Nurses' Willingness and the Predictors of Willingness to Provide Palliative Care in Rural Communities of Taiwan

The aims of this study are to identify the willingness of district nurses to provide palliative care in the rural communities in Taiwan and determine the predictors of this willingness. A questionnaire was sent to all 1,121 community nurses of the 174 government health stations assigned to all the rural areas of Taiwan. The overall response rate was 86.4%, with 940 valid questionnaires retrieved. The majority of respondents (93.0%) expressed a willingness to provide palliative care if they encountered a terminal cancer patient. However, they would limit their services to consultation and referral (91.6% and 87.3%), and were less likely to provide home visiting (51.0%) or bereavement support of family (38.4%). With regard to knowledge, the accurate answers to the philosophy/principles and clinical practice of palliative care were 88.5% and 43%, respectively. The results of stepwise logistic regression analysis showed that “palliative care knowledge,” “the belief in external control by authority,” and “the belief in external control by chance” were the most significant variables related to the willingness of district nurses to provide palliative care (OR = 12.83, 95% CI = 2.46–66.76, P