The moderating effect of attitudes in the relationship between knowledge and self-efficacy in palliative care among nurses: A cross-sectional, correlational study
Provision of palliative care to patients with advanced chronic diseases or old populations is suboptimal, which results in unnecessary suffering of and burden to patients, caregivers, and society. Low self-efficacy in palliative care among nurses is a factor affecting suboptimal utilization of palli...
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| Veröffentlicht in: | PloS one 2023-10, Vol.18 (10), p.e0292135-e0292135 |
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| description | Provision of palliative care to patients with advanced chronic diseases or old populations is suboptimal, which results in unnecessary suffering of and burden to patients, caregivers, and society. Low self-efficacy in palliative care among nurses is a factor affecting suboptimal utilization of palliative care. Poor knowledge is a factor affecting low self-efficacy in palliative care of nurses. Attitudes may contribute to the relationship between knowledge and self-efficacy in palliative care, but these relationships have been rarely examined in nurses. This study aimed to determine whether nurses' attitudes moderate the relationship between knowledge and self-efficacy in palliative care. In a cross-sectional, correlational study, online or offline survey on self-efficacy, knowledge, attitudes, and covariates was conducted from 282 nurses in South Korea. PROCESS v4.1 for SPSS was used to address the study aim. Higher levels of knowledge (p = .048) and attitudes (p < .001), and the interaction term of knowledge and attitudes (p = .025) were significantly associated with higher levels of self-efficacy (F = 6.12, p < .001, R.sup.2 = .152), indicating the moderating effects of attitudes. The relationships between higher levels of knowledge and self-efficacy were significant only in nurses with highly and moderately positive attitudes (R.sup.2 change = .016, F = 5.11, p = .025), but not nurses with lack of positive attitudes. Our results supported the moderating role of nurses' attitudes in the relationship between knowledge and self-efficacy. To improve self-efficacy in palliative care in nurses, improvement in knowledge and facilitation of positive attitudes are needed. |
| doi_str_mv | 10.1371/journal.pone.0292135 |
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Low self-efficacy in palliative care among nurses is a factor affecting suboptimal utilization of palliative care. Poor knowledge is a factor affecting low self-efficacy in palliative care of nurses. Attitudes may contribute to the relationship between knowledge and self-efficacy in palliative care, but these relationships have been rarely examined in nurses. This study aimed to determine whether nurses' attitudes moderate the relationship between knowledge and self-efficacy in palliative care. In a cross-sectional, correlational study, online or offline survey on self-efficacy, knowledge, attitudes, and covariates was conducted from 282 nurses in South Korea. PROCESS v4.1 for SPSS was used to address the study aim. Higher levels of knowledge (p = .048) and attitudes (p < .001), and the interaction term of knowledge and attitudes (p = .025) were significantly associated with higher levels of self-efficacy (F = 6.12, p < .001, R.sup.2 = .152), indicating the moderating effects of attitudes. The relationships between higher levels of knowledge and self-efficacy were significant only in nurses with highly and moderately positive attitudes (R.sup.2 change = .016, F = 5.11, p = .025), but not nurses with lack of positive attitudes. Our results supported the moderating role of nurses' attitudes in the relationship between knowledge and self-efficacy. To improve self-efficacy in palliative care in nurses, improvement in knowledge and facilitation of positive attitudes are needed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0292135</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Advance directives ; Attitudes ; Biology and Life Sciences ; Care and treatment ; Chronic diseases ; Chronic illnesses ; Consent ; Correlational studies ; Effectiveness ; Evaluation ; Health care ; Intensive care ; Knowledge ; Likert scale ; Medical care ; Medicine and Health Sciences ; Nurses ; Oncology ; Palliation ; Palliative care ; Palliative treatment ; Patients ; People and Places ; Practice ; Quality management ; Self-efficacy ; Social Sciences ; Validity ; Variables</subject><ispartof>PloS one, 2023-10, Vol.18 (10), p.e0292135-e0292135</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Kim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Kim et al 2023 Kim et al</rights><rights>2023 Kim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c619t-4bcea70b3583fb531ad2116429dbc919272cf380b7c547c97d0eb260159a27643</cites><orcidid>0000-0003-4318-8755</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553266/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553266/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids></links><search><creatorcontrib>Kim, JinShil</creatorcontrib><creatorcontrib>Heo, Seongkum</creatorcontrib><creatorcontrib>Yang, Jisun</creatorcontrib><creatorcontrib>Kim, Miyeong</creatorcontrib><creatorcontrib>Park, SeongHu</creatorcontrib><creatorcontrib>Cho, KyungAh</creatorcontrib><creatorcontrib>Kang, JungHee</creatorcontrib><creatorcontrib>Yi, Hani</creatorcontrib><creatorcontrib>An, Minjeong</creatorcontrib><title>The