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Nurses' engagement in advance care planning practices: A descriptive cross-sectional study
Sangmin Lee1, Naixue Cui2, Hyejin Kim3
1Chung-Ang University Hospital, Seoul, Republic of Korea.
Journal of Clinical Nursing
|July 29, 2024
Summary
Nurses show low awareness and participation in advance care planning, despite positive attitudes. Insufficient time and competency are key challenges that need addressing through education and policy changes.
Area of Science:
- Nursing Research
- Healthcare Policy
- Palliative Care
Background:
- Nurses are vital in advance care planning (ACP).
- Understanding nurses' awareness, attitudes, and participation in ACP is limited.
- This study examines ACP in various South Korean healthcare settings.
Purpose of the Study:
- To describe and compare nurses' awareness, attitudes, and participation in ACP.
- To identify facilitators and challenges influencing nurses' involvement in ACP.
- To compare ACP practices across tertiary, secondary, primary, and long-term care settings.
Main Methods:
- Cross-sectional descriptive study.
- Online survey of 498 registered nurses in South Korea.
- Data analyzed using descriptive statistics, chi-squared test, ANOVA, and logistic regression.
Main Results:
- Only 49% of nurses were familiar with ACP.
- Most nurses supported ACP but were less willing to engage or recommend it.
- Lack of time due to workload and insufficient competency were significant challenges.
Conclusions:
- Nurses exhibit low awareness and participation in ACP.
- Addressing time constraints and enhancing competency are crucial for integrating ACP into nursing practice.
- Educational programs and policy-level efforts are needed to support nurses in ACP.
Keywords:
advance care planningadvance directivepalliative carephysician orders for life‐sustaining treatmentterminal careMore Related Videos
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