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Lu H, Jin L. Knowledge, attitudes and practices of critical care unit personnel regarding pediatric palliative care: a cross-sectional study. BMC Palliat Care 2024; 23:125. [PMID: 38769557 PMCID: PMC11106871 DOI: 10.1186/s12904-024-01456-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 05/14/2024] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND Few studies have evaluated the perceptions of healthcare providers in China regarding pediatric palliative care, particularly in critical care units (PICUs), where many children receive palliative care. To evaluate the knowledge, attitudes and practices of PICU personnel in China regarding pediatric palliative care. METHODS This cross-sectional study was conducted in five cities in China (Shanghai, Suzhou, Chongqing, Chengdu and Yunnan) between November 2022 and December 2022. RESULTS The analysis included 204 participants (122 females), with 158 nurses and 46 physicians. The average knowledge, attitude and practice scores were 9.75 ± 2.90 points (possible range, 0-13 points), 38.30 ± 3.80 points (possible range, 12-60 points) and 35.48 ± 5.72 points (possible range, 9-45 points), respectively. Knowledge score was higher for physicians than for nurses (P < 0.001) and for personnel with previous training in pediatric palliative care (P = 0.005). According to structural equation modelling knowledge had a direct positive effect on attitude (β = 0.69 [0.28-1.10], p = 0.001), and indirect on practice (β = 0.82 [0.36-1.28], p < 0.001); attitude had significant effect on practice as well (β = 1.18 [0.81-1.56], p < 0.001). CONCLUSIONS There is room for improvement in the knowledge, attitudes and practices of PICU personnel in China regarding pediatric palliative care. The findings of this study may facilitate the design and implementation of targeted education/training programs to better inform physicians and nurses in China about pediatric palliative care.
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Affiliation(s)
- Hua Lu
- Department of Peadiatric Intensive Care Unit, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
| | - Linfei Jin
- Department of Peadiatric Intensive Care Unit, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China
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Kasem A, Abuhammad S, Jamal N. Parents of children with autism spectrum disorder quality of life in Jordan: a comparative study. Future Sci OA 2024; 10:FSO909. [PMID: 38827808 PMCID: PMC11140641 DOI: 10.2144/fsoa-2023-0096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 10/02/2023] [Indexed: 06/05/2024] Open
Abstract
Aim: This study aimed to assess the quality of life (QoL) of parents of children with autism spectrum disorder (ASD) in Jordan and its associated factors. Methods: This comparative study was conducted among parents of children with ASD and non-ASD. Data collection took four setting areas that include three centers for autism in three different municipalities and the control group was collected using social media. A convenience sample of 242 parents agreed to complete a QoL questionnaire. Results: Parents of children with ASD in Jordan have poor QoL across the five domains of QoL in compare with parents with non-ASD child. Factors such as gender, level of education, living condition and employment status were found impacting QoL.
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Affiliation(s)
- Abedallah Kasem
- Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
| | - Sawsan Abuhammad
- Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
| | - Naemah Jamal
- Department of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
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Edson J, Abecassis L, Beke DM, McGorman T. Development of an Institution-Wide Pediatric End-of-Life Summit. J Hosp Palliat Nurs 2024; 26:36-40. [PMID: 37962221 DOI: 10.1097/njh.0000000000000982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
End-of-life (EOL) care in pediatrics is a unique subspecialty lacking adequate provider education and training. Patient and family outcomes may improve when clinicians are provided with training in this care. Recognizing the need for this specialized education, a small group of bereavement coordinators created an institution-wide pediatric EOL summit at a large urban pediatric teaching hospital. One hundred forty-five clinicians from 14 diverse disciplines attended the first annual pediatric EOL summit. A survey was sent to the participants for feedback. The survey results suggested an overwhelmingly positive response to the summit. Continuing to provide this educational conference is critical to improving care for patients and families, particularly at the end of life.
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Özsavran M, Kurt A, Ayyıldız TK, Gül Z. "A Life Slips Through Our Fingers" Experiences of Nurses Working in Pediatric Intensive Care Units About Children's Death: A Qualitative Study. OMEGA-JOURNAL OF DEATH AND DYING 2024:302228231225885. [PMID: 38166543 DOI: 10.1177/00302228231225885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2024]
Abstract
Caring for a dying child can be an experience full of all kinds of negative emotions, pain and stress for the pediatric nurse. In this study, which was carried out in Turkey, we aimed to determine how nurses working in a pediatric intensive care unit remembered and made sense of their experiences regarding children's deaths. In-depth interviews were held with 13 nurses. The data were analyzed using the content analysis method. Three themes were identified. These were (1) Personal effects of death, (2) Difficulties in care, and (3) Coping with death. It was clear that the nurses were traumatised by their exposure to infant deaths. The findings showed that nurses experienced regret, fatigue and posttraumatic stress disorder. In addition, it was determined that nurses should be supported to cope with child deaths, which is a complicated process involving the child and the family, especially emotionally. Moreover, providing institutional support to nurses and referring them to cognitive-behavioral therapies may make it easier for them to cope with the emotional burden they carry, as well as the burnout they experience.
