Benefit, Barrier, and Self-Efficacy Messages in Advance Care Planning Education Materials

2020 ◽  
pp. 1-8
Author(s):  
Christian R. Seiter
Keyword(s):  
Advance Care Planning ◽  
Self Efficacy ◽  
Care Planning ◽  
Planning Education ◽  
Advance Care

scholarly journals Differences in advance care planning among nursing home care staff

2021 ◽  
pp. 096973302199418
Author(s):  
Gilissen Joni ◽  
Wendrich-van Dael Annelien ◽  
Gastmans Chris ◽  
Vander Stichele Robert ◽  
Deliens Luc ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Confidence Interval ◽  
Advance Care Planning ◽  
Self Efficacy ◽  
Odds Ratio ◽  
Mean Difference ◽  
Care Staff ◽  
Care Planning ◽  
Advance Care

Background A team-based approach has been advocated for advance care planning in nursing homes. While nurses are often put forward to take the lead, it is not clear to what extent other professions could be involved as well. Objectives To examine to what extent engagement in advance care planning practices (e.g. conversations, advance directives), knowledge and self-efficacy differ between nurses, care assistants and allied care staff in nursing homes. Design Survey study. Participants/setting The study involved a purposive sample of 14 nursing homes in Flanders, Belgium. Nurses, care assistants and allied care staff (e.g. social workers, physical therapists) completed a survey. Ethical considerations The study was approved by the University Hospital of Brussels (B.U.N. 143201834759), as part of a cluster randomized controlled trial (clinicaltrials.gov NCT03521206). Results One hundred ninety-six nurses, 319 care assistants and 169 allied staff participated (67% response rate). After adjusting for confounders, nurses were significantly more likely than care assistants to have carried out advance care planning conversations (odds ratio 4; 95% confidence interval 1.73–9.82; p < 0.001) and documented advance care planning (odds ratio 2.67; 95% confidence interval 1.29–5.56; p < 0.001); differences not found between allied staff and care assistants. Advance care planning knowledge total scores differed significantly, with nurses (estimated mean difference 0.13 (score range 0–1); 95% confidence interval 0.08–0.17; p < 0.001) and allied staff (estimated mean difference 0.07; 95% confidence interval 0.03–0.12; p < 0.001) scoring higher than care assistants. We found no significant differences regarding self-efficacy. Discussion While nursing home nurses conducted more advance care planning conversations and documentation than allied care staff and care assistants, these two professional groups may be a valuable support to nurses in conducting advance care planning, if provided with additional training. Conclusions Allied care staff and care assistants, if trained appropriately, can be involved more strongly in advance care planning to enhance relational and individual autonomy of nursing home residents, alongside nurses. Future research to improve and implement advance care planning should consider this finding at the intervention development stage.

Advance Care Planning Self-Efficacy Scale

2017 ◽  
Author(s):  
Kristin R. Baughman ◽  
Ruth Ludwick ◽  
Rebecca Fischbein ◽  
Kenelm McCormick ◽  
James Meeker ◽  
...  
Keyword(s):  
Advance Care Planning ◽  
Self Efficacy ◽  
Care Planning ◽  
Advance Care

Development of a Scale to Assess Physician Advance Care Planning Self-Efficacy

2016 ◽  
Vol 34 (5) ◽  
pp. 435-441 ◽  
Author(s):  
Kristin R. Baughman ◽  
Ruth Ludwick ◽  
Rebecca Fischbein ◽  
Kenelm McCormick ◽  
James Meeker ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Advance Care Planning ◽  
Self Efficacy ◽  
Strong Predictor ◽  
Initial Assessment ◽  
Care Planning ◽  
Good Internal Consistency ◽  
Advance Care

