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Knowledge, Confidence, and Learning Needs Regarding Advance Directives among Hospital Nurses  

Jang, Nan-Soon (Medical Intensive Care Unit, Chung-Ang University Hospital)
Park, Hae-Sook (Surgical Intensive Care Unit, Chung-Ang University Hospital)
Kim, Mi-Ra (Medical Intensive Care Unit, Chung-Ang University Hospital)
Lee, Joo-Yeon (Medical Intensive Care Unit, Chung-Ang University Hospital)
Cho, Yeo-Won (Surgical Intensive Care Unit, Chung-Ang University Hospital)
Kim, Kyoung-Mi (Medical Intensive Care Unit, Chung-Ang University Hospital)
Son, Youn-Jung (Red Cross College of Nursing, Chung-Ang University)
Publication Information
Journal of Korean Critical Care Nursing / v.11, no.1, 2018 , pp. 35-45 More about this Journal
Abstract
Purpose : Nurses' knowledge regarding advance directives may affect their administration of and confidence towards end of life care. This study aimed to describe the relationships of knowledge, confidence, and learning needs with advance directives among hospital nurses. Method : This cross-sectional study was performed at a tertiary university hospital in Seoul between September 25 and October 14, 2017. Convenience sampling was used to recruit nurses who provided bedside care and had at least 1 year of clinical experience. We used a validated self-report questionnaire. Results : The mean score of knowledge, confidence and learning needs were $5.00{\pm}1.73$, $29.81{\pm}7.52$, and $64.54{\pm}8.48$ respectively. Hospital nurses' knowledge, confidence and learning needs were significantly different according to age, job position, educational level and perceived advance directives. Knowledge regarding advance directives was significantly associated with confidence (r = .27, p < .001) and learning needs (r = .16, p = .005). Conclusion : Knowledge regarding advance directives was relatively low compared to the findings of previous studies. Therefore, nurses should be knowledgeable and encouraged to initiate advance directives. It is necessary to develop a standardized educational program regarding advance directives based on Korean cultures.
Keywords
Advance directives; Knowledge; Confidence; Learning; Life sustaining care;
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Times Cited By KSCI : 3  (Citation Analysis)
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