1. 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, Francisco Cegri, Amor Aradilla-Herrero, Sebastià Santaeugènia, Esther Limón, Mireia Subirana-Casacuberta, Cristina Esquinas, and Escuela Universitaria Gimbernat (EUG)
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Advance care planning ,Male ,medicine.medical_specialty ,animal structures ,Cross-sectional study ,Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,Logistic regression ,advance care planning ,primary care ,self-efficacy ,Article ,Advance Care Planning ,Quality of life (healthcare) ,stomatognathic system ,medicine ,Humans ,media_common ,Self-efficacy ,Primary Health Care ,business.industry ,Public Health, Environmental and Occupational Health ,Stepwise regression ,Middle Aged ,Primary care ,Self Efficacy ,humanities ,Cross-Sectional Studies ,Feeling ,Scale (social sciences) ,Family medicine ,Quality of Life ,Medicine ,bacteria ,Female ,Perception ,lipids (amino acids, peptides, and proteins) ,business - 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. Keywords: advance care planning; primary care; self-efficacy publishedVersion
- Published
- 2021
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