Nurses' knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countries

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dc.contributor.authorCoffey, Alice
dc.contributor.authorMcCarthy, Geraldine
dc.contributor.authorWeathers, Elizabeth
dc.contributor.authorFriedman, M. Isabel
dc.contributor.authorGallo, Katherine
dc.contributor.authorEhrenfeld, Mally
dc.contributor.authorChan, Sophia
dc.contributor.authorLi, William H. C.
dc.contributor.authorPoletti, Piera
dc.contributor.authorZanotti, Renzo
dc.contributor.authorMolloy, D. William
dc.contributor.authorMcGlade, Ciara
dc.contributor.authorFitzpatrick, Joyce J.
dc.contributor.authorItzhaki, Michal
dc.date.accessioned2016-10-05T14:11:46Z
dc.date.available2016-10-05T14:11:46Z
dc.date.issued2016-01-28
dc.description.abstractNurses' knowledge regarding advance directives may affect their administration and completion in end-of-life care. Confidence among nurses is a barrier to the provision of quality end-of-life care. This study investigated nurses' knowledge of advance directives and perceived confidence in end-of-life care, in Hong Kong, Ireland, Israel, Italy and the USA using a cross-sectional descriptive design (nā€‰=ā€‰1089). In all countries, older nurses and those who had more professional experience felt more confident managing patients' symptoms at end-of-life and more comfortable stopping preventive medications at end-of-life. Nurses in the USA reported that they have more knowledge and experience of advance directives compared with other countries. In addition, they reported the highest levels of confidence and comfort in dealing with end-of-life care. Although legislation for advance directives does not yet exist in Ireland, nurses reported high levels of confidence in end-of-life care.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationCoffey, A., McCarthy, G., Weathers, E., Friedman, M. I., Gallo, K., Ehrenfeld, M., Chan, S., Li, W. H. C., Poletti, P., ZanottI, R., Molloy, D. W., McGlade, C., Fitzpatrick, J. J. and Itzhaki, M. (2016) ā€˜Nurses' knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countriesā€™, International Journal of Nursing Practice, 22(3), pp. 247-257. doi: 10.1111/ijn.12417en
dc.identifier.doi10.1111/ijn.12417
dc.identifier.endpage257en
dc.identifier.issn1322-7114
dc.identifier.issued3en
dc.identifier.journaltitleInternational Journal of Nursing Practiceen
dc.identifier.startpage247en
dc.identifier.urihttps://hdl.handle.net/10468/3159
dc.identifier.volume22en
dc.language.isoenen
dc.publisherWileyen
dc.rightsĀ© 2016 The Authors International Journal of Nursing Practice Published by Wiley Publishing Asia Pty Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectAdvance directivesen
dc.subjectConfidenceen
dc.subjectEnd-of-lifeen
dc.subjectKnowledgeen
dc.subjectNursingen
dc.subject~Nursing and Midwifery - Journal Articles~en
dc.subject~Medicine - Journal Articles~en
dc.titleNurses' knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countriesen
dc.typeArticle (peer-reviewed)en
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