TY - JOUR
T1 - Modelling end-of-life care practices: Factors associated with critical care nurse engagement in care provision
AU - RANSE, Kristen
AU - Yates, Patsy
N1 - Funding Information:
Thanks is extended to the Australian College of Critical Care Nurses for their support of this study and the ACCCN members that contributed to the study by completing the online survey. Funding statement : The authors have no sources of funding to declare. Conflict of interest : No conflict of interest.
Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Objective: To identify factors associated with critical care nurses' engagement in end-of-life care practices. Methods: Multivariable regression modelling was undertaken on 392 responses to an online self-report survey of end-of-life care practices and factors influencing practice by Australian critical care nurses'. Univariate general linear models were built for six end-of-life care practice areas. Results: Six statistically significant (p < 0.001) models were developed: Information sharing F(3, 377) = 40.53, adjusted R
2 23.8%; Environmental modification F(5, 380) = 19.55, adjusted R
2 19.4%; Emotional support F(10, 366) = 12.10, adjusted R
2 22.8%; Patient and family centred decision making F(8, 362) = 17.61 adjusted R
2 26.4%; Symptom management F(8, 376) = 7.10, adjusted R
2 11.3%; and Spiritual support F(9, 367) = 14.66, adjusted R
2 24.6%. Stronger agreement with values consistent with a palliative approach, and greater support for patient and family preferences were associated with higher levels of engagement in end-of-life care practices. Higher levels of preparedness and access to opportunities for knowledge acquisition were associated with engagement in the interpersonal practices of patient and family centred decision making and emotional support. Conclusion: This study provides evidence for interventions to address factors associated with nurse engagement to increase participation in all end-of-life care practice areas.
AB - Objective: To identify factors associated with critical care nurses' engagement in end-of-life care practices. Methods: Multivariable regression modelling was undertaken on 392 responses to an online self-report survey of end-of-life care practices and factors influencing practice by Australian critical care nurses'. Univariate general linear models were built for six end-of-life care practice areas. Results: Six statistically significant (p < 0.001) models were developed: Information sharing F(3, 377) = 40.53, adjusted R
2 23.8%; Environmental modification F(5, 380) = 19.55, adjusted R
2 19.4%; Emotional support F(10, 366) = 12.10, adjusted R
2 22.8%; Patient and family centred decision making F(8, 362) = 17.61 adjusted R
2 26.4%; Symptom management F(8, 376) = 7.10, adjusted R
2 11.3%; and Spiritual support F(9, 367) = 14.66, adjusted R
2 24.6%. Stronger agreement with values consistent with a palliative approach, and greater support for patient and family preferences were associated with higher levels of engagement in end-of-life care practices. Higher levels of preparedness and access to opportunities for knowledge acquisition were associated with engagement in the interpersonal practices of patient and family centred decision making and emotional support. Conclusion: This study provides evidence for interventions to address factors associated with nurse engagement to increase participation in all end-of-life care practice areas.
KW - Critical care
KW - End-of-life care
KW - Factors
KW - Intensive care
KW - Nursing
KW - Survey
UR - http://www.scopus.com/inward/record.url?scp=84961155294&partnerID=8YFLogxK
U2 - 10.1016/j.iccn.2015.11.003
DO - 10.1016/j.iccn.2015.11.003
M3 - Article
C2 - 26846173
SN - 1532-4036
VL - 33
SP - 48
EP - 55
JO - Intensive and Critical Care Nursing
JF - Intensive and Critical Care Nursing
ER -