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Do spirituality and emotional intelligence improve the perception of the ability to provide care at the end of life? The role of knowledge and self-efficacy

Published online by Cambridge University Press:  29 February 2024

Maria de Lurdes da Costa Martins*
Affiliation:
Palliative Medicine, Hospital of Trás-os-montes e Alto Douro EPE, Vila Real, Portugal CACTMAD (Clinical Academic Center of Trás-os-Montes and Alto Douro-Professor Doutor Nuno Grande), Vila Real, Portugal
Ana Paula Rodrigues
Affiliation:
CETRAD (Center of Transdisciplinary Development Studies – UTAD), Vila Real, Portugal Department of Economics, Sociology and Management of UTAD, Vila Real, Portugal
Carlos Duarte Coelho Peixeira Marques
Affiliation:
CETRAD (Center of Transdisciplinary Development Studies – UTAD), Vila Real, Portugal University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
Rui Miguel Barros Cunha Carvalho
Affiliation:
Palliative Medicine, Hospital of Trás-os-montes e Alto Douro EPE, Vila Real, Portugal
*
Corresponding author: Maria de Lurdes da Costa Martins; Email: milupedras@hotmail.com

Abstract

Objectives

Spirituality, emotional intelligence, and palliative care (PC) knowledge have a positive and direct influence on self-efficacy and on perception of preparation and ability to provide end-of-life (EOL) care. The aim of this work is to propose a conceptual model that relates spirituality, emotional intelligence, PC knowledge, self-efficacy, and the preparation and ability to provide EOL care by doctors and nurses.

Methods

Quantitative, exploratory, descriptive, and inferential study applied to doctors and nurses in a hospital in the north of Portugal, between May and July 2022. The data collection instrument includes a questionnaire. The relationships between latent variables were evaluated using structural equation models by the partial least squares method using the Smart PLS 3.0 software. It was obtained the previous authorization of the ethics committee.

Results

The results (n = 380) indicate that self-efficacy, spirituality, and PC knowledge have a positive influence on the ability to provide EOL care. Emotional intelligence and spirituality have a direct and positive effect on self-efficacy. There is no direct influence of emotional intelligence on the ability to provide EOL care, but emotional intelligence has an indirect effect mediated by self-efficacy.

Significance of results

Spirituality, self-efficacy, and emotional intelligence are very important for the ability of doctors and nurses to provide EOL care. The identification of predictive factors of the ability to provide EOL care and the determination of the relationship between them can improve the provision of EOL care, reduction of health costs, timely and early referral of people to PC, and increase life quality.

Type
Original Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press.

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