Care staff’s self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries

Abstract

Background: An important part of palliative care is discussing preferences at end of life, however such conversations may not often occur. Care staff with greater self-efficacy towards end-of-life communication are probably more likely to have such discussions, however, there is a lack of research on self-efficacy towards end-of-life discussions among long-term care staff in Europe and related factors. Objectives: Firstly, to describe and compare the self-efficacy level of long-term care staff regarding end-of-life communication across six countries; secondly, to analyse characteristics of staff and facilities which are associated to self-efficacy towards end-of-life communication.

Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study

“…Previous studies have reported that EOL care education programs improve EOL care knowledge among nurses [5,6,42]. Considering knowledge was a significant predictor of self- [7], and 83.8% among Japanese oncology nurses [12]. Nevertheless, the overall positive attitude toward care of dying in our study is somewhat encouraging and may reflect the earlier acceptance of the national palliative care system and education in Mongolia compare to other LMICs [3].…”

“…The mean FATCOD score as a percentage of the total score in this study was 69.1%, which is lower than 86.0% among oncology nurses in the United States [ 43 ], 79.3% among non-palliative care nurses in Australia [ 7 ], and 83.8% among Japanese oncology nurses [ 12 ]. Nevertheless, the overall positive attitude toward care of dying in our study is somewhat encouraging and may reflect the earlier acceptance of the national palliative care system and education in Mongolia compare to other LMICs [ 3 ].…”

“…Moreover, socio-cultural knowledge is important in the understanding of EOL care [22,23]. Cultural values and beliefs play a role in health care professionals' attitudes toward death and dying [7,24,25], and their level of self-efficacy differed among countries [17]. Traditionally in Mongolia, there is a reluctance to mention death, and its discussion tends to be avoided when in direct contact with the patient [26].…”

“…Nurses play an important role in providing palliative care [ 2 ] and should be prepared to provide quality end-of-lie (EOL) care [ 5 ]. Nurses’ palliative care knowledge [ 5 , 6 ], attitudes toward death and dying [ 7 , 8 ], and level of self-efficacy [ 9 , 10 ] can affect the quality of EOL care provided. Previous studies have demonstrated gaps in knowledge [ 8 , 11 ], moderate to positive attitudes [ 7 , 12 ], and low-self efficacy [ 13 – 15 ] toward palliative care among nurses.…”

Komunikacja między lekarzem a rodziną osób u schyłku życia przebywających w placówkach opiekuńczych

“…W Europie, niestety, pomimo rozwoju wielu różnych specjalizacji w pielęgniarstwie nadal nie ma przepisów, które wzmocniłyby pozycję pielęgniarek w ten sposób [78,79]. Wyniki projektu PACE pokazały również, że poziom wiedzy i umiejętności personelu placówek opiekuńczych z zakresu podstaw opieki paliatywnej jest w wielu krajach niewystarczający i wymaga prowadzenia szkoleń w celu ich poprawy [21,80].…”