Skip to main content

Table 5 Univariable and multivariable logistic regression model for the prediction of self-efficacy with regard to end-of-life communication amongst care staff (row percentages)a

From: Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy

 

Self-efficacy score

Univariable

Multivariable (backward selection)

<  6 N = 271%

≥ 6 N = 226%

OR (95% CI)

p-value

OR (95% CI)

p-value

Setting

 Mental health facility (n = 113)

42.5

57.5

reference

 

reference

 

 Nursing home (n = 161)

66.5

33.5

0.37 (0.23–0.61)

< 0.001

0.36 (0.21–0.63)

< 0.001

 Care home (n = 223)

52.0

48.0

0.68 (0.43–1.08)

0.099

0.76 (0.45–1.27)

0.294

Age

 17–35 years (n = 140)

74.3

25.7

reference

 

reference

 

 36–50 years (n = 187)

50.8

49.2

2.80 (1.74–4.50)

< 0.001

2.96 (1.80–4.86)

< 0.001

  > 50 years (n = 170)

42.4

57.6

3.93 (2.42–6.39)

< 0.001

4.05 (2.41–6.78)

< 0.001

Gender

 Male (n = 55)

60.0

40.0

reference

   

 Female (n = 439)

54.2

45.8

1.27 (0.72–2.24)

0.417

 

NS

Level of education

 Low (n = 167)

55.1

44.9

reference

   

 Intermediate (n = 234)

57.7

42.3

0.90 (0.60–1.34)

0.604

 

NS

 High (n = 92)

45.7

54.3

1.46 (0.88–2.44)

0.147

 

NS

Formal training in palliative care

 No (n = 209)

61.7

38.3

reference

 

reference

 

 Yes (n = 284)

50.0

50.0

1.61 (1.12–2.32)

0.010

2.03 (1.36–3.03)

0.001

Number of years working in direct care

  ≤ 10 years (n = 161)

68.3

31.7

reference

   

  > 10 years (n = 336)

47.9

52.1

2.34 (1.56–3.48)

< 0.001

 

NS

Hours a week working

  < 32 h (n = 297)

56.9

43.1

reference

   

  ≥ 32 h (n = 200)

51.0

49.0

1.27 (0.89–1.82)

0.195

 

NS

Knowledge of the palliative care definition

 0–1 (n = 48)

75.0

25.0

reference

 

reference

 

 2–3 (n = 208)

57.7

42.3

2.20 (1.08–4.47)

0.029

2.11 (0.99–4.53)

0.054

 4–5 (n = 236)

47.5

52.5

3.32 (1.65–6.70)

0.001

2.67 (1.24–5.73)

0.012

I have sufficient time to provide appropriate care to residents

 Do not agree (n = 329)

55.0

45.0

reference

   

 Agree (n = 162)

53.7

46.3

1.05 (0.72–1.54)

0.784

 

NS

The time I spend doing administrative tasks is reasonable and I am sure that residents do not fall short because of it.

 Do not agree (n = 366)

53.7

46.2

reference

   

 Agree (n = 125)

56.8

43.2

0.89 (0.59–1.34)

0.564

 

NS

I have sufficient time and possibilities for discussing problems related to residents with colleagues.

 Do not agree (n = 219)

52.5

47.5

reference

   

 Agree (n = 272)

56.3

43.8

0.86 (0.60–1.23)

0.408

 

NS

I have sufficient time for providing direct care to residents.

 Do not agree (n = 290)

53.1

46.9

reference

   

 Agree (n = 201)

56.7

43.3

0.86 (0.60–1.24)

0.429

 

NS

I reckon I would function better if there was less pressure.

 Do not agree (n = 230)

53.0

47.0

reference

   

 Agree (n = 260)

55.8

44.2

0.90 (0.63–1.28)

0.545

 

NS

  1. aTotal N = 497: 26 respondents (4.5%) did not fill in the S-EOLC questions, and 54 respondents (9.4%) were excluded from analysis since they answered ‘not my responsibility’ ≥4 times. Missing observations varied per independent variable, ranging from 9 to 17 (1.8–3.4%). NS: not significant: all variables were included in multivariable analyses. Using a stepwise backward selection method, all non-significant variables (p-value > 0.05) were excluded. Because of collinearity between age and years of experience, we chose to enter only age in the multivariable model