Table 4 Self-efficacy regarding end-of-life communication (S-EOLC). S-EOLC scored on a scale from 0 (cannot do at all) to 7 (certainly can do)a
The following items relate to end-of-life communication, please answer the following end-of-life by circling the number that best reflects your confidence in your own ability to engage in these activities | Mental health facility | Nursing home | Care home | p-value |
|---|---|---|---|---|
N = 137 | N = 178 | N = 262 |  | |
% | % | % | Â | |
1. Discussing the likely course of a life-limiting illness with the resident | ||||
 0–3 | 10.6 | 26.1 | 20.6 | 0.006 |
 4–5 | 25.7 | 30.4 | 24.7 |  |
 6–7 | 63.7 | 43.5 | 54.7 |  |
2. Discussing the likely course of a life-limiting illness with the residents’ family | ||||
 0–3 | 11.5 | 27.3 | 19.3 | 0.012 |
 4–5 | 26.5 | 26.1 | 22.0 |  |
 6–7 | 61.9 | 46.6 | 58.7 |  |
3. Discussing general issues related to dying and death | ||||
 0–3 | 5.3 | 9.9 | 9.0 | 0.030 |
 4–5 | 22.1 | 34.2 | 22.9 |  |
 6–7 | 72.6 | 55.9 | 68.2 |  |
4. Having a conversation with the resident about his/her specific concerns about dying and death | ||||
 0–3 | 3.5 | 9.9 | 6.7 | 0.024 |
 4–5 | 23.0 | 29.8 | 19.3 |  |
 6–7 | 73.5 | 60.2 | 74.0 |  |
5. Having a conversation with the family about their specific concerns about the residents dying and death | ||||
 0–3 | 8.0 | 11.8 | 4.9 | 0.098 |
 4–5 | 23.0 | 25.5 | 21.5 |  |
 6–7 | 69.0 | 62.7 | 73.5 |  |
6. Providing emotional support to the family upon bereavement | ||||
 0–3 | 6.2 | 3.7 | 3.1 | 0.311 |
 4–5 | 23.9 | 27.3 | 20.2 |  |
 6–7 | 69.9 | 68.9 | 76.7 |  |
7. Responding to residents asking how long they have got to live? | ||||
 0–3 | 13.3 | 16.1 | 7.2 | 0.034 |
 4–5 | 22.1 | 29.2 | 30.9 |  |
 6–7 | 64.6 | 54.7 | 61.9 |  |
8. Responding to the residents asking if there will there be a lot of suffering or pain | ||||
 0–3 | 16.8 | 14.3 | 4.9 | 0.004 |
 4–5 | 23.0 | 29.2 | 30.5 |  |
 6–7 | 60.2 | 56.5 | 64.6 |  |
Overall mean score for each setting (SD) | 5.69 (1.34) | 5.26 (1.24) | 5.52 (1.19) | 0.003 |