Background: The increasing need for palliative care in intensive care unit (ICU) is indicated by the increasing number of patients with critical and terminal conditions or life-threatening diseases. A comprehensive handling through palliative care by nurses is needed. Self-efficacy is the main predictor that influences the application of palliative care in ICU. Therefore, nurses should have high self-efficacy in order to provide qualified palliative care for patients and their families.
Objective: This study aimed to analyze the relationship between perceptions and self-efficacy of nurses in applying palliative care in ICU.
Methods: This study was a correlational study with a cross sectional approach. The sampling technique used was total sampling, which involved all nurses who were actively working at the Bandung General Hospital during the study. There were 127 people in total. Data were collected using questionnaires. Descriptive analysis was used for the univariate analysis and Pearson correlation test was used for bivariate analysis.
Results: The results of univariate analysis showed that the majority of respondents had high self-efficacy (56.7%) and negative perceptions (52%) related to palliative care in the intensive room. Based on the results of bivariate analysis, there was a significant relationship between perception and self-efficacy variables (p value = 0.000).
Conclusion: The results showed that high number of respondents had negative perceptions related to their competences in implementing palliative care in the ICU. Therefore, socializations and trainings related to this are needed, which focus on nurses' beliefs in their abilities.
Ahmed, N., Bestall, J., Ahmedzai, S. H., Payne, S., Clark, D., & Noble, B. (2004). Systematic review of the problems and issues of accessing specialist palliative care by patients, carers and health and social care professionals. Palliative Medicine, 18(6), 525-542.
Arumsari, D. P., Emaliyawati, E., & Sriati, A. (2017). Hambatan komunikasi efektif perawat dengan keluarga pasien dalam perspektif perawat [Barriers of effective communication between nurses and patients' families in a nurse's perspective]. Jurnal Pendidikan Keperawatan Indonesia, 2(2), 104-114.
Aslakson, R. A., Curtis, J. R., & Nelson, J. E. (2014). The changing role of palliative care in the ICU. Critical Care Medicine, 42(11), 2418.
Ayasrah, S. M., O’Neill, T. M., Abdalrahim, M. S., Sutary, M. M., & Kharabsheh, M. S. (2014). Pain assessment and management in critically ill intubated patients in Jordan: A prospective study. International Journal of Health Sciences, 8(3), 287.
Azwar, S. (2010). Sikap manusia: Teori dan pengukurannya [Human attitude: The theory and measurement]. Yogyakarta: Pustaka Pelajar.
Bandura, A. (2004). Self-efficacy. In E. W. Craighead & C. B. Nemeroff (Eds.), The concise corsini encyclopedia of psychology and behavioral sciences (pp. 859-862). New York: Wiley.
Bandura, A. (2005). The evolution of social cognitive theory. In K. G. S. M. A. Hitt (Ed.), Great minds in management (pp. 9-35). Oxford: Oxford University Press.
Cox, S., Handy, J. M., & Blay, A. (2012). Palliative care in the ICU. Journal of the Intensive Care Society, 13(4), 320-326.
Delgado‐Guay, M. O., Parsons, H. A., Li, Z., Palmer, L. J., & Bruera, E. (2009). Symptom distress, interventions, and outcomes of intensive care unit cancer patients referred to a palliative care consult team. Cancer, 115(2), 437-445.
Desbiens, J. F., Gagnon, J., & Fillion, L. (2012). Development of a shared theory in palliative care to enhance nursing competence. Journal of Advanced Nursing, 68(9), 2113-2124.
Ferrell, B. R., Coyle, N., & Paice, J. A. (2015). Oxford textbook of palliative nursing (4th ed.). New York: Oxford University Press.
Fitch, M. I., Fliedner, M. C., & O’Connor, M. (2015). Nursing perspectives on palliative care 2015. Annals of Palliative Medicine, 4(3), 150-155.
Gaffney, M. K. (2015). Critical care nurses' perceptions of their knowledge and self-efficacy about providing end-of-life care. (Dissertation), Walden University, Minnesota.