moderating effect of attitudes in the relationship between knowledge and self-efficacy in palliative care among nurses: A cross-sectional, correlational study</title><title>PloS one</title><description>Provision of palliative care to patients with advanced chronic diseases or old populations is suboptimal, which results in unnecessary suffering of and burden to patients, caregivers, and society. Low self-efficacy in palliative care among nurses is a factor affecting suboptimal utilization of palliative care. Poor knowledge is a factor affecting low self-efficacy in palliative care of nurses. Attitudes may contribute to the relationship between knowledge and self-efficacy in palliative care, but these relationships have been rarely examined in nurses. This study aimed to determine whether nurses' attitudes moderate the relationship between knowledge and self-efficacy in palliative care. In a cross-sectional, correlational study, online or offline survey on self-efficacy, knowledge, attitudes, and covariates was conducted from 282 nurses in South Korea. PROCESS v4.1 for SPSS was used to address the study aim. Higher levels of knowledge (p = .048) and attitudes (p < .001), and the interaction term of knowledge and attitudes (p = .025) were significantly associated with higher levels of self-efficacy (F = 6.12, p < .001, R.sup.2 = .152), indicating the moderating effects of attitudes. The relationships between higher levels of knowledge and self-efficacy were significant only in nurses with highly and moderately positive attitudes (R.sup.2 change = .016, F = 5.11, p = .025), but not nurses with lack of positive attitudes. Our results supported the moderating role of nurses' attitudes in the relationship between knowledge and self-efficacy. To improve self-efficacy in palliative care in nurses, improvement in knowledge and facilitation of positive attitudes are needed.</description><subject>Advance directives</subject><subject>Attitudes</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Chronic diseases</subject><subject>Chronic illnesses</subject><subject>Consent</subject><subject>Correlational studies</subject><subject>Effectiveness</subject><subject>Evaluation</subject><subject>Health care</subject><subject>Intensive care</subject><subject>Knowledge</subject><subject>Likert scale</subject><subject>Medical care</subject><subject>Medicine and Health Sciences</subject><subject>Nurses</subject><subject>Oncology</subject><subject>Palliation</subject><subject>Palliative care</subject><subject>Palliative treatment</subject><subject>Patients</subject><subject>People and Places</subject><subject>Practice</subject><subject>Quality 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one</jtitle><date>2023-10-05</date><risdate>2023</risdate><volume>18</volume><issue>10</issue><spage>e0292135</spage><epage>e0292135</epage><pages>e0292135-e0292135</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Provision of palliative care to patients with advanced chronic diseases or old populations is suboptimal, which results in unnecessary suffering of and burden to patients, caregivers, and society. Low self-efficacy in palliative care among nurses is a factor affecting suboptimal utilization of palliative care. Poor knowledge is a factor affecting low self-efficacy in palliative care of nurses. Attitudes may contribute to the relationship between knowledge and self-efficacy in palliative care, but these relationships have been rarely examined in nurses. This study aimed to determine whether nurses' attitudes moderate the relationship between knowledge and self-efficacy in palliative care. In a cross-sectional, correlational study, online or offline survey on self-efficacy, knowledge, attitudes, and covariates was conducted from 282 nurses in South Korea. PROCESS v4.1 for SPSS was used to address the study aim. Higher levels of knowledge (p = .048) and attitudes (p < .001), and the interaction term of knowledge and attitudes (p = .025) were significantly associated with higher levels of self-efficacy (F = 6.12, p < .001, R.sup.2 = .152), indicating the moderating effects of attitudes. The relationships between higher levels of knowledge and self-efficacy were significant only in nurses with highly and moderately positive attitudes (R.sup.2 change = .016, F = 5.11, p = .025), but not nurses with lack of positive attitudes. Our results supported the moderating role of nurses' attitudes in the relationship between knowledge and self-efficacy. To improve self-efficacy in palliative care in nurses, improvement in knowledge and facilitation of positive attitudes are needed.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0292135</doi><tpages>e0292135</tpages><orcidid>https://orcid.org/0000-0003-4318-8755</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Advance directives Attitudes Biology and Life Sciences Care and treatment Chronic diseases Chronic illnesses Consent Correlational studies Effectiveness Evaluation Health care Intensive care Knowledge Likert scale Medical care Medicine and Health Sciences Nurses Oncology Palliation Palliative care Palliative treatment Patients People and Places Practice Quality management Self-efficacy Social Sciences Validity Variables |
| title | The moderating effect of attitudes in the relationship between knowledge and self-efficacy in palliative care among nurses: A cross-sectional, correlational study |
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