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Evaluation of the swedish self‐efficacy in palliative care scale and exploration of nurses' and physicians' self‐efficacy in swedish hospitals: a cross‐sectional study
Department of Health and Caring Sciences, Center for Collaborative Palliative Care, Linnaeus University, Växjö, Sweden.ORCID iD: 0000-0003-4300-6229
Umeå University, Faculty of Medicine, Department of Nursing. Department of Health and Caring Sciences, Center for Collaborative Palliative Care, Linnaeus University, Växjö, Sweden.ORCID iD: 0000-0002-1728-5722
Region Kronoberg, Växjö, Sweden.
Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
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2024 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Previous research found that healthcare professionals had low preparedness for palliative care. Thus, it is necessary to explore healthcare professionals' self-efficacy. The Swedish Self-Efficacy in Palliative Care Scale (SEPC-SE) evaluates readiness in communication, patient management and multidisciplinary teamwork; however, it should be tested on a larger population. Furthermore, the constructs of the SEPC-SE should be compared to that of the original SEPC.

Aim: This study aimed to evaluate the consensus between the construct validity and reliability of the SEPC and the translated and adapted SEPC-SE. Furthermore, it aimed to describe and compare the self-efficacy of nurses and physicians in hospitals and explore the associated factors.

Methods: The nurses (n = 288) and physicians (n = 104) completed the SEPC-SE. Factor analysis with Cronbach's alpha evaluated validity and reliability, and an analysis using the Mann-Whitney U test compared self-efficacy and multiple linear regression-associated factors.

Results: The SEPC-SE revealed three factors with high reliability. Education or experience in specialised palliative care was minor, especially for nurses. Self-efficacy was highest in patient management (nurses, median [md] = 74.57, physicians md = 81.71, p = 0.010) and communication (nurses md = 69.88, physicians md = 77.00, p = 0.141) and lowest in multidisciplinary teamwork (nurses md = 52.44, physicians md = 62.88, p = 0.001). The strongest associations with self-efficacy were education at work and advanced homecare experiences. In addition, there were significant associations between years in the profession, male sex, physicians and university education.

Conclusion: The SEPC-SE is valid and reliable for measuring self-efficacy. Nurses had lower self-efficacy than physicians. Physicians were associated with higher self-efficacy and had more education and experience in palliative care settings, which may explain their levels of self-efficacy.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024.
Keywords [en]
construct validity, hospitals, nurses, palliative care, physicians, reliability, self-efficacy, SEPC scale
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-222333DOI: 10.1111/scs.13244Scopus ID: 2-s2.0-85187105443OAI: oai:DiVA.org:umu-222333DiVA, id: diva2:1844463
Available from: 2024-03-14 Created: 2024-03-14 Last updated: 2024-03-18

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Andersson, Sofia

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