Abstract

Self-efficacy is defined as confidence in one's competence; the ability to successfully accomplish tasks and achieve favorable outcomes (Bandura, 1997). Many nurses today say they feel their undergraduate education was inadequate for them to feel competent to provide palliative and EOL patient care. (Chiplaskey, 2016; Scherlin & Quinn, 2016; Zheng et al., 2018).). Inadequate EOL preparation also results in nurses experiencing distress, death anxiety, burnout, feeling overwhelmed and leaving practice within just a few years (Friedman et al., 2011; Gaw, 2012; Kovner et al., 2006; Parry, 2008; Silverstein, 2017, November 28; Suzuki et al., 2008; Wilson & Kirshbaum, 2013). This is particularly troubling in light of the global nursing shortage; studies indicate that 17.5%-48% of new nurses leave their first job within one year and 33.5% of new nurses will leave within the first two years. Further, 37% of new nurses had at least considered changing jobs (Androus, 2021; Kovner, et al., 2007; Kovner, et al., 2014; Labrague & McEnroe-Petitte, 2018). Little is known about what factors affect new nurses' selfefficacy to provide palliative end-of-life (EOL) care, particularly in rural hospital settings. The purpose of this exploratory correlational doctoral study was to identify demographic, educational, and experiential factors which may be associated with new nurses' self-efficacy to provide quality palliative patient care at EOL.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 29322793; ProQuest document ID: 2723053516. The author still retains copyright.

Author Details

Penny Marie Briese, PhD

Sigma Membership

Xi Kappa at-Large

Lead Author Affiliation

University of Jamestown, Jamestown, North Dakota, USA

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

Quantitative Research

Keywords:

Palliative Care, Self-Efficacy, New Nurses, Patient Care

Advisor

Darlene Hanson

Second Advisor

Tracy Evanson

Third Advisor

Rhoda Owens

Fourth Advisor

Maher El-Masri

Degree

PhD

Degree Grantor

University of North Dakota

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-12-02

Full Text of Presentation

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