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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