Factors associated with attitudes toward advance directives in nurses and comparisons of the levels between emergency nurses and palliative care nurses

• Published in: Japan journal of nursing science : JJNS 2023-01, Vol.20 (1), p.e12508-n/a
• Main Authors: Yang, Jisun, Kim, Hee Jung, Heo, Seongkum, An, Minjeong, Park, SeongHu, Ounpraseuth, Songthip, Kim, JinShil
• Format: Article
• Language: English
• Subjects: Advance Directives; Attitude of Health Personnel; Attitudes; Communication; Cross-Sectional Studies; good death; Health Knowledge, Attitudes, Practice; Humans; knowledge; nurse; Nurses; Palliative Care; Surveys and Questionnaires
• ISSN: 1742-7932; 1742-7924
• DOI: 10.1111/jjns.12508

Aim Little is known about attitudes toward advance directives and factors associated with them among emergency and palliative care nurses who often or daily face end‐of‐life circumstances. Thus, we aimed to compare the levels of attitudes toward advance directives, communication skills, knowledge about end‐of‐life care (knowledge), and awareness of the concept of a good death (good death awareness) between emergency and palliative care nurses, and to examine factors associated with attitudes toward advance directives in the total sample. Methods In this cross‐sectional, correlational study, data were collected from 153 nurses (59 emergency and 94 palliative care nurses) at three tertiary hospitals using online or offline surveys and were analyzed using t‐tests and multiple linear regression analysis. Results The levels of attitudes, communication skills, knowledge, and good death awareness were moderate in both groups. Attitudes in emergency compared to palliative care nurses were less positive (46.78 vs. 48.38; p = .044), and knowledge was significantly lower (13.64 vs. 15.00; p = .004). Communication skills and good death awareness between the two groups were similar. In the total sample, emergency practice (B = –1.59, p = .024), and lower levels of good death awareness (B = 0.30, p