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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

Author

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  • Hsueh-Hsing Pan

    (School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan
    Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    Hsueh-Hsing Pan and Li-Fen Wu contribute equally in this article.)

  • Li-Fen Wu

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei City 11490, Taiwan)

  • Li-Fang Chang

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    Graduate Institute of Medical Sciences, National Defense Medical Center, 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)

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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1236-:d:489824
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    References listed on IDEAS

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    1. Li-Fen Wu & Li-Fang Chang & Yu-Chun Hung & Chin Lin & Shiow-Jyu Tzou & Lin-Ju Chou & Hsueh-Hsing Pan, 2020. "The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    2. 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. 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.

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