สมรรถนะการวางแผนดูแลล่วงหน้าของพยาบาลเวชปฏิบัติการบำบัดทดแทนไต และปัจจัยที่เกี่ยวข้อง

Abstract

This descriptive research aimed 1) to describe level of the renal replacement therapy nurse practitioner’s competency in Advance Care Planning (ACP), and 2) to examine the correlation between renal replacement therapy nurse practitioner’s competency in ACP and related factors. The sample size were 385 renal replacement therapy nurse practitioners in 41 secondary and 23 tertiary hospitals in 13 Thailand health regions. The sample size was calculated by Yamane formulation, and a proportionatestratified sampling method was used. The instruments used in the collecting data including a demographic data form, and an instrument to measure renal replacement therapy nurse practitioner’s competency in ACP. The content validity index (CVI) of instrument was .96 by five experts, the Alpha Cronbach reliability was .98. Descriptive statistics, Pearson’s product moment correlationand Point biserial correlation were used to analyze the data. The result showed that: 1) the renal replacement therapy nurse practitioner had overall competency in ACP at a moderate level (M = 3.47, SD = .83). When considering each component, the renal replacement therapy nurse practitioner’s competency in ACP with communication were the highest level (M = 3.52, SD = .89), followed by identifying and assessment (M = 3.48, SD = .81), and summary and monitoring (M =3.40, SD = .87), respectively; 2) In term of the factors related to the renal replacement therapy nurse practitioner’s competency in ACP, the renal replacement therapy nurse practitioner’s age, job experiences, level of education, the number of renal patients in ACP, and the training palliative were positive correlation with renal replacement therapy nurse practitioner’s competency in ACP at a significance (r = .47, r = .38, r = .25, r = .47, r = .33, p < .01, respectively) The results of this research can be used for improving the renal replacement therapy nurse practitioner’s competency of ACP. Further study could be training for developing renal replacement therapy nurse practitioner to have competency in ACP for chronic kidney patients.