Department of Education and Training, Catalan Institute of Oncology, 08908 Barcelona, Spain.
Catalonia Chronic Care Research Group, University of Vic-Central University of Catalonia, 08500 Vic, Spain.
Int J Environ Res Public Health. 2021 Aug 27;18(17):9034. doi: 10.3390/ijerph18179034.
Primary care (PC) professionals have been considered the most appropriate practitioners for leading Advance care planning (ACP) processes with advanced chronic patients.
To explore how PC doctors' and nurses' self-efficacy surrounding ACP is linked to their sociodemographic characteristics, background and perceptions of ACP practices.
A cross-sectional study was performed. Sociodemographics, background and perceptions about ACP in practice were collected using an online survey. The Advance Care Planning Self-Efficacy Spanish (ACP-SEs) scale was used for the self-efficacy measurement.
Bivariate, multivariate and backward stepwise logistic regression analyses were performed to identify variables independently related to a higher score on the ACP-SEs.
N = 465 participants, 70.04% doctors, 81.47% female. The participants had a mean age of 46.45 years and 66.16% had spent >15 years in their current practice. The logistic regression model showed that scoring ≤ 75 on the ACP-SEs was related to a higher score on feeling sufficiently trained, having participated in ACP processes, perceiving that ACP facilitates knowledge of preferences and values, and perceiving that ACP improves patients' quality of life.
Professionals with previous background and those who have a positive perception of ACP are more likely to feel able to carry out ACP processes with patients.
初级保健（PC）专业人员被认为是为有慢性疾病的晚期患者提供预先护理计划（ACP）服务的最合适的从业者。
探讨初级保健医生和护士在ACP方面的自我效能感与其社会人口统计学特征、背景以及对ACP实践的看法之间的关系。
采用横断面研究方法。使用在线调查收集社会人口统计学、背景和对ACP实践的看法。使用西班牙语预先护理计划自我效能感量表（ACP-SEs）来衡量自我效能感。
进行了单变量、多变量和向后逐步逻辑回归分析，以确定与 ACP-SEs 评分较高相关的独立变量。
共有 465 名参与者，其中 70.04%为医生，81.47%为女性。参与者的平均年龄为 46.45 岁，66.16%的人在目前的工作中已工作超过 15 年。逻辑回归模型显示，ACP-SEs 评分≤75 与接受过充分培训、参与过 ACP 流程、认为 ACP 有助于了解偏好和价值观以及认为 ACP 提高患者生活质量的评分较高相关。
有先前背景和对 ACP 持积极看法的专业人员更有可能感到能够与患者一起进行 ACP 流程。
