Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Factors Influencing General Hospital Nurses' Confidence about Advance Directives

종합병원 간호사의 사전의료의향서에 대한 자신감 영향요인

  • Kim, Min Hye (Department of Nursing, College of Medicine, Inje University) ;
  • Lee, Yun Mi (Department of Nursing, College of Medicine, Institute of Health Science Research, Inje University)
  • 김민혜 (인제대학교 의과대학 간호학과) ;
  • 이윤미 (인제대학교 의과대학 간호학과, 건강과학연구소)
  • Received : 2019.12.27
  • Accepted : 2020.01.15
  • Published : 2020.02.28
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Abstract

Purpose : The purpose of this study was to identify the factors influencing the general hospital nurses' confidence about the advance directives (ADs). Methods : This is a descriptive cross-sectional study. A total of 105 nurses were asked questions about characteristics, knowledge, attitude, learning needs, and confidence the about ADs, using structured questionnaires. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results : The mean scores of knowledge were 7.26±1.47; attitude, 2.80±0.31; learning needs, 4.22±0.62; and confidence, 2.57±0.74. It was observed that knowledge had significant correlations with attitude (r=.43, p<.001), learning needs (r=.29, p=.003), and confidence (r=.40, p<.001), and attitude had significant correlations with learning needs (r=.31, p=.001) and confidence (r=.45, p<.001). Using multiple regression analysis, it was found that confidence was significantly influenced by knowledge (β=.27, p=.007), attitude (β=.21, p=.043), and experience of nursing or counseling a patient who wrote ADs (β=-.19, p=.046). The explanatory power of this model was 37.9% (F=5.16, p<.001, R2=.379). Conclusions : These findings suggest the need to develop a program to enhance nurses' knowledge, positive attitude, and experience of nursing or counseling a patient who wrote ADs.

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