The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Population
2.2. Instruments
2.2.1. Demographics and Work-Related Characteristics
2.2.2. Knowledge, Attitude, and Practice Regarding DNR Inventory (KAP-DNR)
2.2.3. Mindful Attention Awareness Scale (MAAS)
2.2.4. General Self-Efficacy Scale (GSES)
2.2.5. Dispositional Resilience Scale (DRS)
2.3. Study Process
2.4. Statistical Analysis
3. Results
3.1. Demographics and Work-Related Characteristics
3.2. Knowledge, Attitude, and Practice toward DNR Signature, and Mindfulness, Self-Efficacy, and Dispositional Resilience among Nurses
3.3. Predictors of Knowledge, Attitude, Practice toward DNR Signature among Nurses
3.4. Path Modeling of Knowledge, Attitude, and Practice toward DNR Signature among Nurses
4. Discussion
4.1. Factors Affecting the KAP-DNR among Nurses
4.2. Path Modeling of Knowledge, Attitude, and Practice
4.3. Limitations and Recommendations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Variables | N (%)/Mean ± SD |
---|---|
Demographics | |
Age(year) | 29.71 ± 6.70 |
Gender | |
Female | 180 (92.8%) |
Male | 14 (7.2%) |
Education level | |
Junior college | 23 (11.9%) |
Bachelor | 165 (85.1%) |
Master | 6 (3.1%) |
Religious Belief | |
No | 103 (53.1%) |
Yes | 91 (46.9%) |
Marital Status | |
Single | 161 (83.0%) |
Married | 33 (17.0%) |
Work-related characteristics | |
Ward | |
HemaOnco | 21 (10.8%) |
Medical | 29 (14.9%) |
Surgical | 48 (24.7%) |
ICU | 96 (49.5%) |
Length of service in nursing (year) | 6.59 ± 6.00 |
Experience of caring for terminal friends or relatives | |
No | 133 (68.6%) |
Yes | 61 (31.4%) |
Participation in DNR signature | |
No | 141 (72.7%) |
Yes | 53 (27.3%) |
Frequency of caring for terminal patients | 3.47 ± 0.78 |
Participation in education related to palliative care | |
No | 23 (11.9%) |
Yes | 171 (88.1%) |
Participation in training related to DNR | |
No | 44 (22.7%) |
Yes | 150 (77.3%) |
Variables | Mean ± SD |
---|---|
Knowledge | 11.10 ± 1.48 |
Percentage of correct answer | 73.99 ± 9.90 |
Attitude | 42.53 ± 4.46 |
Practice | 38.30 ± 6.25 |
Mindfulness | 66.84 ± 9.87 |
Self-efficacy | 25.25 ± 5.14 |
Dispositional resilience | 27.49 ± 5.10 |
Commitment | 9.23 ± 1.98 |
Control | 9.59 ± 2.06 |
Challenge | 8.67 ± 2.01 |
Knowledge | Attitude | Practice | ||||
---|---|---|---|---|---|---|
Variables | Adjusted β (95% CI) | p Value | Adjusted β (95% CI) | p Value | Adjusted β (95% CI) | p Value |
Knowledge | -- | -- | 0.10 (0.03–0.16) | 0.004 | −0.02 (−0.11–0.07) | 0.671 |
Attitude | -- | -- | -- | -- | 0.62 (0.42–0.81) | <0.001 |
Practice | -- | -- | -- | -- | -- | -- |
Mindfulness | 0.19 (0.04 - 0.33) | 0.014 | 0.08 (0.01–0.14) | 0.019 | −0.06 (−0.14–0.03) | 0.204 |
Dispositional resilience | 0.10 (−0.25−0.46) | 0.568 | −0.16 (−0.32–−0.01) | 0.039 | 0.24 (0.04–0.44) | 0.023 |
Self-efficacy | 0.09 (−0.26–0.43) | 0.627 | 0.20 (0.05–0.35) | 0.010 | 0.07 (−0.13–0.26) | 0.501 |
Demographics | ||||||
Age (years) | −0.06 (−0.59–0.48) | 0.839 | −0.13 (−0.37–0.10) | 0.275 | −0.10 (−0.40–0.20) | 0.519 |
Gender | ||||||
Female | Reference | Reference | Reference | |||
Male | 3.68 (−1.75–9.11) | 0.186 | −1.91 (−4.28–0.47) | 0.118 | 4.10 (1.01–7.19) | 0.010 |
Education level | ||||||
Junior college | Reference | Reference | Reference | |||
Bachelor | 3.33 (−1.11–7.77) | 0.143 | 0.21 (−1.73–2.16) | 0.830 | −0.58 (−3.09–1.93) | 0.650 |
Master | 7.74 (−1.73–17.21) | 0.111 | 2.68 (−1.47–6.84) | 0.207 | 3.04 (−2.35–8.42) | 0.271 |
Religious belief | ||||||
No | Reference | Reference | Reference | |||
Yes | 0.86 (−2.00–3.73) | 0.556 | 2.23 (0.98–3.48) | 0.001 | 0.38 (−1.29–2.05) | 0.654 |
Marital status | ||||||
Single | Reference | Reference | Reference | |||
Married | −0.18 (−5.23–4.87) | 0.945 | 0.24 (−1.96–2.44) | 0.830 | 0.89 (−1.95–3.73) | 0.541 |
Work-related characteristics | ||||||
Ward | ||||||
HemaOnco | Reference | Reference | Reference | |||
