Primary Care Professionals’ Self-Efficacy Surrounding Advance Care Planning and Its Link to Sociodemographics, Background and Perceptions: A Cross-Sectional Study

Cristina Lasmarías, Amor Aradilla-Herrero, Cristina Esquinas, Sebastià Santaeugènia, Francisco Cegri, Esther Limón and Mireia Subirana-Casacuberta
Additional contact information
Cristina Lasmarías: Department of Education and Training, Catalan Institute of Oncology, 08908 Barcelona, Spain
Amor Aradilla-Herrero: School of Nursing, Escoles Universitàries Gimbernat (Universitat Autònoma de Barcelona), 08174 Sant Cugat del Vallès, Spain
Cristina Esquinas: Department of Pneumology, Hospital Universitari Vall d’Hebron, 08031 Barcelona, Spain
Sebastià Santaeugènia: Catalonia Chronic Care Research Group, University of Vic-Central University of Catalonia, 08500 Vic, Spain
Francisco Cegri: Responsible for Strategy and Innovation of the Association of Family and Community Nursing of Catalonia (AIFiCC), 08001 Barcelona, Spain
Esther Limón: Permanent Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08019 Barcelona, Spain
Mireia Subirana-Casacuberta: Nursing Department, Parc Taulí Hospital Universitari, Institut d’Investigació i Innovació Parc TaulíI3PT, Universitat Autònoma de Barcelona, Consorci Sanitari Parc Taulí, 08208 Sabadell, Spain

IJERPH, 2021, vol. 18, issue 17, 1-13

Abstract: Primary care (PC) professionals have been considered the most appropriate practitioners for leading Advance care planning (ACP) processes with advanced chronic patients. Aim: To explore how PC doctors’ and nurses’ self-efficacy surrounding ACP is linked to their sociodemographic characteristics, background and perceptions of ACP practices. Methods: 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. Statistical analysis: Bivariate, multivariate and backward stepwise logistic regression analyses were performed to identify variables independently related to a higher score on the ACP-SEs. Results: 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. Conclusion: 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.

Keywords: advance care planning; primary care; self-efficacy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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