年度2022
全部作者趙慧珍
論文名稱The Initial Development of Nurse’s Competence of Advance Care Planning for Residents in Long-Term Care Facilities?2022 Cross Disciplinary Innovation in Long-Term care
會議名稱2022 Cross Disciplinary Innovation in Long-term care
地點台灣 台南
主辦單位國立臺南護理專科學校
會議開始時間2022-01-22
會議結束時間2022-01-22
發表日期2022-01-22
著作人數3
使用語言繁體中文
備註Objectives：The purpose of this study was to develop an instrument which can be used to understand the knowledge, attitudes and skills of healthcare providers in ACP for PWD in long-term care facilities.
Methods：We adopted Iceberg Theory as the theoretical foundation to design the scale. A 30-item scale was developed to assess the knowledge, attitude and practice of healthcare providers in ACP for PWD. Developing this scale through three stages included item development, content validity and psychometric testing. Subjects were recruited for 18 long-term care facilities. Internal consistency of the items and exploratory factor analysis were used for construct validity.
Results：164 healthcare providers were enrolled. The CVI of experts was 0.99-1.00. Cronbach’s alpha coefficient was 0.882 of pilot study. The internal consistency reliability of the scale was 0.893, and the subscale of knowledge, attitude, and skill were 0.782, 0.871 and 0.921, respectively. Through EFA, the item accounted for 47.1%, 58.5%, and 58.5% of the total variance for knowledge, attitude, and practice, separately.
Discussion/Implications：This scale was supported by theory with good reliability and validity. It can be used to for administrators or educators assessing competence of healthcare providers to assist PWD with making an ACP in long-term care facility. In addition, a suitable education program can be planned. Hopefully, healthcare providers can discuss ACP with PWD early and complete ACP so as to reduce ineffective medical and social costs.