Home > Research > Publications & Outputs > Care staff's self-efficacy regarding end-of-lif...

Electronic data

  • Self_efficacy_LTCF_manuscript_revised

    Rights statement: This is the author’s version of a work that was accepted for publication in International Journal of Nursing Studies. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Nursing Studies, 92, 2019 DOI: 10.1016/j.ijnurstu.2018.09.019

    Accepted author manuscript, 795 KB, PDF document

    Available under license: CC BY-NC-ND

Links

Text available via DOI:

View graph of relations

Care staff's self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Published

Standard

Care staff's self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries. / ten Koppel, M.; Onwuteaka-Philipsen, B.D.; van der Steen, J.T. et al.
In: International Journal of Nursing Studies, Vol. 92, 01.04.2019, p. 135-143.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

ten Koppel, M, Onwuteaka-Philipsen, BD, van der Steen, JT, Kylänen, M, Van den Block, L, Smets, T, Deliens, L, Gambassi, G, Collingridge Moore, D, Szczerbińska, K, Pasman, HRW & Consortium, PACE 2019, 'Care staff's self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries', International Journal of Nursing Studies, vol. 92, pp. 135-143. https://doi.org/10.1016/j.ijnurstu.2018.09.019

APA

ten Koppel, M., Onwuteaka-Philipsen, B. D., van der Steen, J. T., Kylänen, M., Van den Block, L., Smets, T., Deliens, L., Gambassi, G., Collingridge Moore, D., Szczerbińska, K., Pasman, H. R. W., & Consortium, PACE. (2019). Care staff's self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries. International Journal of Nursing Studies, 92, 135-143. https://doi.org/10.1016/j.ijnurstu.2018.09.019

Vancouver

ten Koppel M, Onwuteaka-Philipsen BD, van der Steen JT, Kylänen M, Van den Block L, Smets T et al. Care staff's self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries. International Journal of Nursing Studies. 2019 Apr 1;92:135-143. Epub 2019 Jan 30. doi: 10.1016/j.ijnurstu.2018.09.019

Author

ten Koppel, M. ; Onwuteaka-Philipsen, B.D. ; van der Steen, J.T. et al. / Care staff's self-efficacy regarding end-of-life communication in the long-term care setting : Results of the PACE cross-sectional study in six European countries. In: International Journal of Nursing Studies. 2019 ; Vol. 92. pp. 135-143.

