Nurses' knowledge of advance directives and perceived confidence in end‐of‐life care: a cross‐sectional study in five countries

Alice Coffey; Geraldine McCarthy; Elizabeth Weathers; M. Isabel Friedman; Katherine Gallo; Mally Ehrenfeld; Sophia Chan; William H.C. Li; Piera Poletti; Renzo Zanotti; D. William Molloy; Ciara McGlade; Joyce J. Fitzpatrick; Michal Itzhaki

doi:10.1111/ijn.12417

journal article Open Access Jan 28, 2016

Nurses' knowledge of advance directives and perceived confidence in end‐of‐life care: a cross‐sectional study in five countries

Alice Coffey Geraldine McCarthy Elizabeth Weathers M. Isabel Friedman Katherine Gallo Mally Ehrenfeld Sophia Chan William H.C. Li Piera Poletti Renzo Zanotti D. William Molloy Ciara McGlade Joyce J. Fitzpatrick

Michal Itzhaki

International Journal of Nursing Practice Vol. 22 No. 3 pp. 247-257 · Wiley

View at Publisher Save 10.1111/ijn.12417

Abstract

Nurses' knowledge regarding advance directives may affect their administration and completion in end‐of‐life care. Confidence among nurses is a barrier to the provision of quality end‐of‐life care. This study investigated nurses' knowledge of advance directives and perceived confidence in end‐of‐life care, in Hong Kong, Ireland, Israel, Italy and the USA using a cross‐sectional descriptive design (n = 1089). In all countries, older nurses and those who had more professional experience felt more confident managing patients' symptoms at end‐of‐life and more comfortable stopping preventive medications at end‐of‐life. Nurses in the USA reported that they have more knowledge and experience of advance directives compared with other countries. In addition, they reported the highest levels of confidence and comfort in dealing with end‐of‐life care. Although legislation for advance directives does not yet exist in Ireland, nurses reported high levels of confidence in end‐of‐life care.

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Metrics

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Citations

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References

Details

Published: Jan 28, 2016
Vol/Issue: 22(3)
Pages: 247-257
License: View

Authors

A

Alice Coffey

Senior Lecturer /Director International Programmes, School of Nursing and Midwifery, Brookfield Health Sciences Complex University College Cork Cork Ireland

G

Geraldine McCarthy

School of Nursing and Midwifery, Brookfield Health Sciences Complex University College Cork Cork Ireland

E

Elizabeth Weathers

Research Assistant, Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex University College Cork Cork Ireland

M

M. Isabel Friedman

Clinical Education Specialist, Center for Learning and Innovation North Shore‐LIJ Health System Lake Success New York USA

K

Katherine Gallo

Senior Vice President, Chief Learning Officer, Center for Learning and Innovation North Shore‐LIJ Health System Lake Success New York USA

M

Mally Ehrenfeld

Associate Professor, Head of School of Health Professions, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel

S

Sophia Chan

Professor in Nursing and Director of Research, School of Nursing The University of Hong Kong Pokfulam Hong Kong

W

William H.C. Li

Assistant Professor, Director of Master of Nursing Programme, School of Nursing The University of Hong Kong Pokfulam Hong Kong

P

Piera Poletti

Director, CEREF Centre for Research & Continuing Education Padova Italy

R

Renzo Zanotti

Associate Professor and Dean, Master in Nursing Sciences Padua University Padua Italy

D

D. William Molloy

Consultant in Geriatric Medicine, Centre of Gerontology and Rehabilitation St. Finbarr's Hospital Cork Ireland

C

Ciara McGlade

Research Fellow and Consultant in Geriatric Medicine, Centre for Gerontology and Rehabilitation University College Cork Cork Ireland

J

Joyce J. Fitzpatrick

Elizabeth Brooks Ford Professor of Nursing, Frances Payne Bolton School of Nursing Case Western Reserve University Cleveland Ohio USA

M

Michal Itzhaki

Lecturer, Nursing Department, School of Health Professions, Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel

Cite This Article

Alice Coffey, Geraldine McCarthy, Elizabeth Weathers, et al. (2016). Nurses' knowledge of advance directives and perceived confidence in end‐of‐life care: a cross‐sectional study in five countries. International Journal of Nursing Practice, 22(3), 247-257. https://doi.org/10.1111/ijn.12417

Nurses' knowledge of advance directives and perceived confidence in end‐of‐life care: a cross‐sectional study in five countries

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