Investigating the Relationship between Fear of Failure and the Delivery of End-of-Life Care: A Questionnaire Study

Latham, John S, Sawyer, Hannah, Butchard, Sarah, Mason, Stephen R ORCID: 0000-0002-4020-6869 and Sartain, Kathryn (2023) Investigating the Relationship between Fear of Failure and the Delivery of End-of-Life Care: A Questionnaire Study. NURSING REPORTS, 13 (1). pp. 128-144.

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Official URL: http://dx.doi.org/10.3390/nursrep13010014

Abstract

<h4>Objective</h4>To investigate whether fear of failure (FOF) influences a clinician's perception of how confident and comfortable they are in their delivery of end-of-life (EOL) care.<h4>Methods</h4>Cross-sectional questionnaire study with recruitment of physicians and nurses across two large NHS hospital trusts in the UK and national UK professional networks. A total of 104 physicians and 101 specialist nurses across 20 hospital specialities provided data that were analysed using a two-step hierarchical regression.<h4>Results</h4>The study validated the PFAI measure for use in medical contexts. Number of EOL conversations, gender, and role were shown to impact confidence and comfortableness with EOL care. Four FOF subscales did show a significant relationship with perceived delivery of EOL care.<h4>Conclusion</h4>Aspects of FOF can be shown to negatively impact the clinician experience of delivering EOL care.<h4>Clinical implications</h4>Further study should explore how FOF develops, populations that are more susceptible, sustaining factors, and its impact on clinical care. Techniques developed to manage FOF in other populations can now be investigated in a medical population.

Item Type:	Article
Uncontrolled Keywords:	physician, doctor, nurse, end of life, palliative, fear of failure, self-efficacy, psychology, medical education
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User:	Symplectic Admin
Date Deposited:	22 Feb 2023 15:43
Last Modified:	20 Apr 2023 01:22
DOI:	10.3390/nursrep13010014
Open Access URL:	https://doi.org/10.3390/nursrep13010014
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3168554