Factors influencing advance care planning behaviors among geriatric nurses: knowledge, attitudes, and self-efficacy.
作者信息
Chen Chieh-Ju, Jane Sui-Whi, Hsu Hsiu-Chin, Yu Su-Ying, Lin Yueh-E, Lin Yung-Chang, Huang Hsiang-Ping
机构信息
Department of Nursing, Taoyuan Armed Forces General Hospital, Taiwan.
Department of Nursing, Chang Gung University of Science and Technology, Taiwan; Division of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan.
出版信息
Geriatr Nurs. 2025 Jan-Feb;61:293-301. doi: 10.1016/j.gerinurse.2024.11.018. Epub 2024 Nov 20.
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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