Knowledge, attitudes, and practice behaviors of oncology advanced practice nurses regarding advanced care planning for patients with cancer.
نویسندگان
چکیده
PURPOSE/OBJECTIVES To establish initial reliability and validity of a Web-based survey focused on oncology advanced practice nurses' (APNs') knowledge, attitudes, and practice behaviors regarding advanced care planning, and to obtain preliminary understanding of APNs' knowledge, attitudes, and practice behaviors and perceived barriers to advanced care planning. DESIGN Descriptive, cross-sectional, pilot survey study. SETTING The eastern United States. SAMPLE 300 oncology APNs. METHODS Guided by the Theory of Planned Behavior, a knowledge, attitudes, and practice behaviors survey was developed and reviewed for content validity. The survey was distributed to 300 APNs via e-mail and sent again to the 89 APNs who responded to the initial survey. Exploratory factor analysis was used to examine the construct validity and test-retest reliability of the survey's attitudinal and practice behavior portions. MAIN RESEARCH VARIABLES Respondents' demographics, knowledge, attitudes, practice behaviors, and perceived barriers to advanced care planning practice. FINDINGS Exploratory factor analysis yielded a five-factor solution from the survey's attitudes and practice behavior portions with internal consistency using Cronbach alpha. Respondents achieved an average of 67% correct answers in the 12-item knowledge section and scored positively in attitudes toward advanced care planning. Their practice behavior scores were marginally positive. The most common reported barriers were from patients' and families' as well as physicians' reluctance to discuss advanced care planning. CONCLUSIONS The attitudinal and practice behaviors portions of the survey demonstrated preliminary construct validity and test-retest reliability. Regarding advanced care planning, respondents were moderately knowledgeable, but their advanced care planning practice was not routine. IMPLICATIONS FOR NURSING Validly assessing oncology APNs' knowledge, attitudes, and practice behaviors regarding advanced care planning will enable more tailored approaches to improve end-of-life care outcomes.
منابع مشابه
Predictors of Practice Patterns for Lymphedema Care Among Oncology Advanced Practice Nurses
Lymphedema, a debilitating and chronic condition, is considered to be one of the most distressing adverse effects of cancer treatment. The purpose of this study was to understand the practice patterns in lymphedema care and identify predictors influencing those patterns among oncology nurses, with a focus on advanced practice nurses. Random and purposive sampling was utilized to recruit 238 onc...
متن کاملKnowledge and attitudes about cancer pain management: a comparison of oncology and nononcology nurses.
PURPOSE/OBJECTIVES To obtain information about the knowledge and attitudes of Utah nurses concerning cancer pain management. DESIGN Descriptive study. SETTING Nurses in Utah. SAMPLE 44 oncology nurses and 303 nononcology nurses completed the study. METHODS Ferrell's Nurses' Knowledge and Attitudes Survey Regarding Pain was given to oncology and nononcology nurses to compare knowledge an...
متن کاملContributions of advanced practice nurses with a DNP degree during palliative and end-of-life care of children with cancer.
The doctorate in nursing practice (DNP) degree is recommended as the terminal degree for advanced practice nurses by 2015. Improvement in the quality of palliative and end-of-life care for children with cancer is recognized as a health care priority. The purpose of this article is to describe: (a) how the American Association of Colleges of Nursing's 8 core elements and competencies can be used...
متن کاملCore competencies in cancer genetics for advanced practice oncology nurses.
PURPOSE/OBJECTIVES To determine core competencies in cancer genetics for advanced practice nurses (APNs) in oncology. DESIGN Survey. SAMPLE Expert panel of 9 nursing educators or researchers, 9 general genetics experts, 9 genetics experts with specialties in oncology, and 10 oncology APN nurse consumers (N = 37). METHODS Utilizing the Delphi Technique, two rounds of surveys were conducted...
متن کاملComplementary Medicine and the Role of Oncology Nurses in an Acute Care Hospital: The Gap Between Attitudes and Practice.
PURPOSE/OBJECTIVES To describe hospital nurses' knowledge, attitudes, and practices regarding complementary medicine (CM); to compare the knowledge and attitudes of nurse managers to staff nurses with diverse oncology experience; and to assess attitudes toward integrating CM into the role of the hospital oncology nurse. . DESIGN Descriptive, cross-sectional study. . SETTING Rambam Health C...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Oncology nursing forum
دوره 37 6 شماره
صفحات -
تاریخ انتشار 2010