Influence of social interactions, professional supports and fear of death on adults' preferences for life-sustaining treatments and palliative care

Article

Huang, Ya-Ling, Yates, Patsy, Thorberg, Fred Arne and Wu, Chiung-Jung (Jo). 2021. "Influence of social interactions, professional supports and fear of death on adults' preferences for life-sustaining treatments and palliative care." International Journal of Nursing Practice. 28 (4). https://doi.org/10.1111/ijn.12940
Article Title

Influence of social interactions, professional supports and fear of death on adults' preferences for life-sustaining treatments and palliative care

ERA Journal ID14087
Article CategoryArticle
AuthorsHuang, Ya-Ling, Yates, Patsy, Thorberg, Fred Arne and Wu, Chiung-Jung (Jo)
Journal TitleInternational Journal of Nursing Practice
Journal Citation28 (4)
Article Numbere12940
Number of Pages11
Year2021
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1322-7114
1440-172X
Digital Object Identifier (DOI)https://doi.org/10.1111/ijn.12940
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/ijn.12940
Abstract

Aim
To explore the significance of culture, professional support in the community, social interactions and intrapersonal determinants of adults' preferences for life-sustaining treatments and palliative care.

Methods
A cross-sectional design with a Social Ecological Model was used. Between 1 October 2012 and 31 December 2012, 474 adults aged ≥20 years living in a city of Southern Taiwan completed the survey. Data were analysed using hierarchical multiple regression.

Results
The life-sustaining measures model was significant with 15.3% (p < 0.0001) of the variance in the Modified Emmanuel Medical Directives being explained by variables of death of self and healthcare services' support. The palliative care model was significant with 18% (p < 0.0001) of the variance in the Modified Hospice Attitude Scale being explained by variables of palliative care knowledge, death of self and social interactions. However, cultural value adherence did not predict adults' preferences for life-sustaining measures and community resources support did not predict palliative care preference.

Conclusions
Findings enhance our understanding of the significance of different societal levels on adults' preferences for end-of-life care. Palliative care knowledge, fear of death, healthcare services' support and social interactions are essential factors that need to be taken into consideration when it comes to discussion about life-sustaining treatments and palliative care.

Keywordsadult; culture; health services; palliative care; social support
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420316. Palliative care
420506. Sub-acute care
420699. Public health not elsewhere classified
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Byline AffiliationsGold Coast Hospital and Health Service, Australia
Queensland University of Technology
Bond University
University of Queensland
University of the Sunshine Coast
Royal Brisbane and Women’s Hospital, Australia
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