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The Impact of Organizational Factors on Nurses' Knowledge, Perceptions, and Behaviors Around Advance Care Planning
- Source :
- Journal of Hospice & Palliative Nursing. 22:283-291
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- The objective of this study was to understand the organizational context of nurses' use of advance care plans (ACPs). We use a modified version of Bandera's social cognitive theory model to understand relationships between organizational constructs such as experience with ACPs and satisfaction with organizational support and oncology nurses' knowledge, behaviors, and perceptions around ACPs. The sample included practicing registered nurses with a major focus in oncology who were members of the Oncology Nursing Society in the United States, and nurses at medical hospital or community care settings were included. Institutional review board approval was obtained, and permission was granted from the oncology nursing organization for online surveys. A validated ACP survey was used to measure nurses' experiences and perceptions of working with ACP. Perceptions of ACP by patients, vicarious experience with ACP, direct experience of ACP, having received training, and perceptions of organizational support for ACP were all predictive of total ACP behaviors in the workplace. The final regression model had 3 independent variables and accounted for 33% of the variance in total ACP behaviors. Both vicarious and direct experience with ACP was associated with ACP behaviors in workplaces. This implies the need for more vicarious and direct training experiences, as well as organization support, to build self-efficacy to perform ACP.
- Subjects :
- Adult
Male
Advance care planning
Health Knowledge, Attitudes, Practice
animal structures
media_common.quotation_subject
Nurses knowledge
MEDLINE
Nurses
Advance Care Planning
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Nursing
030502 gerontology
Surveys and Questionnaires
Perception
Humans
Workplace
Qualitative Research
media_common
Advanced and Specialized Nursing
Community and Home Care
Middle Aged
Institutional review board
Organizational Culture
United States
humanities
Oncology nursing
030220 oncology & carcinogenesis
bacteria
Female
lipids (amino acids, peptides, and proteins)
Direct experience
0305 other medical science
Psychology
Social cognitive theory
Subjects
Details
- ISSN :
- 15390705 and 15222179
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Journal of Hospice & Palliative Nursing
- Accession number :
- edsair.doi.dedup.....aa76d6711d05e9e85aafd382bc8fe678