Factors Associated with Nurses' Self-Efficacy in Applying Palliative Care in Intensive Care Unit
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Introduction: The increasing need for palliative care (PC) in the intensive care unit (ICU) is characterised by an increasing number of patients with critical and terminals conditions. It requires comprehensive treatment of nurses, through PC. Self-efficacy is a major predictor that affects the application of PC in ICU. Therefore, nurses need to have high self-efficacy to provide quality PC for patients and their families. This study aimed to analyse the factors that dominant relates to nurses' self-efficacy in implementing of providing PC in ICU.
Methods: This research was correlational research with cross-sectional survey design. The sampling technique used was total sampling, which involved 127 critical nurses who were actively working at a general hospital in Bandung, Indonesia. Data were collected using questionnaires. Bivariate analysis using Pearson correlation and Rank-Spearman test and multivariate analysis using linear regression.
Results: The results showed that the majority of respondents had high self-efficacy, working experience >15 years, enough interest to the nursing profession had less knowledge and negative perception related to the PC in ICU. There was a significant relationship between self-efficacy with work experience, nurses' interest in the nursing profession, knowledge and perception variables. The most dominant factors related to self-efficacy, namely knowledge and perceptions of nurses related to PC.
Conclusion: This study indicates that majority of the respondents lacked knowledge and had negative perceptions related to PC in ICU, it is necessary to socialise and training related to it by focusing on self-belief or self-efficacy of nurses on their ability.
Agustina, Anna dan Praptiwi. (2014). Kajian pengetahuan, sikap, praktik dan kesulitan perawat dalam melaksanakan perawatan paliatif di Rumah Sakit Pemerintah di Propinsi Jawa Barat (laporan akhir penelitian hibah fakultas). Fakultas Ilmu Keperawatan Universitas Padjadjaran.
Al Qadire, M. (2014). Nurses' knowledge about PC: A cross-sectional survey. Journal of Hospice & Palliative Nursing, 16(1), 23-30
Aslakson, R. A., Curtis, J. R., & Nelson, J. E. (2014). The changing role of PC in the ICU. Critical care medicine, 42(11), 2418.
Aslesoleymani H, Afhami S. (2009). Prevention and control of nosocomial infections. 4th ed. Tehran: Teimourzadeh: Nashr-e Tabib.
Ayasrah, S. M., O'Neill, T. M., Abdalrahim, M. S., Sutary, M. M., & Kharabsheh, M. S. (2014). Pain assessment and management in critically ill intubated patients in Jordan: A prospective study. International Journal of Health Sciences, 8(3), 287-298.
Ayed, A., Sayej, S., Harazneh, L., Fashafsheh, I., & Eqtait, F. (2015). The Nurses' Knowledge and Attitudes towards the PC. Journal of Education and Practice, 6(4), 91-99.
Azwar, S. (2010). Sikap manusia: Teori dan pengukurannya. Yogyakarta: Pustaka Pelajar.
Bandura, A. (2004). Self-efficacy. In N. B. Anderson (Ed.) Encyclopedia of health & behavior (Vol. 2, pp. 708-714). Thousand Oaks: Sage Publications.
Bandura, A. (2004). Self-efficacy. In E. W. Craighead & C. B. Nemeroff (Eds.). The Concise Corsini Encyclopedia of psychology and behavioral sciences. (pp. 859-862). New York: Wiley.
Bandura A. (2005). The evolution of social cognitive theory. In K. G. Smith & M. A. Hitt (Eds.) Great Minds in Management (pp. 9-35). Oxford: Oxford University Press. Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pajares & T. Urdan (Eds.). Self-efficacy beliefs of adolescents, (Vol. 5., pp. 307-337). Greenwich, CT: Information Age Publishing.
Cox, S., Handy, J. M., & Blay, A. (2012). PC in the ICU. Journal of Intensive Care Society, 13(4), 320-326.
Darmadi, H. (2017). Pengembangan model dan metode pembelajaran dalam dinamika belajar siswa. Yogyakarta: Deepublish.
Delgado"Guay, M. O., Parsons, H. A., Li, Z., Palmer, L. J., & Bruera, E. (2009). Symptom distress, interventions, and outcomes of ICU cancer patients referred to a PC consult team. PC and Rehabilitation Medicine, 115, 437-445, doi:10.1002/cncr.24017.
Desbiens, J. F., Gagnon, J., & Fillion, L. (2012). Development of a shared theory in PC to enhance nursing competence. Journal of Advanced Nursing, 68(9), 2113-2124.
