Effects of a self-efficacy promoting program on the knowledge and perceived self-efficacy of palliative care ward nurses for elderly with terminal illnesses
Keywords:
self-efficacy promoting program, self-efficacy, nurses, palliative care, older adults with terminal illnessesAbstract
This quasi-experimental research with one-group pretest-posttest design aimed to investigate effects of a self-efficacy promoting program on palliative care for older adults with terminal illnesses on knowledge and perceived self-efficacy of palliative care ward nurses. The samples were 15 palliative care ward nurses working in the Medical and Surgical Nursing Department providing palliative care for older adults with terminal illnesses at a tertiary level hospital. The research instrument was the effects of a self-efficacy promoting program on palliative care for older adults with terminal illnesses for palliative care ward nurses developed based on the Bandura’s self-efficacy theory and Knowles’ adult learning theory. It was a 4-week activity program. The activities included providing theoretical and practical knowledge through learning stations and practical training in the ward. Data were analyzed by paired t-test. The findings revealed that the palliative care ward nurses’ mean knowledge score after receiving the program was significantly higher than that of before receiving the program (95% CI: 3.42 - 6.05, p<0.001). Their mean self-efficacy score after receiving the program was also significantly higher than that of before receiving the program (95% CI: 14.06 - 31.54, p<0.001). Therefore, this developed program can be used as a guide to promote knowledge and self-efficiency in providing palliative care for older adults with terminal illnesses among palliative care ward nurses. In addition, a long-term follow-up study should be conducted to assess the knowledge, self-efficacy in providing palliative care for older adults with terminal illnesses. A comparison group should also be added to see the effectiveness of the program compared to the group not receiving the program.
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