Medical | −0.19 (−5.79–5.42) | 0.948 | 0.27 (−2.17–2.71) | 0.829 | 0.50 (−2.65–3.65) | 0.756 |
Surgical | −1.09 (−6.32–4.15) | 0.685 | 1.54 (−0.74–3.82) | 0.187 | 0.60 (−2.36–3.55) | 0.692 |
ICU | 1.40 (−3.43–6.22) | 0.572 | 0.23 (−1.87–2.33) | 0.832 | −0.23 (−2.95–2.48) | 0.867 |
Length of service in nursing | 0.06 (−0.57–0.69) | 0.852 | 0.06 (−0.21–0.34) | 0.647 | 0.10 (−0.25–0.46) | 0.564 |
Experience of caring for terminal friends or relatives | ||||||
No | Reference | Reference | Reference | |||
Yes | −0.72 (−4.21–2.77) | 0.687 | 0.76 (−0.76–2.28) | 0.327 | −0.65 (−2.62–1.31) | 0.516 |
Participation in DNR signature | ||||||
No | Reference | Reference | Reference | |||
Yes | 3.88 (0.26–7.50) | 0.037 | −0.19 (−1.79–1.41) | 0.815 | 0.72 (−1.34–2.78) | 0.495 |
Frequency of caring for terminal patients | 0.76 (−1.15–2.67) | 0.437 | 0.73 (−0.10–1.57) | 0.087 | 0.67 (−0.42–1.76) | 0.228 |
Participation in education related to palliative care | ||||||
No | Reference | Reference | Reference | |||
Yes | 9.18 (3.73–14.64) | 0.001 | 1.61 (−0.84–4.06) | 0.201 | −0.38 (−3.56–2.80) | 0.814 |
Participation in training related to DNR | ||||||
No | Reference | Reference | Reference | |||
Yes | −2.60 (−6.63–1.44) | 0.209 | −0.81 (−2.58–0.95) | 0.369 | 0.91 (−1.38–3.19) | 0.437 |
Knowledge→Attitude→Practice | Attitude→Practice | Practice | ||||
---|---|---|---|---|---|---|
Variables | Coefficients | p Value | Coefficients | p Value | Coefficients | p Value |
Mindfulness | <0.001 | 1.000 | <0.001 | 0.995 | 0.070 | 0.333 |
Self-efficacy | −0.001 | 0.987 | 0.088 | 0.225 | 0.272 | <0.001 |
Dispositional Resilience Scale | −0.001 | 0.986 | 0.094 | 0.192 | 0.202 | 0.006 |
Demographics | ||||||
Age | <0.001 | 1.000 | 0.003 | 0.969 | −0.005 | 0.945 |
Gender | ||||||
Female/Male | −0.001 | 0.990 | 0.070 | 0.330 | 0.130 | 0.073 |
Education level | ||||||
Bachelor/Junior college | −0.001 | 0.994 | −0.042 | 0.559 | −0.096 | 0.185 |
Master/Junior college | <0.001 | 0.997 | 0.047 | 0.512 | 0.149 | 0.040 |
Religious Belief | ||||||
Yes/No | <0.001 | 0.997 | 0.023 | 0.751 | 0.155 | 0.033 |
Marital Status | ||||||
Married/Single | <0.001 | 0.996 | 0.047 | 0.518 | 0.112 | 0.122 |
Work-related characteristics | ||||||
Ward | ||||||
Medical/HemaOnco | <0.001 | 0.998 | 0.020 | 0.784 | 0.035 | 0.628 |
Surgical/HemaOnco | <0.001 | 1.000 | −0.005 | 0.948 | 0.007 | 0.923 |
ICU/HemaOnco | <0.001 | 1.000 | 0.015 | 0.835 | 0.029 | 0.688 |
Length of service in nursing | <0.001 | 0.999 | 0.008 | 0.907 | 0.005 | 0.945 |
Experience of caring for terminal friends or relatives | ||||||
Yes/No | <0.001 | 0.999 | 0.007 | 0.922 | 0.054 | 0.455 |
Participation in DNR signature | ||||||
Yes/No | <0.001 | 1.000 | <0.001 | 0.995 | 0.011 | 0.879 |
Frequency of caring for terminal patients | <0.001 | 0.999 | 0.014 | 0.842 | 0.105 | 0.147 |
Participation in education related to palliative care | ||||||
Yes/No | <0.001 | 0.999 | 0.026 | 0.722 | 0.138 | 0.057 |
Participation in training related to DNR | ||||||
Yes/No | <0.001 | 0.999 | 0.036 | 0.620 | 0.100 | 0.167 |
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Share and Cite
Wu, L.-F.; Chang, L.-F.; Hung, Y.-C.; Lin, C.; Tzou, S.-J.; Chou, L.-J.; Pan, H.-H. The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling. Int. J. Environ. Res. Public Health 2020, 17, 6350. https://doi.org/10.3390/ijerph17176350
Wu L-F, Chang L-F, Hung Y-C, Lin C, Tzou S-J, Chou L-J, Pan H-H. The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling. International Journal of Environmental Research and Public Health. 2020; 17(17):6350. https://doi.org/10.3390/ijerph17176350
Chicago/Turabian StyleWu, Li-Fen, Li-Fang Chang, Yu-Chun Hung, Chin Lin, Shiow-Jyu Tzou, Lin-Ju Chou, and Hsueh-Hsing Pan. 2020. "The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling" International Journal of Environmental Research and Public Health 17, no. 17: 6350. https://doi.org/10.3390/ijerph17176350