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dc.contributor.authorRanse, Kristen
dc.contributor.authorYates, Patsy
dc.contributor.authorCoyer, Fiona
dc.date.accessioned2018-11-13T02:46:42Z
dc.date.available2018-11-13T02:46:42Z
dc.date.issued2016
dc.identifier.issn0964-3397
dc.identifier.doi10.1016/j.iccn.2015.11.003
dc.identifier.urihttp://hdl.handle.net/10072/381146
dc.description.abstractObjective: To identify factors associated with critical care nurses’ engagement in end-of-life care practices. Methods: Multivariable regression modelling was undertaken on 392 responses to an online selfreport survey of end-of-life care practices and factors influencing practice by Australian critical care nurses’. Univariate general linear models were built for six end-of-life care practice areas. Results: Six statistically significant (p < 0.001) models were developed: Information sharing F(3, 377) = 40.53, adjusted R2 23.8%; Environmental modification F(5, 380) = 19.55, adjusted R2 19.4%; Emotional support F(10, 366) = 12.10, adjusted R2 22.8%; Patient and family centred decision making F(8, 362) = 17.61 adjusted R2 26.4%; Symptom management F(8, 376) = 7.10, adjusted R2 11.3%; and Spiritual support F(9, 367) = 14.66, adjusted R2 24.6%. Stronger agreement with values consistent with a palliative approach, and greater support for patient and family preferences were associated with higher levels of engagement in end-of-life care practices. Higher levels of preparedness and access to opportunities for knowledge acquisition were associated with engagement in the interpersonal practices of patient and family centred decision making and emotional support. Conclusion: This study provides evidence for interventions to address factors associated with nurse engagement to increase participation in all end-of-life care practice areas.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherElsevier
dc.relation.ispartofpagefrom48
dc.relation.ispartofpageto55
dc.relation.ispartofjournalIntensive and Critical Care Nursing
dc.relation.ispartofvolume33
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode111099
dc.subject.fieldofresearchcode1110
dc.titleModelling end-of-life care practices: Factors associated with critical care nurse engagement in care provision
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorRanse, Kristen


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