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Nursing home staff members' attitudes regarding advance care planning: relationships with different types of knowledge.
Aging Clin Exp Res. 2019 Nov 05 [Online ahead of print]AC

Abstract

BACKGROUND

Advanced care planning (ACP) is an essential component of quality palliative care in nursing homes. Despite the benefits associated with ACP in nursing homes, completion rates are low. Staff members' knowledge and attitudes toward ACP were found to be main determinants of ACP completion.

AIMS

To assess nursing home staff members' attitudes towards ACP and their association to different types of knowledge.

METHODS

A convenience sample of 138 nursing home staff members (69% female, 53% non-Jewish, 46% nurses) who reported having heard the terms advanced directives and durable power of attorney completed a structured questionnaire assessing attitudes toward ACP, subjective knowledge, and three types of objective knowledge (declarative, legal and procedural) regarding ACP, as well as socio-demographic and professional factors.

RESULTS

Participants expressed positive attitudes toward formal and informal aspect of ACP, although their subjective and objective knowledge in the topic was moderate. Hierarchical regression analyses revealed that the three dimensions of objective knowledge improved significantly the participants' attitude scores.

DISCUSSION

There is a need to integrate different types of knowledge in educational programs provided to nursing home staff members to improve their involvement in ACP initiatives with residents and family members.

Authors+Show Affiliations

Department of Community Mental Health, University of Haifa, Mt. Carmel, Haifa, Israel. werner@research.haifa.ac.il.Department of Community Mental Health, University of Haifa, Mt. Carmel, Haifa, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31686389

Citation

Werner, Perla, and Ile Kermel Schiffman. "Nursing Home Staff Members' Attitudes Regarding Advance Care Planning: Relationships With Different Types of Knowledge." Aging Clinical and Experimental Research, 2019.
Werner P, Schiffman IK. Nursing home staff members' attitudes regarding advance care planning: relationships with different types of knowledge. Aging Clin Exp Res. 2019.
Werner, P., & Schiffman, I. K. (2019). Nursing home staff members' attitudes regarding advance care planning: relationships with different types of knowledge. Aging Clinical and Experimental Research. https://doi.org/10.1007/s40520-019-01398-x
Werner P, Schiffman IK. Nursing Home Staff Members' Attitudes Regarding Advance Care Planning: Relationships With Different Types of Knowledge. Aging Clin Exp Res. 2019 Nov 5; PubMed PMID: 31686389.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nursing home staff members' attitudes regarding advance care planning: relationships with different types of knowledge. AU - Werner,Perla, AU - Schiffman,Ile Kermel, Y1 - 2019/11/05/ PY - 2019/07/15/received PY - 2019/10/22/accepted PY - 2019/11/6/entrez PY - 2019/11/7/pubmed PY - 2019/11/7/medline KW - Advance care planning KW - Attitudes KW - End-of-life KW - Knowledge KW - Nursing home JF - Aging clinical and experimental research JO - Aging Clin Exp Res N2 - BACKGROUND: Advanced care planning (ACP) is an essential component of quality palliative care in nursing homes. Despite the benefits associated with ACP in nursing homes, completion rates are low. Staff members' knowledge and attitudes toward ACP were found to be main determinants of ACP completion. AIMS: To assess nursing home staff members' attitudes towards ACP and their association to different types of knowledge. METHODS: A convenience sample of 138 nursing home staff members (69% female, 53% non-Jewish, 46% nurses) who reported having heard the terms advanced directives and durable power of attorney completed a structured questionnaire assessing attitudes toward ACP, subjective knowledge, and three types of objective knowledge (declarative, legal and procedural) regarding ACP, as well as socio-demographic and professional factors. RESULTS: Participants expressed positive attitudes toward formal and informal aspect of ACP, although their subjective and objective knowledge in the topic was moderate. Hierarchical regression analyses revealed that the three dimensions of objective knowledge improved significantly the participants' attitude scores. DISCUSSION: There is a need to integrate different types of knowledge in educational programs provided to nursing home staff members to improve their involvement in ACP initiatives with residents and family members. SN - 1720-8319 UR - https://www.unboundmedicine.com/medline/citation/31686389/Nursing_home_staff_members'_attitudes_regarding_advance_care_planning:_relationships_with_different_types_of_knowledge L2 - https://dx.doi.org/10.1007/s40520-019-01398-x DB - PRIME DP - Unbound Medicine ER -
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