Predictors of the Willingness to Promote Advance Care Planning among Nurses in Palliative Care Settings in Yogyakarta, Indonesia

Ike Wuri Winahyu Sari; Rizqi Wahyu Hidayati

doi:10.14710/nmjn.v11i3.40339

DOI: https://doi.org/10.14710/nmjn.v11i3.40339

Predictors of the Willingness to Promote Advance Care Planning among Nurses in Palliative Care Settings in Yogyakarta, Indonesia

*Ike Wuri Winahyu Sari

- Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia

Rizqi Wahyu Hidayati - Faculty of Health, Universitas Jenderal Achmad Yani Yogyakarta, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN40339,
    author = {Ike Wuri Winahyu Sari and Rizqi Wahyu Hidayati},
    title = {Predictors of the Willingness to Promote Advance Care Planning among Nurses in Palliative Care Settings in Yogyakarta, Indonesia},
    journal = {Nurse Media Journal of Nursing},
  volume = {11},
    number = {3},
    year = {2021},
    keywords = {Advance care planning; end-of-life care; Indonesia; palliative care; palliative nursing},
    abstract = {  Background:  While previous studies showed that oncology nurses were highly inclined to promote advance care planning (ACP), there is a limited study focusing on ACP that concerns the willingness to promote ACP among palliative nurses in Indonesia. This issue needs to be investigated to determine the causative factors so that interventions for nurses can be arranged to improve ACP in Indonesia.   Purpose:  This study aimed to identify predictors of the willingness to promote ACP among nurses in palliative care settings.   Methods:  This study used a descriptive-analytical design with a cross-sectional approach. A total of 150 registered nurses with at least one year of experience were purposively recruited. Data were collected using the Indonesian version of the willingness to promote ACP instrument (I-WPACP) with a possible score range of 24 to 120; the higher the score, the higher the willingness to promote ACP. The descriptive statistic, independent t-test, Pearson correlation test, Spearman rank correlation test, and multiple linear regression test were used to analyze the data.   Results:  The willingness to promote ACP showed a mean score of 84.73±9.36. The score indicates a high willingness to promote ACP. The experience of receiving palliative care education became a related factor as well as the most closely related factor to the willingness to promote ACP in the palliative care settings (β=0.184; p=0.028).   Conclusion:  The willingness to promote ACP among nurses is high and closely related to their experience of receiving education about palliative care. Education about palliative care and training on ACP needs to be developed so that nurses can discuss ACP with patients and family caregivers. },
   issn = {2406-8799},   pages = {336--345}  doi = {10.14710/nmjn.v11i3.40339},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/40339}
}

Citation Format:

Abstract

Background: While previous studies showed that oncology nurses were highly inclined to promote advance care planning (ACP), there is a limited study focusing on ACP that concerns the willingness to promote ACP among palliative nurses in Indonesia. This issue needs to be investigated to determine the causative factors so that interventions for nurses can be arranged to improve ACP in Indonesia.

Purpose: This study aimed to identify predictors of the willingness to promote ACP among nurses in palliative care settings.

Methods: This study used a descriptive-analytical design with a cross-sectional approach. A total of 150 registered nurses with at least one year of experience were purposively recruited. Data were collected using the Indonesian version of the willingness to promote ACP instrument (I-WPACP) with a possible score range of 24 to 120; the higher the score, the higher the willingness to promote ACP. The descriptive statistic, independent t-test, Pearson correlation test, Spearman rank correlation test, and multiple linear regression test were used to analyze the data.

Results: The willingness to promote ACP showed a mean score of 84.73±9.36. The score indicates a high willingness to promote ACP. The experience of receiving palliative care education became a related factor as well as the most closely related factor to the willingness to promote ACP in the palliative care settings (β=0.184; p=0.028).

Conclusion: The willingness to promote ACP among nurses is high and closely related to their experience of receiving education about palliative care. Education about palliative care and training on ACP needs to be developed so that nurses can discuss ACP with patients and family caregivers.

Fulltext View|Download

Keywords: Advance care planning; end-of-life care; Indonesia; palliative care; palliative nursing

Article Metrics:

Article Info

Section: Articles

Language : EN

In Vol 11, No 3 (2021): (December 2021)

Recent articles

Predictors of the Willingness to Promote Advance Care Planning among Nurses in Palliative Care Settings in Yogyakarta, Indonesia A Qualitative Study on Nurses’ Experiences of Reporting Patient Safety Incidents in East Nusa Tenggara, Indonesia Workplace Assertiveness of Filipino Hospital Staff Nurses: A Cross-sectional Study Editorial Front Matter Editorial Back Matter More recent articles