Ferrell, Betty R., Coyle & Paice. (2015). Oxford textbook of palliative nursing, fourth edition. New York: Oxford University Press.
Fitch, M. I., Fliedner, M. C., & O'Connor, M. (2015). Nursing perspectives on PC 2015. Annals of palliative medicine, 4(3), 150-155.
Gaffney, Mary Kathryn. (2015). Critical care nurses' perceptions of their knowledge and self-efficacy about providing end of life care (Dissertations). Walden Dissertations and Doctoral Studies, Walden University. 1934-1943.
Hosseinialhashemi, M., Kermani, F. S., Palenik, C. J., Pourasghari, H., & Askarian, M. (2015). Knowledge, attitudes, and practices of health care personnel concerning hand hygiene in Shiraz University of Medical Sciences hospitals, 2013-2014. American journal of infection control, 43(9), 1009-1011.
Johnston, B., & Smith, L. N. (2006). Nurses' and patients' perceptions of expert palliative nursing care. Journal of advanced nursing, 54(6), 700-709.
Joy, Yvonne L. (2015). The influence of a PC education intervention in increasing knowledge and self-efficacy of nurses practising in long-term care. Doctoral Dissertations retrieved from http://digitalcommons.uconn.edu/dissertations/911.
Kalogeropoulou, Maria, Evanthia, Petros & Dimitris. (2016). Assessment of knowledge and associated factors towards PC among greek nurses. World Journal of Social Science Research, 3(3), 381-395.
Lenz, E. R., & Shortridge-Baggett, L. M. (2002). Self-efficacy in nursing: research and measurement perspectives. Springer Publishing Company.
Nakazawa, Y., Miyashita, M., Morita, T., Umeda, M., Oyagi, Y., & Ogaswara, T. (2010). The PC self-reported practices scale and the PC difficulties scale: Reliability and validity of two scales evaluating self-reported practices and difficulties experienced in PC by health professionals. Journal of Palliative Medicine, 13(4), 427-437.
Nakhaei & Mofrad, (2015). Investigating nurses' knowledge and self-efficacy regarding the principles of infection control in the operating room. Modern Care Journal, 12(2), 79-83.
National Clinical Effectiveness Committee. (2015). Management of constipation in adult patients receiving palliative care. Dublin: Department of Health.
Nelson, J. E., Mulkerin, C. M., Adams, L. L., & Pronovost, P. J. (2006). Improving comfort and communication in the ICU: a practical new tool for PC performance measurement and feedback. BMJ Quality & Safety, 15(4), 264-271. DOI:10.1136/qshc.2005.017707
Nursalam. (2011). Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika
Payne, S., Seymour, J., & Ingleton, C. (2008). PC nursing: Principles and evidence for practice second edition. England: Open University Press.
Rodriguez, K. L., Barnato, A. E., & Arnold, R. M. (2007). Perceptions and utilization of PC services in acute care hospitals. Journal of palliative medicine, 10(1), 99-110.
Sarfo, L. A., Opare, M., Awuah-Peasah, D., & Asamoah, F. (2017). Knowledge and perception of nurses on PC. A case study at Agogo Presbyterian Hospital. Applied Research Journal, 2(1).
Shreves, Marcolini E. (2014). End of life/PC/ethics. Emergency Medical Clinic, 32(9), 55–74.
Sunaryo. (2004). Psikologi untuk keperawatan. Jakarta: EGC.
Tyler, S., Bourbon, E., Cox, S., Day, N., Fineran, C., Rexford, D., ... & Ward-Smith, P. (2012). Clinical competency, self-efficacy, and job satisfaction: Perceptions of the staff nurse. Journal for Nurses in Professional Development, 28(1), 32-35.
Urden, L. D., Stacy, K. M., & Lough, M. E. (2014). Critical care nursing: Diagnosis and management. Missouri: Elsevier Inc.White, K.R., & Coyne, P.J. (2011). Nurses' perceptions of educational gaps in delivering end-of-life care. Oncology Nursing Forum, 38, 711-717.
White, K. R., Roczen, M. L., Coyne, P. J., & Wiencek, C. (2014). Acute and critical care nurses' perceptions of PC competencies: a pilot study. The Journal of Continuing Education in Nursing.
Wilkie, D. J., & Ezenwa, M. O. (2012). Pain and symptom management in PC and at end of life. Nursing Outlook, 60(6), 357–364.
World Health Organization. (2018). WHO definition of PC retrieved from http://www.who.int/cancer/palliative/definition/en/
Zulkosky, K. (2009, April). Self"efficacy: a concept analysis. In Nursing Forum (Vol. 44, No. 2,
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