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

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

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	247-257
Number of pages	11
Journal	International Journal of Nursing Practice
Volume	22
Issue number	3
DOIs	https://doi.org/10.1111/ijn.12417
Publication status	Published - 1 Jun 2016
Externally published	Yes

Keywords

advance directives
confidence
end-of-life
knowledge
nursing

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10.1111/ijn.12417

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Coffey, A., McCarthy, G., Weathers, E., Friedman, M. I., Gallo, K., Ehrenfeld, M., Chan, S., Li, W. H. C., Poletti, P., Zanotti, R., Molloy, D. W., McGlade, C., Fitzpatrick, J. J., & Itzhaki, M. (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

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title = "Nurses' knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countries",

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.",

keywords = "advance directives, confidence, end-of-life, knowledge, nursing",

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

note = "Publisher Copyright: {\textcopyright} 2016 The Authors International Journal of Nursing Practice Published by Wiley Publishing Asia Pty Ltd.",

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doi = "10.1111/ijn.12417",

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Coffey, A, McCarthy, G, Weathers, E, Friedman, MI, Gallo, K, Ehrenfeld, M, Chan, S, Li, WHC, Poletti, P, Zanotti, R, Molloy, DW, McGlade, C, Fitzpatrick, JJ & Itzhaki, M 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, vol. 22, no. 3, pp. 247-257. https://doi.org/10.1111/ijn.12417

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AU - Gallo, Katherine

AU - Ehrenfeld, Mally

AU - Chan, Sophia

AU - Li, William H.C.

AU - Poletti, Piera

AU - Zanotti, Renzo

AU - Molloy, D. William

AU - McGlade, Ciara

AU - Fitzpatrick, Joyce J.

AU - Itzhaki, Michal

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

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Keywords

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