Effects of Dispositional Resilience and Self-Efficacy on Practice in Advanced Care Planning of Terminally Ill Patients among Taiwanese Nurses: A Study Using Path Modeling

Hsueh-Hsing Pan, Li-Fen Wu, Li-Fang Chang, Yu-Chun Hung, Chin Lin and Ching-Liang Ho
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Hsueh-Hsing Pan: School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan
Li-Fen Wu: Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
Li-Fang Chang: Department of Nursing, Tri-Service General Hospital, 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
Ching-Liang Ho: Division of Hematology and Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei City 11490, Taiwan

IJERPH, 2021, vol. 18, issue 3, 1-12

Abstract: This study aimed to expand on previous research elucidating the effects of dispositional resilience and self-efficacy on practice in advanced care planning (ACP) of terminally ill patients among Taiwanese nurses using path modeling. This cross-sectional study was conducted using cluster sampling. Data were collected using demographics, nurses’ knowledge, attitude, and practice of ACP (KAP-ACP) inventory, Dispositional Resilience Scale, and General Self-Efficacy Scale. A total of 266 nurses from a tertiary medical center in northern Taiwan participated in this study in 2019. The results showed that gender and ward were significant K-ACP predictors among nurses. The ACP knowledge, ward, and experience of caring for terminally ill friends or relatives were significant A-ACP predictors, whereas ACP attitudes, dispositional resilience, self-efficacy, ward, and the frequency of caring for terminally ill patients were the key predictors of P-ACP. The path modeling showed that dispositional resilience; self-efficacy; medical, surgical, hematology and oncology wards; previous experience in caring for terminally ill friends or relatives; participating in the do-not-resuscitate signature; and the frequency of caring for terminally ill patients directly influenced ACP practices. We recommend that nurses enhance their dispositional resilience and self-efficacy, which may encourage them to appreciate the value of ACP practice of terminally ill patients and improve the quality of care.

Keywords: advance care planning; knowledge; attitude; practice; path modeling; dispositional resilience; self-efficacy; terminally ill patients (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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