Most cited articles

The Competencies, Roles and Scope of Practice of Advanced Psychiatric Nursing in Indonesia Eating Behavior of Autistic Children Work-Related Fatigue Factors among Hospital Nurses: An Integrative Literature Review Review: Burden on Family Caregivers Caring for Patients with Schizophrenia and Its Related Factors Knowledge and skills of Emergency Care During Disaster For Community Health Volunteers: A Literature Review More cited articles

A’la, M. Z., Setioputro, B., & Kurniawan, D. E. (2018). Nursing students’ attitudes towards caring for dying patients. Nurse Media Journal of Nursing, 8(1), 25-34. https://doi.org/10.14710/nmjn.v8i1.17270
Brinkman-Stoppelenburg, A., Rietjens, J. A., & van der Heide, A. (2014). The effects of advance care planning on end-of-life care: A systematic review. Palliative Medicine, 28(8), 1000–1025. https://doi.org/10.1177/0269216314526272
Chan, C. W., Chui, Y. Y., Chair, S. Y., Sham, M. M., Lo, R. S., Ng, C. S., Chan, H. Y., & Lai, D. C. (2014). The evaluation of a palliative care programme for people suffering from life-limiting diseases. Journal of Clinical Nursing, 23(1-2), 113–123. https://doi.org/10.1111/jocn.12094
Coffey, A., McCarthy, G., Weathers, E., Friedman, M. I., Gallo, K., Ehrenfeld, M., Chan, S., Li, W. H., Poletti, P., Zanotti, R., Molloy, D. W., McGlade, C., Fitzpatrick, J. J., & Itzhaki, M. (2016). Nurses' knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countries. International Journal of Nursing Practice, 22(3), 247–257. https://doi.org/10.1111/ijn.12417
Cohen, A., & Nirenberg, A. (2011). Current practices in advance care planning: Implications for oncology nurses. Clinical Journal of Oncology Nursing, 15(5), 547–553. https://doi.org/10.1188/11.CJON.547-553
Connor, S. R & Bermendo, M. C. S. (2014). Worldwide palliative care. Worldwide Palliative Care Alliance
Dahlan, M. S. (2014). Seri 1: Statistik untuk kedokteran dan kesehatan: deskriptif, bivariat, dan multivariat dilengkapi aplikasi menggunakan SPSS. Edisi 6 [Series 1: Statistics for medical and health: descriptive, bivariate and multivariate with application using SPSS. 6th Ed]. Epidemiologi Indonesia
Dahlan, M.S. (2016). Seri 2: Besar sampel dalam penelitian kedokteran dan kesehatan. Edisi 4 [Series 2: Sample size in medical and health research. 4th Ed]. Epidemiologi Indonesia
Detering, K., Silvester, W., Corke, C., Milnes, S., Fullam, R., Lewis, V., & Renton, J. (2014). Teaching general practitioners and doctors-in-training to discuss advance care planning: evaluation of a brief multimodality education programme. BMJ Supportive & Palliative Care, 4(3), 313–321. https://doi.org/10.1136/bmjspcare-2013-000450
Dixon, J., Matosevic, T., & Knapp, M. (2015). The economic evidence for advance care planning: systematic review of evidence. Palliative Medicine, 29(10), 869–884. https://doi.org/10.1177/0269216315586659
Dzeng, E., Colaianni, A., Roland, M., Chander, G., Smith, T. J., Kelly, M. P., Barclay, S., & Levine, D. (2015). Influence of institutional culture and policies on do-not-resuscitate decision making at the end of life. JAMA Internal Medicine, 175(5), 812–819. https://doi.org/10.1001/jamainternmed.2015.0295
Fan, E., & Rhee, J. J. (2017). A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting. Australian Journal of Primary Health, 23(1), 80–86. https://doi.org/10.1071/PY15174
Gillan, P. C., Jeong, S., & van der Riet, P. J. (2014). End of life care simulation: A review of the literature. Nurse Education Today, 34(5), 766–774. https://doi.org/10.1016/j.nedt.2013.10.005
Hsieh, L. Y., & Lin, S. Y. (2010). A pilot study on the perspectives of hemodialysis room nurses on promoting advance directives. Hu Li Za Zhi, 57(4), 59-67
Hsieh, C. C., Huang, H. P., Tung, T. H., Chen, I. C., Beaton, R. D., Jane, S. W. (2019). The exploration of the knowledge, attitudes and practice behaviors of advanced care planning and its related predictors among Taiwanese nurses. BMC Palliative Care, 18, 99. https://doi.org/10.1186/s12904-019-0483-9
Institute of Medicine. (2015). Dying in America: Improving quality and honoring individual preferences near the end of life. The National Academies Press
Izumi, S. (2017). Advance care planning: The nurse's role. The American Journal of Nursing, 117(6), 56–61. https://doi.org/10.1097/01.NAJ.0000520255.65083.35