Bibtex

@article{4f75809bd05849029f8920775b80b5c5,
title = "Care staff's self-efficacy regarding end-of-life communication in the long-term care setting: Results of the PACE cross-sectional study in six European countries",
abstract = "Background: An important part of palliative care is discussing preferences at end of life, however such conversations may not often occur. Care staff with greater self-efficacy towards end-of-life communication are probably more likely to have such discussions, however, there is a lack of research on self-efficacy towards end-of-life discussions among long-term care staff in Europe and related factors. Objectives: Firstly, to describe and compare the self-efficacy level of long-term care staff regarding end-of-life communication across six countries; secondly, to analyse characteristics of staff and facilities which are associated to self-efficacy towards end-of-life communication. Design: Cross-sectional survey. Settings: Long-term care facilities in Belgium, England, Finland, Italy, the Netherlands and Poland (n = 290). Participants: Nurses and care assistants (n = 1680) completed a self-efficacy scale and were included in the analyses. Methods: Care staff rated their self-efficacy (confidence in their own ability) on a scale of 0 (cannot do at all) to 7 -(certain can do) of the 8-item communication subscale of the Self-efficacy in End-of-Life Care survey. Staff characteristics included age, gender, professional role, education level, training in palliative care and years working in direct care. Facility characteristics included facility type and availability of palliative care guidelines, palliative care team and palliative care advice. Analyses were conducted using Generalized Estimating Equations, to account for clustering of data at facility level. Results: Thde proportion of staff with a mean self-efficacy score >5 was highest in the Netherlands (76.4%), ranged between 55.9% and 60.0% in Belgium, Poland, England and Finland and was lowest in Italy (29.6%). Higher levels of self-efficacy (>5) were associated with: staff over 50 years of age (OR 1.86 95% CI[1.30–2.65]); nurses (compared to care assistants) (1.75 [1.20–2.54]); completion of higher secondary or tertiary education (respectively 2.22 [1.53–3.21] and 3.11 [2.05–4.71]; formal palliative care training (1.71 [1.32–2.21]); working in direct care for over 10 years (1.53 [1.14–2.05]); working in a facility with care provided by onsite nurses and care assistants and offsite physicians (1.86 [1.30–2.65]); and working in a facility where guidelines for palliative care were available (1.39 [1.03–1.88]). Conclusion: Self-efficacy towards end-of-life communication was most often low in Italy and most often high in the Netherlands. In all countries, low self-efficacy was found relatively often for discussion of prognosis. Palliative care education and guidelines for palliative care could improve the self-efficacy of care staff.",
keywords = "Health communication, Licensed practical nurses, Nurses, Nurses{\textquoteright} aides, Nursing homes, Nursing staff, Palliative care, Residential facilities, Self efficacy, adult, article, Belgium, controlled study, cross-sectional study, education, England, female, Finland, gender, human, human experiment, Italy, licensed practical nurse, long term care, major clinical study, male, medical information, Netherlands, nursing assistant, nursing home, nursing staff, palliative therapy, physician, Poland, practice guideline, professional standard, prognosis, residential home, terminal care",
author = "{ten Koppel}, M. and B.D. Onwuteaka-Philipsen and {van der Steen}, J.T. and M. Kyl{\"a}nen and {Van den Block}, L. and T. Smets and L. Deliens and G. Gambassi and {Collingridge Moore}, D. and K. Szczerbi{\'n}ska and H.R.W. Pasman and PACE Consortium",
note = "This is the author{\textquoteright}s version of a work that was accepted for publication in International Journal of Nursing Studies. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Nursing Studies, 92, 2019 DOI: 10.1016/j.ijnurstu.2018.09.019",
year = "2019",
month = apr,
day = "1",
doi = "10.1016/j.ijnurstu.2018.09.019",
language = "English",
volume = "92",
pages = "135--143",
journal = "International Journal of Nursing Studies",
issn = "0020-7489",
publisher = "Elsevier Ltd",

}

RIS

TY - JOUR

T1 - Care staff's self-efficacy regarding end-of-life communication in the long-term care setting

T2 - Results of the PACE cross-sectional study in six European countries

AU - ten Koppel, M.

AU - Onwuteaka-Philipsen, B.D.

AU - van der Steen, J.T.

AU - Kylänen, M.

AU - Van den Block, L.

AU - Smets, T.

AU - Deliens, L.

AU - Gambassi, G.

AU - Collingridge Moore, D.

AU - Szczerbińska, K.

AU - Pasman, H.R.W.

AU - Consortium, PACE

N1 - This is the author’s version of a work that was accepted for publication in International Journal of Nursing Studies. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Nursing Studies, 92, 2019 DOI: 10.1016/j.ijnurstu.2018.09.019

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Background: An important part of palliative care is discussing preferences at end of life, however such conversations may not often occur. Care staff with greater self-efficacy towards end-of-life communication are probably more likely to have such discussions, however, there is a lack of research on self-efficacy towards end-of-life discussions among long-term care staff in Europe and related factors. Objectives: Firstly, to describe and compare the self-efficacy level of long-term care staff regarding end-of-life communication across six countries; secondly, to analyse characteristics of staff and facilities which are associated to self-efficacy towards end-of-life communication. Design: Cross-sectional survey. Settings: Long-term care facilities in Belgium, England, Finland, Italy, the Netherlands and Poland (n = 290). Participants: Nurses and care assistants (n = 1680) completed a self-efficacy scale and were included in the analyses. Methods: Care staff rated their self-efficacy (confidence in their own ability) on a scale of 0 (cannot do at all) to 7 -(certain can do) of the 8-item communication subscale of the Self-efficacy in End-of-Life Care survey. Staff characteristics included age, gender, professional role, education level, training in palliative care and years working in direct care. Facility characteristics included facility type and availability of palliative care guidelines, palliative care team and palliative care advice. Analyses were conducted using Generalized Estimating Equations, to account for clustering of data at facility level. Results: Thde proportion of staff with a mean self-efficacy score >5 was highest in the Netherlands (76.4%), ranged between 55.9% and 60.0% in Belgium, Poland, England and Finland and was lowest in Italy (29.6%). Higher levels of self-efficacy (>5) were associated with: staff over 50 years of age (OR 1.86 95% CI[1.30–2.65]); nurses (compared to care assistants) (1.75 [1.20–2.54]); completion of higher secondary or tertiary education (respectively 2.22 [1.53–3.21] and 3.11 [2.05–4.71]; formal palliative care training (1.71 [1.32–2.21]); working in direct care for over 10 years (1.53 [1.14–2.05]); working in a facility with care provided by onsite nurses and care assistants and offsite physicians (1.86 [1.30–2.65]); and working in a facility where guidelines for palliative care were available (1.39 [1.03–1.88]). Conclusion: Self-efficacy towards end-of-life communication was most often low in Italy and most often high in the Netherlands. In all countries, low self-efficacy was found relatively often for discussion of prognosis. Palliative care education and guidelines for palliative care could improve the self-efficacy of care staff.

