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

Ya-Ling Huang; Patsy Yates; Fred Thorberg; Jo Wu

doi:10.1111/ijn.12940

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

Journal article

Peer reviewed

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

Ya-Ling Huang, Patsy Yates, Fred Thorberg and Jo Wu

International Journal of Nursing Practice, Vol.28(4), pp.1-11

2022

DOI: https://doi.org/10.1111/ijn.12940

PMID: 33826202

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Abstract

Palliative care

adult

culture

health services

social support

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.

Details

Title: Influence of social interactions, professional supports and fear of death on adults’ preferences for life-sustaining treatments and palliative care
Authors: Ya-Ling Huang (Corresponding Author) - Gold Coast Hospital
Patsy Yates (Author) - Queensland University of Technology
Fred Thorberg (Author) - Bond University
Jo Wu (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Publication details: International Journal of Nursing Practice, Vol.28(4), pp.1-11
Publisher: Wiley-Blackwell Publishing Asia
Date published: 2022
DOI: 10.1111/ijn.12940
ISSN: 1440-172X
PMID: 33826202
Grant note: Queensland University of Technology
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99518108202621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Nursing

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