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KMID : 0856920220250040139
Journal of Hospice and Palliative Care
2022 Volume.25 No. 4 p.139 ~ p.149
Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives
Park Go-Eun

Lee Nae-Young
Abstract
Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs.

Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffe test, Pearson¡¯s correlation coefficient, and stepwise multiple regression analysis.

Results: The mean scores were 7.79¡¾1.39 points for knowledge, 1.92¡¾2.00 points for experience, and 2.80¡¾0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P£¼0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39).

Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs.
Therefore, nurses¡¯ must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.
KEYWORD
Geriatric nursing, Advance directives, Knowledge, Health knowledge, Attitudes, Practice
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