Cargando…
Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy
BACKGROUND: End-of-life conversations are rarely initiated by care staff in long-term care facilities. A possible explanation is care staff’s lack of self-efficacy in such conversations. Research into the determinants of self-efficacy for nurses and care assistants in end-of-life communication is sc...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323808/ https://www.ncbi.nlm.nih.gov/pubmed/30621703 http://dx.doi.org/10.1186/s12904-018-0388-z |
_version_ | 1783385843167133696 |
---|---|
author | Evenblij, Kirsten ten Koppel, Maud Smets, Tinne Widdershoven, Guy A. M. Onwuteaka-Philipsen, Bregje D. Pasman, H. Roeline W. |
author_facet | Evenblij, Kirsten ten Koppel, Maud Smets, Tinne Widdershoven, Guy A. M. Onwuteaka-Philipsen, Bregje D. Pasman, H. Roeline W. |
author_sort | Evenblij, Kirsten |
collection | PubMed |
description | BACKGROUND: End-of-life conversations are rarely initiated by care staff in long-term care facilities. A possible explanation is care staff’s lack of self-efficacy in such conversations. Research into the determinants of self-efficacy for nurses and care assistants in end-of-life communication is scarce and self-efficacy might differ between care staff of mental health facilities, nursing homes, and care homes. This study aimed to explore differences between care staff in mental health facilities, nursing homes, and care homes with regard to knowledge about palliative care, time pressure, and self-efficacy in end-of-life communication, as well as aiming to identify determinants of high self-efficacy in end-of-life communication. METHODS: Two cross-sectional Dutch studies, one in mental health facilities and one in nursing and care homes (PACE study). Nurses and care assistants were invited to complete a questionnaire in 2015. Multivariable logistic regression analyses were performed to identify determinants of high self-efficacy. RESULTS: Five hundred forty one nurses and care assistants completed a survey; 137 worked in mental health facilities, 172 in nursing homes, and 232 in care homes. Care staff at mental health facilities were the most knowledgeable about the World Health Organization’s definition of palliative care: 76% answered 4–5 out of 5 items correctly compared to 38% of nursing home staff and 40% of care home staff (p < 0.001). Around 60% of care staff in all settings experienced time pressure. Care staff had high self-efficacy regarding end-of-life communication with patients: the overall mean score across all facilities was 5.47 out of 7 (standard deviation 1.25). Determinants of high self-efficacy were working in a mental health facility, age > 36, female, with formal palliative care training, and knowledge of the palliative care definition. CONCLUSION: Mental healthcare staff knew more about palliative care and had higher self-efficacy in end-of-life communication compared to nursing and care home staff. Educating care staff about providing palliative care and training them in it might improve end-of-life communication in these facilities. |
format | Online Article Text |
id | pubmed-6323808 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63238082019-01-11 Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy Evenblij, Kirsten ten Koppel, Maud Smets, Tinne Widdershoven, Guy A. M. Onwuteaka-Philipsen, Bregje D. Pasman, H. Roeline W. BMC Palliat Care Research Article BACKGROUND: End-of-life conversations are rarely initiated by care staff in long-term care facilities. A possible explanation is care staff’s lack of self-efficacy in such conversations. Research into the determinants of self-efficacy for nurses and care assistants in end-of-life communication is scarce and self-efficacy might differ between care staff of mental health facilities, nursing homes, and care homes. This study aimed to explore differences between care staff in mental health facilities, nursing homes, and care homes with regard to knowledge about palliative care, time pressure, and self-efficacy in end-of-life communication, as well as aiming to identify determinants of high self-efficacy in end-of-life communication. METHODS: Two cross-sectional Dutch studies, one in mental health facilities and one in nursing and care homes (PACE study). Nurses and care assistants were invited to complete a questionnaire in 2015. Multivariable logistic regression analyses were performed to identify determinants of high self-efficacy. RESULTS: Five hundred forty one nurses and care assistants completed a survey; 137 worked in mental health facilities, 172 in nursing homes, and 232 in care homes. Care staff at mental health facilities were the most knowledgeable about the World Health Organization’s definition of palliative care: 76% answered 4–5 out of 5 items correctly compared to 38% of nursing home staff and 40% of care home staff (p < 0.001). Around 60% of care staff in all settings experienced time pressure. Care staff had high self-efficacy regarding end-of-life communication with patients: the overall mean score across all facilities was 5.47 out of 7 (standard deviation 1.25). Determinants of high self-efficacy were working in a mental health facility, age > 36, female, with formal palliative care training, and knowledge of the palliative care definition. CONCLUSION: Mental healthcare staff knew more about palliative care and had higher self-efficacy in end-of-life communication compared to nursing and care home staff. Educating care staff about providing palliative care and training them in it might improve end-of-life communication in these facilities. BioMed Central 2019-01-08 /pmc/articles/PMC6323808/ /pubmed/30621703 http://dx.doi.org/10.1186/s12904-018-0388-z Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Evenblij, Kirsten ten Koppel, Maud Smets, Tinne Widdershoven, Guy A. M. Onwuteaka-Philipsen, Bregje D. Pasman, H. Roeline W. Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy |
title | Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy |
title_full | Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy |
title_fullStr | Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy |
title_full_unstemmed | Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy |
title_short | Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy |
title_sort | are care staff equipped for end-of-life communication? a cross-sectional study in long-term care facilities to identify determinants of self-efficacy |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323808/ https://www.ncbi.nlm.nih.gov/pubmed/30621703 http://dx.doi.org/10.1186/s12904-018-0388-z |
work_keys_str_mv | AT evenblijkirsten arecarestaffequippedforendoflifecommunicationacrosssectionalstudyinlongtermcarefacilitiestoidentifydeterminantsofselfefficacy AT tenkoppelmaud arecarestaffequippedforendoflifecommunicationacrosssectionalstudyinlongtermcarefacilitiestoidentifydeterminantsofselfefficacy AT smetstinne arecarestaffequippedforendoflifecommunicationacrosssectionalstudyinlongtermcarefacilitiestoidentifydeterminantsofselfefficacy AT widdershovenguyam arecarestaffequippedforendoflifecommunicationacrosssectionalstudyinlongtermcarefacilitiestoidentifydeterminantsofselfefficacy AT onwuteakaphilipsenbregjed arecarestaffequippedforendoflifecommunicationacrosssectionalstudyinlongtermcarefacilitiestoidentifydeterminantsofselfefficacy AT pasmanhroelinew arecarestaffequippedforendoflifecommunicationacrosssectionalstudyinlongtermcarefacilitiestoidentifydeterminantsofselfefficacy |