NDLI: Modelling end-of-life care practices: Factors associated with critical care nurse engagement in care provision.

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Modelling end-of-life care practices: Factors associated with critical care nurse engagement in care provision.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ranse, Kristen Yates, Patsy Coyer, Fiona
Description	Author Affiliation: Ranse K ( Disciplines of Nursing & Midwifery, Faculty of Health, University of Canberra, Canberra, Australia. Electronic address: Kristen.Ranse@canberra.edu.au.); Yates P ( School of Nursing & Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.); Coyer F ( School of Nursing & Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.)
Abstract	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.
File Format	HTM / HTML
ISSN	09643397
Journal	Intensive and Critical Care Nursing
Volume Number	33
e-ISSN	15324036
Language	English
Publisher	Elsevier
Publisher Date	2016-04-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Critical Care Discipline Nursing
Content Type	Text
Resource Type	Article
Subject	Critical Care Nursing

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