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The Role Complexities in Advance Care Planning for End-of-Life Care—Nursing Students’ Perception of the Nursing Profession

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  • Suet Ying Ng

    (Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China)

  • Eliza Lai-Yi Wong

    (Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China)

Abstract

Nurses’ perceptions of being responsible for advance care planning (ACP) vary greatly across different studies. It could, however, affect their involvement in advance care planning and patients’ quality of death. Recent studies on this topic have mostly focused on advance directives but not ACP and nurses in the ward setting. This study aimed to assess the perception of Hong Kong nursing undergraduates of the nurse’s role in advance care planning and examine its associations with knowledge, attitude, and experience. A cross-sectional 57-item survey was delivered to nursing undergraduates between June and August 2020. The chi-squared test or Fisher’s exact test were used for univariate analysis. The multiple logistic regression model was used for multivariate analysis. A total of 469 participants were assessed for eligibility; 242 of them were included in the data analysis, with a response rate of 97.6%. The majority of respondents—77.3% (95% CI: 72.0–82.6%)—perceived having a role in ACP, but large discrepancies were found between their perception of their role regarding different aspects of ACP. Participants who had a better knowledge status ( p = 0.029) or supported the use of ACP ( p < 0.001) were more likely to have a positive perception of their role in ACP. A negative correlation was found between the experience of life threat and positive role perception ( p < 0.001). Through strengthening training, the role clarity of nursing undergraduates could be achieved, maximizing their cooperation with and implementation of ACP in their future nursing career. The enhancement of end-of-life education could also be undertaken to fill nursing undergraduates’ knowledge gap in this area and change their attitudes.

Suggested Citation

  • Suet Ying Ng & Eliza Lai-Yi Wong, 2021. "The Role Complexities in Advance Care Planning for End-of-Life Care—Nursing Students’ Perception of the Nursing Profession," IJERPH, MDPI, vol. 18(12), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6574-:d:577433
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    References listed on IDEAS

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    1. Li‐Shan Ke & Xiaoyan Huang & Margaret O'Connor & Susan Lee, 2015. "Nurses' views regarding implementing advance care planning for older people: a systematic review and synthesis of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(15-16), pages 2057-2073, August.
    2. Carmen W. H. Chan & Martin M. H. Wong & Kai Chow Choi & Helen Y. L. Chan & Amy Y. M. Chow & Raymond S. K. Lo & Michael M. K. Sham, 2019. "Prevalence, Perception, and Predictors of Advance Directives among Hong Kong Chinese: A Population-Based Survey," IJERPH, MDPI, vol. 16(3), pages 1-17, January.
    3. Douglas H. Blackwood & David Walker & Monty G. Mythen & Rachel M. Taylor & Cecilia Vindrola‐Padros, 2019. "Barriers to advance care planning with patients as perceived by nurses and other healthcare professionals: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4276-4297, December.
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    Cited by:

    1. Eliza Lai-Yi Wong & Janice Ying-Chui Lau & Patsy Yuen-Kwan Chau & Roger Yat-Nork Chung & Samuel Yeung-Shan Wong & Jean Woo & Eng-Kiong Yeoh, 2022. "Caregivers’ Experience of End-of-Life Stage Elderly Patients: Longitudinal Qualitative Interview," IJERPH, MDPI, vol. 19(4), pages 1-12, February.

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