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

Bibliographic Data

ID15501409
AuthorsHsueh-Hsing Pan (0000-0002-9020-3279, Tri-Service General Hospital, corresponding author), Lifen Wu (Tri-Service General Hospital), 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), Li‐Fang Chang (Tri-Service General Hospital), Yu-Chun Hung (Tri-Service General Hospital), Chin Lin (0000-0003-2337-2096, National Defense Medical Center), Ching‐Liang Ho (0000-0002-8378-1687, Tri-Service General Hospital), Ching-Liang Ho (Division of Hematology and Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei City 11490, Taiwan)
Year2021
Volume18
Issue3
Pages1236-1236
Publication date2021-01-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18031236
PMID33573116
OpenAlexW3127030792
LanguageEN
Citations received1
References cited36

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

Critically ill · Intensive care medicine · Palliative care · Path analysis (statistics · Psychological resilience · Psychotherapist · Resilience (materials science · Self-efficacy · Terminally ill · Chronic Disease Management Strategies · Computer Science · Geriatric Care and Nursing Homes · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology

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Open DOIOpen Access