Ke, L. S., Huang, X., O'Connor, M., & Lee, S. (2015). Nurses' views regarding implementing advance care planning for older people: A systematic review and synthesis of qualitative studies. Journal of Clinical Nursing, 24(15-16), 2057–2073. https://doi.org/10.1111/jocn.12853
Kelley, A. S., & Meier, D. E. (2010). Palliative care: A shifting paradigm. The New England Journal of Medicine, 363(8), 781–782. https://doi.org/10.1056/NEJMe1004139
Maneesriwongul, W. & Dixon, J. K. (2004). Instrument translation process: A method review. Journal of Advanced Nursing, 48(2), 175-186. https://doi.org/10.1111/j.1365-2648.2004.03185.x
Montagnini, M., Smith, H., & Balistrieri, T. (2012). Assessment of self-perceived end-of-life care competencies of intensive care unit providers. Journal of Palliative Medicine, 15(1), 29–36. https://doi.org/10.1089/jpm.2011.0265
O'Sullivan, R., Murphy, A., O'Caoimh, R., Cornally, N., Svendrovski, A., Daly, B., Fizgerald, C., Twomey, C., McGlade, C., & Molloy, D. W. (2016). Economic (gross cost) analysis of systematically implementing a programme of advance care planning in three Irish nursing homes. BMC Research Notes, 9, 237. https://doi.org/10.1186/s13104-016-2048-9
Park, H. Y., Kim, Y. A., Sim, J. A., Lee, J., Ryu, H., Lee, J. L., Maeng, C. H., Kwon, J. H., Kim, Y. J., Nam, E. M., Shim, H. J., Song, E. K., Jung, K. H., Kang, E. J., Kang, J. H., & Yun, Y. H. (2019). Attitudes of the general public, cancer patients, family caregivers, and physicians toward advance care planning: a nationwide survey before the enforcement of the life-sustaining treatment decision-making act. Journal of Pain and Symptom Management, 57(4), 774–782. https://doi.org/10.1016/j.jpainsymman.2018.12.332
Putranto, R., Mudjaddid, E., Shatri, H., Adli, M., & Martina, D. (2017). Development and challenges of palliative care in Indonesia: Role of psychosomatic medicine. BioPsychoSocial Medicine, 11, 29. https://doi.org/10.1186/s13030-017-0114-8
Rietjens, J., Sudore, R. L., Connolly, M., van Delden, J. J., Drickamer, M. A., Droger, M., van der Heide, A., Heyland, D. K., Houttekier, D., Janssen, D., Orsi, L., Payne, S., Seymour, J., Jox, R. J., Korfage, I. J., & European Association for Palliative Care. (2017). Definition and recommendations for advance care planning: An international consensus supported by the European Association for Palliative Care. The Lancet. Oncology, 18(9), e543–e551. https://doi.org/10.1016/S1470-2045(17)30582-X
Rietze, L., Heale, R., Hill, L., & Roles, S. (2016). Advance care planning in nurse practitioner practice: A cross-sectional descriptive study. Nursing Leadership, 29(3), 106–119. https://doi.org/10.12927/cjnl.2016.24897
Robinson, L., Dickinson, C., Rousseau, N., Beyer, F., Clark, A., Hughes, J., Howel, D., & Exley, C. (2012). A systematic review of the effectiveness of advance care planning interventions for people with cognitive impairment and dementia. Age and Ageing, 41(2), 263–269. https://doi.org/10.1093/ageing/afr148
Shepherd, J., Waller, A., Sanson-Fisher, R., Clark, K., & Ball, J. (2018). Knowledge of, and participation in, advance care planning: A cross-sectional study of acute and critical care nurses' perceptions. International Journal of Nursing Studies, 86, 74–81. https://doi.org/10.1016/j.ijnurstu.2018.06.005
Silveira, M. J. & Forman, J. (2012). End-of-life care from the perspective of primary care providers. Journal of General Internal Medicine, 27(10), 1287–1293. https://doi.org/10.1007/s11606-012-2088-3
Tang, M. Y., Li, X. L., Shi, Z. Y., & Fu, W. J. (2020). Knowledge of and willingness to promote advanced care planning among oncology nurses in southwest China. International Journal of Palliative Nursing, 26(4), 175–182. https://doi.org/10.12968/ijpn.2020.26.4.175
World Health Organization (WHO). (2016). Planning and implementing palliative care services: a guide for programme managers. WHO Press. https://www.who.int/publications/i/item/planning-and-implementing-palliative-care-services-a-guide-for-programme-managers
Yadav, K. N., Gabler, N. B., Cooney, E., Kent, S., Kim, J., Herbst, N., Mante, A., Halpern, S. D., & Courtright, K. R. (2017). Approximately one in three US adults completes any type of advance directive for end-of-life care. Health Affairs (Project Hope), 36(7), 1244–1251. https://doi.org/10.1377/hlthaff.2017.0175

