The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

Li-Fen Wu, Li-Fang Chang, Yu-Chun Hung, Chin Lin, Shiow-Jyu Tzou, Lin-Ju Chou and Hsueh-Hsing Pan
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Li-Fen Wu: Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei City 11490, Taiwan
Li-Fang Chang: Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei City 11490, Taiwan
Yu-Chun Hung: Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
Chin Lin: Graduate Institute of Life Sciences, National Defense Medical Center, Taipei City 11490, Taiwan
Shiow-Jyu Tzou: Department of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung 80284, Taiwan
Lin-Ju Chou: Department of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung 80284, Taiwan
Hsueh-Hsing Pan: Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan

IJERPH, 2020, vol. 17, issue 17, 1-12

Abstract: This study aimed to elucidate the predictors and the effects of path modeling on the knowledge, attitude, and practice toward do-not-resuscitate (DNR) among the Taiwanese nursing staff. This study was a cross-sectional, descriptive design using stratified cluster sampling. We collected data on demographics, knowledge, attitude, and practice as measured by the DNR inventory (KAP-DNR), Mindful Attention Awareness Scale, General Self-Efficacy Scale, and Dispositional Resilience Scale. Participants were 194 nursing staff from a medical center in northern Taiwan in 2019. The results showed that participation in DNR signature and education related to palliative care were significant positive predictors of knowledge toward DNR. The DNR predictors toward attitude included DNR knowledge, mindfulness, self-efficacy, dispositional resilience, and religious belief of nurses. Generally, the critical predictors of DNR practice were DNR attitude, dispositional resilience, and male nurses. In path modeling, we identified that self-efficacy, dispositional resilience, master’s degree, and religious belief directly influenced practice constituting DNR. Based on the findings of this study, we propose that nurses should improve their self-efficacy and dispositional resilience through training programs. Encouraging staff to undertake further education and have religious beliefs can enhance the practice of DNR and provide better end-of-life care.

Keywords: do-not-resuscitate; knowledge; attitude; practice; path modeling (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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