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Predictors of nurse practitioners' end-of-life communication behaviors with adults who have end-stage renal disease
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Payongayong, Joanne V.. Predictors of nurse practitioners' end-of-life communication behaviors with adults who have end-stage renal disease. Retrieved from https://doi.org/doi:10.7282/t3-5wtb-5w40

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TitlePredictors of nurse practitioners' end-of-life communication behaviors with adults who have end-stage renal disease
NamePayongayong, Joanne V. (author); Thomas-Hawkins, Charlotte (chair); Jarrin, Olga (member); Barberio, Judith (member); Hain, Debra (member); Rutgers University; Graduate School - Newark
Date Created2022
Other Date2022-05 (degree)
SubjectNursing, Advance care planning, Advanced practice nurse, End-of-life communication, End-stage renal disease, Theory of planned behavior
Extent142 pages
DescriptionThe scope of end-of-life (EOL) communication is not well known among advanced practice nurses (APNs) who care for adults with end-stage renal disease (ESRD). Guided by the Theory of Planned Behavior, the aims of the study were to examine the independent effects of knowledge, attitude, and perceived behavioral control on APNs’ engagement in EOL communication and the mediating and moderating effects of attitude and perceived behavioral control between knowledge and EOL communication. A theoretically derived 17-item survey measuring the concepts of interest was developed and administered to a convenience sample of 127 APNs. Instrument validity and reliability testing were completed. Descriptive statistics, Pearson’s correlation, and multiple linear regression were employed. Independent predictors of engagement in EOL communication among nephrology APNs were attitude about professional responsibility for EOL communication behavior, attitude towards patient and family EOL communication needs, and perceived behavioral control over EOL communication behaviors. Knowledge was the only predictor in the unadjusted model that had no significant effect on EOL communication behavior. In the adjusted model, only perceived behavioral control had a significant independent effect on EOL communication behavior. Attitudes about professional responsibility for EOL communication behavior and patient and family EOL communication needs, and perceived behavioral control over EOL communication behaviors were all found to both mediate and moderate the relationship between EOL communication behavior knowledge and engagement in EOL communication among nephrology APNs. To foster nephrology APNs’ active engagement in EOL discussions with patients, this study has important clinical practice and future research implications to support the need to increase nephrology APNs’ EOL communication knowledge, facilitate positive attitudes about their EOL communications with patients, and build APNs’ comfort and confidence, i.e., perceived behavioral control, for engaging in these discussions.
NotePh.D.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-5wtb-5w40
LanguageEnglish
CollectionGraduate School - Newark Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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