AB - Background: An important part of palliative care is discussing preferences at end of life, however such conversations may not often occur. Care staff with greater self-efficacy towards end-of-life communication are probably more likely to have such discussions, however, there is a lack of research on self-efficacy towards end-of-life discussions among long-term care staff in Europe and related factors. Objectives: Firstly, to describe and compare the self-efficacy level of long-term care staff regarding end-of-life communication across six countries; secondly, to analyse characteristics of staff and facilities which are associated to self-efficacy towards end-of-life communication. Design: Cross-sectional survey. Settings: Long-term care facilities in Belgium, England, Finland, Italy, the Netherlands and Poland (n = 290). Participants: Nurses and care assistants (n = 1680) completed a self-efficacy scale and were included in the analyses. Methods: Care staff rated their self-efficacy (confidence in their own ability) on a scale of 0 (cannot do at all) to 7 -(certain can do) of the 8-item communication subscale of the Self-efficacy in End-of-Life Care survey. Staff characteristics included age, gender, professional role, education level, training in palliative care and years working in direct care. Facility characteristics included facility type and availability of palliative care guidelines, palliative care team and palliative care advice. Analyses were conducted using Generalized Estimating Equations, to account for clustering of data at facility level. Results: Thde proportion of staff with a mean self-efficacy score >5 was highest in the Netherlands (76.4%), ranged between 55.9% and 60.0% in Belgium, Poland, England and Finland and was lowest in Italy (29.6%). Higher levels of self-efficacy (>5) were associated with: staff over 50 years of age (OR 1.86 95% CI[1.30–2.65]); nurses (compared to care assistants) (1.75 [1.20–2.54]); completion of higher secondary or tertiary education (respectively 2.22 [1.53–3.21] and 3.11 [2.05–4.71]; formal palliative care training (1.71 [1.32–2.21]); working in direct care for over 10 years (1.53 [1.14–2.05]); working in a facility with care provided by onsite nurses and care assistants and offsite physicians (1.86 [1.30–2.65]); and working in a facility where guidelines for palliative care were available (1.39 [1.03–1.88]). Conclusion: Self-efficacy towards end-of-life communication was most often low in Italy and most often high in the Netherlands. In all countries, low self-efficacy was found relatively often for discussion of prognosis. Palliative care education and guidelines for palliative care could improve the self-efficacy of care staff.

KW - Health communication

KW - Licensed practical nurses

KW - Nurses

KW - Nurses’ aides

KW - Nursing homes

KW - Nursing staff

KW - Palliative care

KW - Residential facilities

KW - Self efficacy

KW - adult

KW - article

KW - Belgium

KW - controlled study

KW - cross-sectional study

KW - education

KW - England

KW - female

KW - Finland

KW - gender

KW - human

KW - human experiment

KW - Italy

KW - licensed practical nurse

KW - long term care

KW - major clinical study

KW - male

KW - medical information

KW - Netherlands

KW - nursing assistant

KW - nursing home

KW - nursing staff

KW - palliative therapy

KW - physician

KW - Poland

KW - practice guideline

KW - professional standard

KW - prognosis

KW - residential home

KW - terminal care

U2 - 10.1016/j.ijnurstu.2018.09.019

DO - 10.1016/j.ijnurstu.2018.09.019

M3 - Journal article

VL - 92

SP - 135

EP - 143

JO - International Journal of Nursing Studies

JF - International Journal of Nursing Studies

SN - 0020-7489

ER -