The differences in nurses’ willingness to discuss palliative care with patients and their family members
| Autor: | Chun Ku Chen, Tzeng Ji Chen, Ya Ting Chuang, Chuen Huei Shyu, Huei Jin Lin, Yi Hsuan Lin, Ming Hwai Lin, Che Yang, Hui Fang Chen, Wan Ling Yang, Shinn Jang Hwang, Hsiao Ting Chang, Ya Jyun Chen |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Palliative care media_common.quotation_subject Taiwan Nurses Terminally ill 030204 cardiovascular system & hematology Logistic regression Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine Family Resuscitation Orders media_common Inpatient care business.industry Communication Palliative Care General Medicine Odds ratio Confidence interval Test (assessment) Cross-Sectional Studies 030220 oncology & carcinogenesis Family medicine Female Nurse-Patient Relations business Autonomy |
| Zdroj: | Journal of the Chinese Medical Association. 84:280-284 |
| ISSN: | 1726-4901 |
| DOI: | 10.1097/jcma.0000000000000484 |
| Popis: | BACKGROUND This study aimed to evaluate the differences in nurses' willingness to discuss palliative care with terminally ill patients and their family members. METHODS The participants were randomly recruited from registered staff nurses ≥20 years of age who were responsible for clinical inpatient care in a tertiary hospital in northern Taiwan. A semi-structured questionnaire was administered to evaluate nurses' experiences of discussing do-not-resuscitate (DNR) decisions and their willingness to discuss palliative care with terminal patients and their family members. The differences in nurses' experiences regarding DNR and willingness to discuss palliative care with terminally ill patients and their family members were compared using the Chi-square test. Logistic regressions were used to analyze factors associated with nurses' willingness to discuss palliative care with patients and their families. RESULTS More participants had experienced initiating discussions about DNR with patients' families than with patients (72.2% vs 61.9%, p < 0.001). Unadjusted logistic regression analysis showed that the experiences of actively initiating DNR discussions with patients were a significant factor associated with palliative care discussion with patients (odds ratio [OR] = 2.91, 95% confidence interval [CI]: 1.09-7.79). On the other hand, the experiences of actively initiating DNR discussions with patients and with patients' families were significant factors associated with palliative care discussion with patients' families (OR = 3.84, 95% CI: 1.22-12.06 and OR = 3.60, 95% CI: 1.19-10.90, respectively). After adjusting for covariates, no significant factors were found to be independently associated with nurses' willingness to discuss palliative care with patients and their family members. CONCLUSION There are significant differences in nurses' willingness to discuss palliative care with patients and their family members. Further research is needed to evaluate factors associated with nurses' willingness to discuss palliative care with patients and their families to facilitate these discussions and protect patients' autonomy. |
| Databáze: | OpenAIRE |
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