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A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting

Journal Article


Abstract


  • Nurses are well positioned to initiate and conduct advance-care planning (ACP) conversations; however,

    there has been limited research on practice nurses performing this role in Australia. The aim of the present study was to

    understand the beliefs, attitudes, perceptions, confidence, training and educational needs of New South Wales practice

    nurses with regards to involvement in ACP. A cross-sectional online survey was conducted in August to October 2014.

    Nurses were recruited through nursing organisations and Medicare Locals. There were 147 completed surveys (n = 147).

    Participants were mostly female registered nurses, with a median age of 50, and 6 years of practice-nurse experience.

    Practice nurses were generally positive towards their involvement in ACP and believed it would be beneficial for the

    community. Their confidence in initiating ACP increased as their familiarity with patients increased. They showed a high

    level of interest in participating in training and education in ACP. Barriers to their involvement in ACP included the lack of

    a good documentation system, limited patient-education resources and unclear source of remuneration. Nurses were also

    concerned over legalities of ACP, ethical considerations and their understanding of end-of-life care options. Nevertheless,

    they were highly receptive of integrating ACP discussions and were willing to enhance their skills. These findings uncover

    a need for further training and development of practice nurses for ACP discussions.

UOW Authors


Publication Date


  • 2017

Citation


  • Fan, E. & Rhee, J. J. (2017). A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting. Australian Journal of Primary Health, 23 80-86.

Scopus Eid


  • 2-s2.0-85013455919

Number Of Pages


  • 6

Start Page


  • 80

End Page


  • 86

Volume


  • 23

Place Of Publication


  • Australia

Abstract


  • Nurses are well positioned to initiate and conduct advance-care planning (ACP) conversations; however,

    there has been limited research on practice nurses performing this role in Australia. The aim of the present study was to

    understand the beliefs, attitudes, perceptions, confidence, training and educational needs of New South Wales practice

    nurses with regards to involvement in ACP. A cross-sectional online survey was conducted in August to October 2014.

    Nurses were recruited through nursing organisations and Medicare Locals. There were 147 completed surveys (n = 147).

    Participants were mostly female registered nurses, with a median age of 50, and 6 years of practice-nurse experience.

    Practice nurses were generally positive towards their involvement in ACP and believed it would be beneficial for the

    community. Their confidence in initiating ACP increased as their familiarity with patients increased. They showed a high

    level of interest in participating in training and education in ACP. Barriers to their involvement in ACP included the lack of

    a good documentation system, limited patient-education resources and unclear source of remuneration. Nurses were also

    concerned over legalities of ACP, ethical considerations and their understanding of end-of-life care options. Nevertheless,

    they were highly receptive of integrating ACP discussions and were willing to enhance their skills. These findings uncover

    a need for further training and development of practice nurses for ACP discussions.

UOW Authors


Publication Date


  • 2017

Citation


  • Fan, E. & Rhee, J. J. (2017). A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting. Australian Journal of Primary Health, 23 80-86.

Scopus Eid


  • 2-s2.0-85013455919

Number Of Pages


  • 6

Start Page


  • 80

End Page


  • 86

Volume


  • 23

Place Of Publication


  • Australia