Background: Although patients prefer that physicians initiate advance care planning (ACP) conversations, few physicians regularly do so. Physicians may be reluctant to initiate ACP conversations because they lack self-efficacy in their skills. Yet, no validated scale on self-efficacy for ACP exists. Our objective was to develop a scale that measures physicians’ ACP self-efficacy (ACP-SE) and to investigate the validity of the tool. Methods: Electronic questionnaires were administered to a random sample of family medicine physicians (n = 188). Exploratory factor analysis was performed to determine whether the scale was multidimensional. An initial assessment of the scale’s validity was also conducted. Results: The exploratory factor analysis indicated that a single factor was appropriate using all 17 items. A single, unidimensional scale was created by averaging the 17 items, yielding good internal consistency (Cronbach α = 0.95). The average scale score was 3.94 (standard deviation = 0.71) on a scale from 1 to 5. The scale was moderately correlated with a global single-item measure of self-efficacy for ACP ( r = .79, P < .001), and the scale differentiated between physician groups based on how much ACP they were doing, how recently they had an ACP conversation, formal training on ACP, and knowledge of ACP. In a multivariate analysis, the ACP-SE scale was a strong predictor of the percentage of patients with chronic life-limiting diseases with whom the physician discussed ACP. Conclusion: The final ACP-SE scale included 17 items and demonstrated high internal consistency.

scholarly journals Advance Care Planning Education for Psychiatrists: A Novel Training Workshop (S805)

2019 ◽  
Vol 57 (2) ◽  
pp. 482-483
Author(s):  
Nicole Bates ◽  
Jane Schell ◽  
Pierre Azzam ◽  
Julie Childers
Keyword(s):  
Advance Care Planning ◽  
Care Planning ◽  
Training Workshop ◽  
Planning Education ◽  
Advance Care

scholarly journals Advance Care Planning: Education for Residents in Internal Medicine

2018 ◽  
Vol 56 (6) ◽  
pp. e82-e83
Author(s):  
Pauline de Graeff ◽  
Annette W.G. van der Velden ◽  
Jenske I. Geerling ◽  
Anna K.L. Reyners
Keyword(s):  
Internal Medicine ◽  
Advance Care Planning ◽  
Care Planning ◽  
Planning Education ◽  
Advance Care

scholarly journals Primary Care Professionals’ Self-Efficacy Surrounding Advance Care Planning and Its Link to Sociodemographics, Background and Perceptions: A Cross-Sectional Study

2021 ◽  
Vol 18 (17) ◽  
pp. 9034
Author(s):  
Cristina Lasmarías ◽  
Amor Aradilla-Herrero ◽  
Cristina Esquinas ◽  
Sebastià Santaeugènia ◽  
Francisco Cegri ◽  
...  
Keyword(s):  
Primary Care ◽  
Logistic Regression ◽  
Advance Care Planning ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Stepwise Logistic Regression ◽  
Care Planning ◽  
Sectional Study ◽  
Cross Sectional ◽  
Advance Care

Primary care (PC) professionals have been considered the most appropriate practitioners for leading Advance care planning (ACP) processes with advanced chronic patients. Aim: To explore how PC doctors’ and nurses’ self-efficacy surrounding ACP is linked to their sociodemographic characteristics, background and perceptions of ACP practices. Methods: A cross-sectional study was performed. Sociodemographics, background and perceptions about ACP in practice were collected using an online survey. The Advance Care Planning Self-Efficacy Spanish (ACP-SEs) scale was used for the self-efficacy measurement. Statistical analysis: Bivariate, multivariate and backward stepwise logistic regression analyses were performed to identify variables independently related to a higher score on the ACP-SEs. Results: N = 465 participants, 70.04% doctors, 81.47% female. The participants had a mean age of 46.45 years and 66.16% had spent >15 years in their current practice. The logistic regression model showed that scoring ≤ 75 on the ACP-SEs was related to a higher score on feeling sufficiently trained, having participated in ACP processes, perceiving that ACP facilitates knowledge of preferences and values, and perceiving that ACP improves patients’ quality of life. Conclusion: Professionals with previous background and those who have a positive perception of ACP are more likely to feel able to carry out ACP processes with patients.

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