Last update:

Factors affecting senior nursing students’ willingness to palliative care
Hyejin Go, Hyunju Kang. The Journal of Korean Academic Society of Nursing Education, 29 (3), 2023. doi: 10.5977/jkasne.2023.29.3.272
Nurses' intention and attitude to participate in advance care planning: An extended theory of planned behaviour using structural equation modelling–A cross‐sectional study
Apiradee , Chung‐Yin Lin, Virapun Wirojratana, Peng‐Chan Lin, Bih‐Ching Shu. Journal of Clinical Nursing, 2024. doi: 10.1111/jocn.17220

Last update: 2025-05-17 18:57:28

No citation recorded.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Journal Author(s) Rights

In order for the Department of Nursing, Faculty of Medicine, Universitas Diponegoro to publish and disseminate research articles, we need non-exclusive publishing rights (transferred from the author(s) to the publisher). This is determined by a publishing agreement between the author(s) and the Department of Nursing, Faculty of Medicine, Universitas Diponegoro. This agreement involves the transfer or licensing of the copyright for publishing to the publisher, while authors still retain significant rights to use and share their own published articles. The Department of Nursing, Faculty of Medicine, Universitas Diponegoro supports the need for authors to share, disseminate, and maximize the impact of their research through these rights in any databases.

As the author(s), you have rights to a wide range of uses of your article, including use by your employing institution or company. These author rights can be exercised without the need to obtain specific permission. Authors publishing in the Nurse Media Journal of Nursing have extensive rights to use their works for teaching and scholarly purposes without needing to seek permission, including:

use for classroom teaching by the author or the author’s institution and presentation at a meeting or conference, including distributing copies to attendees;
use for internal training by the author’s company;
distribution to colleagues for their research use;
use in a subsequent compilation of the author’s works;
inclusion in a thesis or dissertation;
reuse of portions or extracts from the article in other works (with full acknowledgment of the final article);
preparation of derivative works (other than for commercial purposes) (with full acknowledgment of the final article);
voluntary posting on open websites operated by the author or the author’s institution for scholarly purposes;

following the open access license of the Creative Commons CC BY-SA License.

Authors, readers, and third parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (including the name of the creator and attribution parties, detailed information about the authors, a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made. The publisher will indicate any modification of the material (if any) and retain an indication of previous modifications using a CrossMark Policy and information about Erratum-Corrigendum notifications.

Authors, readers, and third parties can read, print, and download, redistribute or republish the article (e.g., display it in a repository), translate the article, download it for text and data mining purposes, reuse portions or extracts from the article in other works, sell or reuse it for commercial purposes, remix, transform, or build upon the material. They must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).

Copyright Transfer Agreement for Publishing (Publishing Right)

The Authors submitting a manuscript do so on the understanding that if accepted for publication, non-exclusive right for publishing (publishing right) of the article shall be assigned/transferred to Publisher of the Nurse Media Journal of Nursing (Department of Nursing, Faculty of Medicine, Universitas Diponegoro).

Upon acceptance of an article, authors will be asked to complete a 'Copyright Transfer Agreement for Publishing (CTAP)'. An e-mail will be sent to the Corresponding Author confirming receipt of the manuscript together with a 'Copyright Transfer Agreement for Publishing' form by online version of this agreement.

Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Universitas Diponegoro, the Editors and the Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.

Please note that even though we ask for a transfer of copyright for publishing (CTAP), our journal Author(s) retain (or are granted back) significant scholarly rights as mentioned before.

The Copyright Transfer Agreement for Publishing (CTAP) Form can be downloaded here: [Copyright Transfer Agreement for Publishing (CTAP) Form NMJN 2024]

The copyright form should be signed electronically and send to the Editorial Office in the form of original e-mail below:

Dr. Meira Erawati (Editor-in-Chief)
Editorial Office of Nurse Media Journal of Nursing
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Telp.: +62-24-76480919; Fax.: +62-24-76486849
E-mail: media_ners@live.undip.ac.id

(This policy statements has been updated at 24th January 2024)

Predictors of the Willingness to Promote Advance Care Planning among Nurses in Palliative Care Settings in Yogyakarta, Indonesia

Journal Author(s) Rights

Copyright Transfer Agreement for Publishing (Publishing Right)

OFFICE INFORMATION