Respiratory Nurses Have Positive Attitudes But Lack Confidence in Advance Care Planning for Chronic Obstructive Pulmonary Disease: Online Survey.

Disler, R; Cui, Y; Luckett, T; Donesky, D; Irving, L; Currow, DC; Smallwood, N

Respiratory Nurses Have Positive Attitudes But Lack Confidence in Advance Care Planning for Chronic Obstructive Pulmonary Disease: Online Survey.

Disler, R Cui, Y Luckett, T

Donesky, D Irving, L Currow, DC Smallwood, N

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Publisher:: Lippincott, Williams & Wilkins
Publication Type:: Journal Article
Citation:: Journal of Hospice and Palliative Nursing, 2021, 23, (5), pp. 442-454
Issue Date:: 2021-10

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Field	Value	Language
dc.contributor.author	Disler, R
dc.contributor.author	Cui, Y
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409
dc.contributor.author	Donesky, D
dc.contributor.author	Irving, L
dc.contributor.author	Currow, DC
dc.contributor.author	Smallwood, N
dc.date.accessioned	2021-12-06T01:28:42Z
dc.date.available	2021-12-06T01:28:42Z
dc.date.issued	2021-10
dc.identifier.citation	Journal of Hospice and Palliative Nursing, 2021, 23, (5), pp. 442-454
dc.identifier.issn	1522-2179
dc.identifier.issn	1539-0705
dc.identifier.uri	http://hdl.handle.net/10453/152125
dc.description.abstract	Chronic obstructive pulmonary disease (COPD) is a progressive, life-limiting illness. Despite significant symptom burden, access to advance care planning (ACP) and palliative care are limited. Early initiation of ACP enables patients to articulate the values that underpin the decisions they would make if, in the future, they are unable to speak for themselves. Nurses constitute the majority of health care workforce and are well placed to initiate these discussions. This study explored knowledge, attitudes, and practice regarding ACP for patients with COPD among Australian and New Zealand respiratory nurses. A cross-sectional online survey tested knowledge about ACP and canvassed attitudes about current practice. Data were analyzed using descriptive statistics and content analysis of text data. The 112 participating respiratory nurses had substantial knowledge and positive attitudes regarding ACP in COPD; however, they lacked confidence and clarity regarding their role. Despite advances in end-of-life care provision for chronic disease, well-established barriers remained (inadequate training, fear of distressing patients, and time), and discussion triggers were still linked to acute deterioration, diagnosis of severe disease, and patient initiation. Better articulating the role of the respiratory nurse in ACP and building capacity and confidence within this workforce may improve ACP access for people living with COPD.
dc.format	Print
dc.language	eng
dc.publisher	Lippincott, Williams & Wilkins
dc.relation.ispartof	Journal of Hospice and Palliative Nursing
dc.relation.isbasedon	10.1097/njh.0000000000000778
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	Nursing
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Australia
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Humans
dc.subject.mesh	Nurses
dc.subject.mesh	Optimism
dc.subject.mesh	Pulmonary Disease, Chronic Obstructive
dc.subject.mesh	Humans
dc.subject.mesh	Pulmonary Disease, Chronic Obstructive
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Nurses
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Australia
dc.subject.mesh	Optimism
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Australia
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Humans
dc.subject.mesh	Nurses
dc.subject.mesh	Optimism
dc.subject.mesh	Pulmonary Disease, Chronic Obstructive
dc.title	Respiratory Nurses Have Positive Attitudes But Lack Confidence in Advance Care Planning for Chronic Obstructive Pulmonary Disease: Online Survey.
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	United States
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-12-06T01:28:40Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	23
utslib.citation.issue	5

Abstract:

Chronic obstructive pulmonary disease (COPD) is a progressive, life-limiting illness. Despite significant symptom burden, access to advance care planning (ACP) and palliative care are limited. Early initiation of ACP enables patients to articulate the values that underpin the decisions they would make if, in the future, they are unable to speak for themselves. Nurses constitute the majority of health care workforce and are well placed to initiate these discussions. This study explored knowledge, attitudes, and practice regarding ACP for patients with COPD among Australian and New Zealand respiratory nurses. A cross-sectional online survey tested knowledge about ACP and canvassed attitudes about current practice. Data were analyzed using descriptive statistics and content analysis of text data. The 112 participating respiratory nurses had substantial knowledge and positive attitudes regarding ACP in COPD; however, they lacked confidence and clarity regarding their role. Despite advances in end-of-life care provision for chronic disease, well-established barriers remained (inadequate training, fear of distressing patients, and time), and discussion triggers were still linked to acute deterioration, diagnosis of severe disease, and patient initiation. Better articulating the role of the respiratory nurse in ACP and building capacity and confidence within this workforce may improve ACP access for people living with COPD.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/152125