The Relationship Between Knowledge, Attitudes, and Self-efficacy in Promoting Living Wills of Professional Nurses Working in an Intensive Care Unit
Keywords:
Knowledge, Attitude, Self-efficacy, Living willsAbstract
Professional nurses' knowledge, attitude, and self-efficacy perceptions are critical factors in promoting living wills for critically ill patients. This descriptive correlational research aimed at examining professional nurses' knowledge, attitude, and self-efficacy in promoting living wills for critically ill patients. The sample included 154 ICU nurses working at a university hospital. The research instruments consisted of 1) a personal information record form; 2) a questionnaire on knowledge to promote living wills; 3) a questionnaire on attitude to promote living wills; and 4) a questionnaire on self-efficacy to promote living wills. Descriptive statistics and Pearson's correlation coefficient were used to analyze the data.
The findings revealed that the average score of nurses' knowledge about promoting living wills was high, while the attitude and self-efficacy scores about promoting living wills were moderate. There was a significant relationship between attitude toward promoting living wills and self-efficacy (r = .28, p < .05), but no significant relationship between knowledge and self-efficacy toward promoting living wills (p > .05).
The results of this research can be used as a basis for developing the competency of professional nurses in intensive care units. However, in this study, attitude had a positive correlation with self-efficacy perception, while knowledge had no correlation with self-efficacy perception. Subsequent studies should study other variables as a basis for developing nurses' competencies in promoting living wills for critically ill patients.
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