Gulini, J. E. H. M. d., Nascimento, E. R. P. d., Moritz, R. D., Rosa, L. M. d., Silveira, N. R., & Vargas, M. A. d. O. (2017). Intensive care unit team perception of palliative care: the discourse of the collective subject. Revista da Escola de Enfermagem da USP, 51.
Johnston, B., & Smith, L. N. (2006). Nurses’ and patients’ perceptions of expert palliative nursing care. Journal of Advanced Nursing, 54(6), 700-709.
Joy, Y. L. (2015). The influence of a palliative care education intervention in increasing knowledge and self-efficacy of nurses practicing in long-term care. (Dissertation), University of Connecticut Graduate School, Connecticut.
Lenz, E. R., & Shortridge-Baggett, L. M. (2002). Self-efficacy in nursing: research and measurement perspectives. New York: Springer Publishing Company.
Manojlovich, M. (2005). Promoting nurses' self-efficacy: a leadership strategy to improve practice. Journal of Nursing Administration, 35(5), 271-278.
National Clinical Effectiveness Committee. (2015). Management of constipation in adult patients receiving palliatice care. Retrieved from https://health.gov.ie/wp-content/uploads/2015/11/ Mgmt-of-Constipation-Guideline.pdf
Nelson, J., Mulkerin, C., Adams, L., & Pronovost, P. (2006). Improving comfort and communication in the ICU: a practical new tool for palliative care performance measurement and feedback. BMJ Quality & Safety, 15(4), 264-271.
Payne, S., Seymour, J., & Ingleton, C. (2008). Palliative care nursing: Principles and evidence for practice (2nd ed.). England: Open University Press.
Rodriguez, K. L., Barnato, A. E., & Arnold, R. M. (2007). Perceptions and utilization of palliative care services in acute care hospitals. Journal of Palliative Medicine, 10(1), 99-110.
Sarfo, L. A., Opare, M., Awuah-Peasah, D., & Asamoah, F. (2017). Knowledge and perception of nurses on palliative care. A case study at Agogo Presbyterian Hospital. Applied Research Journal, 2(1), 39-43.
Shreves, A., & Marcolini, E. (2014). End of life/palliative care/ethics. Emergency Medicine Clinics, 32(4), 955-974.
Sunaryo, S., & Kes, M. (2004). Psikologi untuk keperawatan [Psychology for nursing]. Jakarta: Rajawali Pers.
Tyler, S., Bourbon, E., Cox, S., Day, N., Fineran, C., Rexford, D., . . . Ward-Smith, P. (2012). Clinical competency, self-efficacy, and job satisfaction: Perceptions of the staff nurse. Journal for Nurses in Professional Development, 28(1), 32-35.
Urden, L. D., & Stacy, K. M. (2013). Critical care nursing: Diagnosis and management (7th ed.). Missouri: Mosby.
White, K. R., & Coyne, P. J. (2011). Nurses' perceptions of educational gaps in delivering end-of-life care. Paper presented at the Oncology Nursing Forum.
White, K. R., Roczen, M. L., Coyne, P. J., & Wiencek, C. (2014). Acute and critical care nurses’ perceptions of palliative care competencies: a pilot study. The Journal of Continuing Education in Nursing, 45(6), 265-277.
Wilkie, D. J., & Ezenwa, M. O. (2012). Pain and symptom management in palliative care and at end of life. Nursing Outlook, 60(6), 357-364.
Wolf, A. T. (2016). Critical care nurses’ perceptions about palliative care and moral distress: Implications for practice. Charlottesville, Virginia: University of Virginia.
World Health Organization. (2008). WHO definition of palliative care Retrieved from http://www.who.int/ cancer/palliative/definition/en/
Zulkosky, K. (2009). Self-efficacy: a concept analysis. Nursing Forum, 44(2), 93-102.
This work is licensed under a Creative Commons Attribution 4.0 International License.