General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis
General ward nurses play a key role in discharge planning for end-stage cancer patients. It is necessary to assess the factors regarding their practice to promote discharge planning in accordance with end-stage cancer patients’ wishes. This study aimed to investigate the relationships between genera...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/7/1161 |
| _version_ | 1797439286025388032 |
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| author | Michiko Aoyanagi Yukari Shindo Keita Takahashi |
| author_facet | Michiko Aoyanagi Yukari Shindo Keita Takahashi |
| author_sort | Michiko Aoyanagi |
| collection | DOAJ |
| description | General ward nurses play a key role in discharge planning for end-stage cancer patients. It is necessary to assess the factors regarding their practice to promote discharge planning in accordance with end-stage cancer patients’ wishes. This study aimed to investigate the relationships between general ward nurses’ practice of discharge planning for end-stage cancer patients, self-efficacy, ethical behavior, attitude, knowledge and experience, perceived skills, and perceived barriers. A total of 288 general ward nurses from nine hospitals in a city in Japan completed the questionnaire. Path analysis was conducted to test the hypotheses. The results showed that nurses’ self-efficacy, ethical behavior (do-no-harm, do-good), knowledge (experience of attending home care seminars), and perceived skills (assertiveness) were positively and directly related to the practice of discharge planning. Nursing experience and perceived skills (assertiveness) were positively associated with discharge planning practice, while perceived barriers (death discussion) and attitude (degree of leaving it to discharge planning nurses (DPNs)) were negatively associated, with self-efficacy acting as a mediator. Thus, our findings show that it is important to enhance self-efficacy and nursing ethical behavior to improve the practice of discharge planning. Accordingly, education regarding home care, assertive communication skills, death discussion, and ethics is needed for general ward nurses. |
| first_indexed | 2024-03-09T11:50:33Z |
| format | Article |
| id | doaj.art-894297e48aab461fb5a6eeda02f29306 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T11:50:33Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-894297e48aab461fb5a6eeda02f293062023-11-30T23:15:16ZengMDPI AGHealthcare2227-90322022-06-01107116110.3390/healthcare10071161General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path AnalysisMichiko Aoyanagi0Yukari Shindo1Keita Takahashi2Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, JapanFaculty of Health Sciences, Japan Health Care University, Sapporo 062-0053, JapanInstitute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo 060-8648, JapanGeneral ward nurses play a key role in discharge planning for end-stage cancer patients. It is necessary to assess the factors regarding their practice to promote discharge planning in accordance with end-stage cancer patients’ wishes. This study aimed to investigate the relationships between general ward nurses’ practice of discharge planning for end-stage cancer patients, self-efficacy, ethical behavior, attitude, knowledge and experience, perceived skills, and perceived barriers. A total of 288 general ward nurses from nine hospitals in a city in Japan completed the questionnaire. Path analysis was conducted to test the hypotheses. The results showed that nurses’ self-efficacy, ethical behavior (do-no-harm, do-good), knowledge (experience of attending home care seminars), and perceived skills (assertiveness) were positively and directly related to the practice of discharge planning. Nursing experience and perceived skills (assertiveness) were positively associated with discharge planning practice, while perceived barriers (death discussion) and attitude (degree of leaving it to discharge planning nurses (DPNs)) were negatively associated, with self-efficacy acting as a mediator. Thus, our findings show that it is important to enhance self-efficacy and nursing ethical behavior to improve the practice of discharge planning. Accordingly, education regarding home care, assertive communication skills, death discussion, and ethics is needed for general ward nurses.https://www.mdpi.com/2227-9032/10/7/1161general ward nursesend-stage cancer patientsself-efficacydischarge planningethical behavior |
| spellingShingle | Michiko Aoyanagi Yukari Shindo Keita Takahashi General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis Healthcare general ward nurses end-stage cancer patients self-efficacy discharge planning ethical behavior |
| title | General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis |
| title_full | General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis |
| title_fullStr | General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis |
| title_full_unstemmed | General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis |
| title_short | General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis |
| title_sort | general ward nurses self efficacy ethical behavior and practice of discharge planning for end stage cancer patients path analysis |
| topic | general ward nurses end-stage cancer patients self-efficacy discharge planning ethical behavior |
| url | https://www.mdpi.com/2227-9032/10/7/1161 |
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