The differences in nurses' willingness to discuss palliative care with patients and their family members

Yi-Hsuan Lin; Ming-Hwai Lin; Chun-Ku Chen; Che Yang; Ya-Ting Chuang; Chuen-Huei Shyu; Huei-Jin Lin; Hui-Fang Chen; Wan-Ling Yang; Ya-Jyun Chen; Tzeng-Ji Chen; Shinn-Jang Hwang; Hsiao-Ting Chang

doi:10.1097/JCMA.0000000000000484

The differences in nurses' willingness to discuss palliative care with patients and their family members

J Chin Med Assoc. 2021 Mar 1;84(3):280-284. doi: 10.1097/JCMA.0000000000000484.

Authors

Yi-Hsuan Lin^{1

2}, Ming-Hwai Lin^{1

2}, Chun-Ku Chen^{3

4}, Che Yang⁵, Ya-Ting Chuang⁵, Chuen-Huei Shyu⁵, Huei-Jin Lin⁵, Hui-Fang Chen⁵, Wan-Ling Yang⁵, Ya-Jyun Chen⁵, Tzeng-Ji Chen^{1

6}, Shinn-Jang Hwang^{1

2}, Hsiao-Ting Chang^{1

2}

Affiliations

¹ Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
² Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
³ Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
⁴ Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
⁵ Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
⁶ School of Medicine and Institute of Hospital and Health Care Administration, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.

PMID: 33433136
DOI: 10.1097/JCMA.0000000000000484

Abstract

Background: This study aimed to evaluate the differences in nurses' willingness to discuss palliative care with terminally ill patients and their family members.

Methods: The participants were randomly recruited from registered staff nurses ≥20 years of age who were responsible for clinical inpatient care in a tertiary hospital in northern Taiwan. A semi-structured questionnaire was administered to evaluate nurses' experiences of discussing do-not-resuscitate (DNR) decisions and their willingness to discuss palliative care with terminal patients and their family members. The differences in nurses' experiences regarding DNR and willingness to discuss palliative care with terminally ill patients and their family members were compared using the Chi-square test. Logistic regressions were used to analyze factors associated with nurses' willingness to discuss palliative care with patients and their families.

Results: More participants had experienced initiating discussions about DNR with patients' families than with patients (72.2% vs 61.9%, p < 0.001). Unadjusted logistic regression analysis showed that the experiences of actively initiating DNR discussions with patients were a significant factor associated with palliative care discussion with patients (odds ratio [OR] = 2.91, 95% confidence interval [CI]: 1.09-7.79). On the other hand, the experiences of actively initiating DNR discussions with patients and with patients' families were significant factors associated with palliative care discussion with patients' families (OR = 3.84, 95% CI: 1.22-12.06 and OR = 3.60, 95% CI: 1.19-10.90, respectively). After adjusting for covariates, no significant factors were found to be independently associated with nurses' willingness to discuss palliative care with patients and their family members.

Conclusion: There are significant differences in nurses' willingness to discuss palliative care with patients and their family members. Further research is needed to evaluate factors associated with nurses' willingness to discuss palliative care with patients and their families to facilitate these discussions and protect patients' autonomy.

MeSH terms

Communication*
Cross-Sectional Studies
Family*
Female
Humans
Male
Nurse-Patient Relations*
Nurses / psychology*
Palliative Care*
Resuscitation Orders
Surveys and Questionnaires
Taiwan
Young Adult