Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/153787
Title: UNDERSTANDING NURSES’ PERCEPTIONS TOWARDS ADVANCED CARE PLANNING: A DESCRIPTIVE QUALITATIVE STUDY
Authors: NUR NADHIRAH BTE KHAIRUDDIN
Keywords: advanced care plan
end-of-life care
decision-making
perception
nurses
qualitative
Issue Date: 25-May-2019
Citation: NUR NADHIRAH BTE KHAIRUDDIN (2019-05-25). UNDERSTANDING NURSES’ PERCEPTIONS TOWARDS ADVANCED CARE PLANNING: A DESCRIPTIVE QUALITATIVE STUDY. ScholarBank@NUS Repository.
Abstract: Background: As national efforts continues to expand initiatives towards advanced care planning (ACP) in Singapore, understanding nurses’ perception becomes significant in influencing ACP practice behaviour, since they are envisioned to play a key role in this process. However, there are limited studies investigating perceptions of ACP focusing solely on nurses. Aim: To examine perceptions of ACP among registered nurses. Methods: This qualitative study used a descriptive, qualitative approach to explore the perceptions of nurses towards ACP. A purposive sample of 16 nurses working in a local, tertiary hospital were selected and interviewed using semistructured, individual interviews guided by the Theory of planned behaviour. Interviews were transcribed verbatim and analysed using a thematic approach. Rigour was ensured throughout the study in four aspects – credibility, dependability, transferability and confirmability. Results: The analysis revealed 3 major themes (1) value of ACP: empowered decision-making, achieve goals of care and emotional comfort, (2) communicating ACP: pessimistic attitudes towards ACP, difficulty in bringing up ACP and perceived irrelevance as well as (3) barriers to advocating ACP: limited scope of practice, insufficient preparation and competing priorities. Implications: Although nurses expressed positive perceptions towards ACP, our study findings also revealed difficulties in communicating ACP, which necessitate efforts in raising public awareness towards ACP to foster greater cultural acceptance of ACP in the local society. Furthermore, development of educational training resources and revision of institutional policies may address the perceived barriers to advocating ACP. Conclusion: This study provided insights to the perceptions of nurses towards ACP. Future research may include various ethnic groups to illustrate the multicultural elements of Singapore, and other methodological approaches to enhance reliability of results. Perceptions of other healthcare personnel or patients could be explored for a holistic understanding of ACP.
URI: https://scholarbank.nus.edu.sg/handle/10635/153787
Appears in Collections:Bachelor's Theses

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