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KMID : 1221920200130010001
Journal of Korean Critical Care Nursing
2020 Volume.13 No. 1 p.1 ~ p.14
Factors Influencing General Hospital Nurses¡¯ Confidence about Advance Directives
Kim Min-Hye

Lee Yun-Mi
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¡¾1.47; attitude, 2.80¡¾0.31; learning needs, 4.22¡¾0.62; and confidence, 2.57¡¾0.74. 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 (¥â=.27, p =.007), attitude (¥â=.21, p =.043), and experience of nursing or counseling a patient who wrote ADs (¥â=-.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.
KEYWORD
Advance directives, Knowledge, Attitude, Learning, Confidence
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