ArticleBMC palliative care2019
Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy.
Article in BMC palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- End of life care for people with severe mental illness: Mixed methods systematic review and thematic synthesis (the MENLOC study).Palliative medicine · 2021Pooled it
- Context and mechanisms that enable implementation of specialist palliative care Needs Rounds in care homes: results from a qualitative interview study.BMC palliative care · 2021Trial
- Factors influencing self-efficacy of healthcare professionals towards end-of-life care in acute care settings in Palestine: a cross-sectional study.BMC nursing · 2025Article
- Correlation between death-coping self-efficacy and personality traits of intensive care unit nurses: a cross-sectional study.BMC nursing · 2025Article
- Impact of the DEDICATED approach to optimizing palliative care for people with dementia: a multi-method study.BMC health services research · 2025Article
- Structural equation modeling for influencing factors with quality care behavior among nursing assistants: a cross-sectional study.BMC nursing · 2025Article
- Evaluation of a Simulation Program for Providing Telenursing Training to Nursing Students: Cohort Study.JMIR medical education · 2025Article
- Palliative care knowledge and self-efficacy: a comparative study between intensive care units and general units nurses.BMC palliative care · 2024Article
- Mechanical Ventilation in Older Adults With Dementia: Opportunities to Promote Goal-Concordant Care.Journal of pain and symptom management · 2024Article
- Article
- Review
- Understanding advance care planning in care homes throughout the COVID-19 pandemic: A critical realist review and synthesis.Palliative medicine · 2023Review
- Use, usability, and impact of a card-based conversation tool to support communication about end-of-life preferences in residential elder care - a qualitative study of staff experiences.BMC geriatrics · 2022Article
- Challenges Experienced by Italian Nursing Home Staff in End-of-Life Conversations with Family Caregivers during COVID-19 Pandemic: A Qualitative Descriptive Study.International journal of environmental research and public health · 2022Article
- Translation, Cultural Adaptation, and Content Validation of the Palliative Care Self-Efficacy Scale for Use in the Swedish Context.International journal of environmental research and public health · 2022Article
- Death-coping self-efficacy and its influencing factors among Chinese nurses: A cross-sectional study.PloS one · 2022Article
- Physicians' approach to end of life care: comparison of two tertiary care university hospitals in Lebanon.BMC medical education · 2021Article
- Advance care planning in nursing homes: new conversation and documentation tools.BMJ supportive & palliative care · 2021Article
- Big Five Personality Model-based study of death coping self-efficacy in clinical nurses: A cross-sectional survey.PloS one · 2021Article
- Effect of palliative care training on perceived self-efficacy of the nurses.BMC palliative care · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundEnd-of-life conversations are rarely initiated by care staff in long-term care facilities. A possible explanation is care staff's lack of self-efficacy in such conversations. Research into the determinants of self-efficacy for nurses and care assistants in end-of-life communication is scarce and self-efficacy might differ between care staff of mental health facilities, nursing homes, and care homes. This study aimed to explore differences between care staff in mental health facilities, nursing homes, and care homes with regard to knowledge about palliative care, time pressure, and self-efficacy in end-of-life communication, as well as aiming to identify determinants of high self-efficacy in end-of-life communication.
methodsTwo cross-sectional Dutch studies, one in mental health facilities and one in nursing and care homes (PACE study). Nurses and care assistants were invited to complete a questionnaire in 2015. Multivariable logistic regression analyses were performed to identify determinants of high self-efficacy.
resultsFive hundred forty one nurses and care assistants completed a survey; 137 worked in mental health facilities, 172 in nursing homes, and 232 in care homes. Care staff at mental health facilities were the most knowledgeable about the World Health Organization's definition of palliative care: 76% answered 4-5 out of 5 items correctly compared to 38% of nursing home staff and 40% of care home staff (p < 0.001). Around 60% of care staff in all settings experienced time pressure. Care staff had high self-efficacy regarding end-of-life communication with patients: the overall mean score across all facilities was 5.47 out of 7 (standard deviation 1.25). Determinants of high self-efficacy were working in a mental health facility, age > 36, female, with formal palliative care training, and knowledge of the palliative care definition.
conclusionMental healthcare staff knew more about palliative care and had higher self-efficacy in end-of-life communication compared to nursing and care home staff. Educating care staff about providing palliative care and training them in it might improve end-of-life communication in these facilities.
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