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The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

Author

Listed:
  • Li-Fen Wu

    (Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei City 11490, Taiwan
    Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan)

  • Li-Fang Chang

    (Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei City 11490, Taiwan
    Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan)

  • Yu-Chun Hung

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan)

  • Chin Lin

    (Graduate Institute of Life Sciences, National Defense Medical Center, Taipei City 11490, Taiwan)

  • Shiow-Jyu Tzou

    (Department of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung 80284, Taiwan
    Institute of Medical Science and Technology, National Sun Yat-Sen University, Kaohsiung 80284, Taiwan)

  • Lin-Ju Chou

    (Department of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung 80284, Taiwan)

  • Hsueh-Hsing Pan

    (Department of Nursing, Tri-Service General Hospital, Taipei City 11490, Taiwan
    School of Nursing, National Defense Medical Center, Taipei City 11490, Taiwan)

Abstract

This study aimed to elucidate the predictors and the effects of path modeling on the knowledge, attitude, and practice toward do-not-resuscitate (DNR) among the Taiwanese nursing staff. This study was a cross-sectional, descriptive design using stratified cluster sampling. We collected data on demographics, knowledge, attitude, and practice as measured by the DNR inventory (KAP-DNR), Mindful Attention Awareness Scale, General Self-Efficacy Scale, and Dispositional Resilience Scale. Participants were 194 nursing staff from a medical center in northern Taiwan in 2019. The results showed that participation in DNR signature and education related to palliative care were significant positive predictors of knowledge toward DNR. The DNR predictors toward attitude included DNR knowledge, mindfulness, self-efficacy, dispositional resilience, and religious belief of nurses. Generally, the critical predictors of DNR practice were DNR attitude, dispositional resilience, and male nurses. In path modeling, we identified that self-efficacy, dispositional resilience, master’s degree, and religious belief directly influenced practice constituting DNR. Based on the findings of this study, we propose that nurses should improve their self-efficacy and dispositional resilience through training programs. Encouraging staff to undertake further education and have religious beliefs can enhance the practice of DNR and provide better end-of-life care.

Suggested Citation

  • Li-Fen Wu & Li-Fang Chang & Yu-Chun Hung & Chin Lin & Shiow-Jyu Tzou & Lin-Ju Chou & Hsueh-Hsing Pan, 2020. "The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6350-:d:406735
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    References listed on IDEAS

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    1. Intima Alrimawi & Ahmad Rajeh Saifan & Raghad Abdelkader & Abdul‐Monim Batiha, 2018. "Palestinian community perceptions of do‐not‐resuscitation order for terminally Ill patients: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(13-14), pages 2719-2728, July.
    2. V. Mani & Catarina Delgado, 2019. "Review of Literature," India Studies in Business and Economics, in: Supply Chain Social Sustainability for Manufacturing, chapter 0, pages 11-80, Springer.
    3. Margaret Fry & Casimir MacGregor & Simone Hyland & Barbara Payne & Lynn Chenoweth, 2015. "Emergency nurses’ perceptions of the role of confidence, self‐efficacy and reflexivity in managing the cognitively impaired older person in pain," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(11-12), pages 1622-1629, June.
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    1. Nerea Jiménez-Picón & Macarena Romero-Martín & José Antonio Ponce-Blandón & Lucia Ramirez-Baena & Juan Carlos Palomo-Lara & Juan Gómez-Salgado, 2021. "The Relationship between Mindfulness and Emotional Intelligence as a Protective Factor for Healthcare Professionals: Systematic Review," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    2. Huihui Wang & Jiaqing Zhao & Ying Wang & Yuxiang Hong, 2021. "Study on the Formation Mechanism of Medical and Health Organization Staff’s Emergency Preparedness Behavioral Intention: From the Perspective of Psychological Capital," IJERPH, MDPI, vol. 18(16), pages 1-15, August.
    3. Hsueh-Hsing Pan & Li-Fen Wu & Li-Fang Chang & Yu-Chun Hung & Chin Lin & Ching-Liang Ho, 2021. "Effects of Dispositional Resilience and Self-Efficacy on Practice in Advanced Care Planning of Terminally Ill Patients among Taiwanese Nurses: A Study Using Path Modeling," IJERPH, MDPI, vol. 18(3), pages 1-12, January.

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