, and neutral behaviors. ACP attitudes (β = 0.11, p = 0.02) and self-efficacy (β = -0.37, p < 0.001) significantly correlated with behaviors. The nurses of the medical ward demonstrated more positive ACP behaviors than surgical ward nurses (β = 0.12, p = 0.02). The model explained 48.6 % of variance in ACP behaviors.

Conclusions

Enhance nurses' ACP self-efficacy through professional training and experiential learning programs, particularly for surgical ward nurses and those without hospice care consent experience. This can improve nurses' confidence in discussing care plans with patients and families, ensuring better end-of-life care quality.

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影响老年病科护士预先护理计划行为的因素：知识、态度和自我效能。

目的：探讨老年病科护士对老年人预先护理计划（ACP）的认识、态度、行为和自我效能：探讨老年病科护士对老年人预先护理计划（ACP）的知识、态度、行为和自我效能：方法：采用 ACP 知识、态度、行为和自我效能量表，对台湾北部一家教学医院的 281 名老年病科护士进行横断面研究：结果：护士们的 ACP 知识和自我效能略显不足，态度积极，行为中性。ACP 态度（β = 0.11，p = 0.02）和自我效能（β = -0.37，p < 0.001）与行为显著相关。内科病房护士比外科病房护士表现出更积极的 ACP 行为（β = 0.12，p = 0.02）。该模型解释了 48.6% 的 ACP 行为变异：通过专业培训和体验式学习计划提高护士的ACP自我效能，尤其是外科病房护士和没有安宁疗护同意经验的护士。这可以提高护士与患者及家属讨论护理计划的信心，确保更好的临终关怀质量。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.