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Factors Related to Nurses’ Competency in Facilitating Advance Care Planning

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N. Wachirapanitchakul, Y. Matchim, B. Thongthawee, and K. Wongkalasin 1
1 Faculty of Nursing, Thammasat University, Thailand

Background: Advance care planning (ACP) is the process of ongoing discussions focused on identifying
and articulating patient’s value as a significant aspect of palliative care. Previous studies conducted in
other contexts reported that nurses have a low level in facilitating ACP. Little is known about factors
influencing nurses’ competency in facilitating ACP.

Objective: 1) to examine the level of nurses’ competency in facilitating ACP, and 2) to examine the
relationships between palliative care knowledge, communication skill in end-of-life care, digital health
technology skills, organizational climate, and nurses’ competency in facilitating advance care planning.

Methods: descriptive correlational study of 120 registered nurses working in general medicine and
specialty wards in Health Region 4. Instruments used for collecting data included: 1) a demographic data
form, 2) the Nurses’ Competency in Facilitating Advance Care Planning Questionnaire [NCACP-Q], 3) the
Palliative Care Knowledge Questionnaire [PCKQ], 4) the Nurses’ Communication Skill in End-of-Life Care
[NCS-EOL], 5) the Digital Health Technology Skills Questionnaire [DHTSQ], and 6) the Organizational Climate
Questionnaire [AOCQ]. The reliability of the PCKQ was tested by the Kuder-Richardson [KR-20] coefficient
and yielded .80. Cronbach’s alpha coefficient was used to test reliability for NCACP-Q, NCS-EOL, DHTSQ, and
AOCQ and yielded .92, .88, .92 and .91 respectively.

Results: Descriptive statistics and Pearson product moment correlation were used to analyze the data. The
results showed that nurses’ competency in facilitating ACP was at a moderate level ( = 269.52, S.D. = 31.23).
Palliative care knowledge, digital health technology skills, organizational climate, and communication skill in
end-of-life care were positively correlated with nurse’s competency in facilitating ACP (r= .315, p < .01; r=.505,
p < .01; r=.669, p < .01; r=.709, p < .01, respectively).
Poster Presentation Abstracts

Conclusion: Future studies should examine factors predicting nurses’ competency in facilitating ACP
to test the power of these predicting variables.

Keywords: nurses’ competency in facilitating advance care planning, palliative care knowledge,
communication skill in end-of-life care, digital health technology skills, organizational climate

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Correspondence: Yaowarat Matchim, Faculty of Nursing, Thammasat University, Thailand
E-mail: yaowarat.m@gmail.com

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