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

Author

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  • Cristina Lasmarías

    (Department of Education and Training, Catalan Institute of Oncology, 08908 Barcelona, Spain
    Catalonia Chronic Care Research Group, University of Vic-Central University of Catalonia, 08500 Vic, 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
    Public Health, Mental, Maternal and Child Health Nursing Departament, Faculty of Medicine and Health Sciences, University of Barcelona, 08031 Barcelona, Spain)

  • Sebastià Santaeugènia

    (Catalonia Chronic Care Research Group, University of Vic-Central University of Catalonia, 08500 Vic, Spain
    Chronic Care Program, Health Department, Generalitat de Catalunya, 08028 Barcelona, Spain)

  • Francisco Cegri

    (Responsible for Strategy and Innovation of the Association of Family and Community Nursing of Catalonia (AIFiCC), 08001 Barcelona, Spain
    Primary Care Centre Sant Martí de Provençals, Institut Català de la Salut, 08001 Barcelona, Spain)

  • Esther Limón

    (Permanent Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08019 Barcelona, Spain
    Primary Care Centre Mataró-7, Institut Català de la Salut, 08019 Mataró, 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
    Research Group on Methodology, Methods, Models, and Health and Social Outcomes, Faculty of Health Science and Welfare, Centre for Health and Social Care Research, University of Vic-Central University of Catalonia, 08500 Vic, Spain)

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.

Suggested Citation

  • Cristina Lasmarías & Amor Aradilla-Herrero & Cristina Esquinas & Sebastià Santaeugènia & Francisco Cegri & Esther Limón & Mireia Subirana-Casacuberta, 2021. "Primary Care Professionals’ Self-Efficacy Surrounding Advance Care Planning and Its Link to Sociodemographics, Background and Perceptions: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9034-:d:623147
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    References listed on IDEAS

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    1. Hsueh-Hsing Pan & Li-Fen Wu & Li-Fang Chang & Yu-Chun Hung & Chin Lin & Ching-Liang Ho, 2021. "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," IJERPH, MDPI, vol. 18(3), pages 1-12, January.
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