Factors Associated with General Hospital Nurses’ Self-evaluations of End-of-life Care Practices for Non-cancer Patients
Palliative Care Research
; : 99-107, 2024.
Article
Dans Ja
| WPRIM
| ID: wpr-1040154
Responsable en Bibliothèque :
WPRO
ABSTRACT
Purpose:
To elucidate the factors associated with self-evaluations of end-of-life care (EOLC) practices for non-cancer patients experienced by nurses in general hospitals.Methods:
A questionnaire survey was conducted involving 1161 nurses from general hospitals.Results:
Comparing the realities of 648 cancer cases with those of 306 non-cancer cases in terms of end-of-life care practices, it was found that significantly lower EOLC self-evaluation scores (on a 10-point scale), fewer instances of eliciting patients’ intentions or wishes, and fewer team discussions related to EOLC practices were observed in the non-cancer cases. (p<0.001). For each disease, pneumonia and heart disease tended to be lower. Self-evaluation of EOLC practices was consistently associated with eliciting patients’ intentions and wishes (β=0.21 for cancer, β=0.16 for non-cancer), and team discussions (β=0.25 for cancer, β=0.35 for non-cancer) for both cancer and non-cancer cases.Conclusion:
General hospital nurses’ self-evaluations of EOLC practices for non-cancer patients were lower compared to those for cancer patients. It is necessary to enhance their skills in eliciting patients’ intentions and wishes and to implement a system of care for team discussion.
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Indice:
WPRIM
langue:
Ja
Texte intégral:
Palliative Care Research
Année:
2024
Type:
Article