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Affiliation(s)
- Musa Özsavran
- Ahmet Erdogan Vocational School of Health Services, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
| | - Aylin Kurt
- Faculty of Health Sciences, Bartın University, Bartın, Turkey
| | - Tülay Kuzlu Ayyıldız
- Faculty of Health Sciences, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
| | - Zeynep Gül
- Institute of Health Sciences, Zonguldak Bülent Ecevit University, Zonguldak, Turkey
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Doumit MA, Khoury MN, Arevian M, Khatib GA, Fares S. Effectiveness of an Educational Workshop on Palliative Care Knowledge in Lebanese Nurses. Palliat Med Rep 2023; 4:300-307. [PMID: 37915950 PMCID: PMC10616940 DOI: 10.1089/pmr.2023.0026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/26/2023] [Indexed: 11/03/2023] Open
Abstract
Background Lebanon is one of the world's smallest countries, with an area of 10,452 square kilometers. Life expectancy in Lebanon presently stands at about 76.6 years for men and 79.3 years for women. It is well known that with long life comes chronic disease, serious illness, and increased resource utilization. With a rapidly aging population and ever-increasing life expectancy, an increase in illnesses that affect the elderly is expected to follow, including non-communicable diseases and cancer. Nurses are the largest workforce in Lebanon and are thus in a prominent position to influence the quality of palliative care (PC) delivery throughout the course of illness. Purpose The purpose of this study was to evaluate the impact of an educational workshop on PC knowledge, attitude, and skills for practicing nurses at a Lebanese university medical center. Design A mixed-method approach comprising a quasi-experimental and a qualitative process evaluation was followed to assess the nurses' knowledge, attitude, and skills about PC before and after the workshop and to evaluate the process itself. A convenience sample of 45 registered nurses working at the university medical center from multiple clinical units participated in the workshop that took place over one day in a referral medical center in Beirut. Inferential statistical analysis was used. Results Data were analyzed using SPSS 25 for Windows. The paired t test showed a significant increase between the pre-and post-test scores t (39) = 11.07, p < 0.001 with a 95% confidence interval for the mean difference of (17.58-25.45). Thirty-eight participants (90.5%) did not pass the pre-test exam whereas only 12 participants (30.0%) did not pass the post-test exam. Recommendations It is highly recommended to follow up with the participants of this workshop to determine the immediate and long-term outcomes of this educational workshop as well as offer workshops for a wider population of nurses in Lebanon and the region.
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Affiliation(s)
- Myrna A.A. Doumit
- American University of Beirut, Hariri School of Nursing, Beirut, Lebanon
| | - May Naifeh Khoury
- American University of Beirut, Hariri School of Nursing, Beirut, Lebanon
| | - Mary Arevian
- American University of Beirut, Hariri School of Nursing, Beirut, Lebanon
| | - Ghina Al Khatib
- Clinical and Professional Development Center, American University of Beirut Medical Center, Beirut, Lebanon
| | - Suha Fares
- American University of Beirut, Hariri School of Nursing, Beirut, Lebanon
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Abuhammad S, Elayyan M, Ababneh H. Neonatal intensive care unit nurses knowledge and attitude toward neonatal palliative care: review of the literature. Future Sci OA 2023; 9:FSO856. [PMID: 37180605 PMCID: PMC10167720 DOI: 10.2144/fsoa-2022-0062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 03/30/2023] [Indexed: 05/16/2023] Open
Abstract
Aim To review studies regarding neonatal nurses' knowledge and attitude toward neonatal palliative care (NPC). Method The researchers searched internet sources such as Google Scholar for NPC, Nurses, Knowledge, Attitude, and Educational Intervention. Results Subheadings identified in the literature review were Nurses Knowledge toward NPC in NICU, Nurses Attitude toward NPC in NICU, correlation between Knowledge and Attitude toward NPC in NICU, The Effect of Educational program on Nurses Knowledge and Attitude toward NPC in NICU, and the Predictors of Knowledge and Attitude toward NPC among Nurses in NICU and Barriers to NPC provision and improvement. Conclusion There are few studies from different nations regarding NPC found nurses have an inadequate knowledge of NPC, which also reflects their attitude.
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Affiliation(s)
- Sawsan Abuhammad
- Nursing Faculty, Jordan University of Science & Technology, Irbid, 22110, Jordan
| | - Marah Elayyan
- Nursing Faculty, Jordan University of Science & Technology, Irbid, 22110, Jordan
| | - Hamza Ababneh
- Pharmacy Faculty, Jordan University of Science & Technology, Irbid, 22110, Jordan
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Abuhammad S, Elayyan M, El-Bashir M. The efficacy of educational interventions on neonatal intensive care unit nurses knowledge and attitude toward neonatal palliative care. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2023. [DOI: 10.29333/ejgm/12902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
<b>Aim:</b> The objective of this study is examining the impact of an educational interventions in improving knowledge and attitudes towards neonatal palliative care (NPC)among nurses in Jordan.<br />
<b>Method: </b>A pre-post-test design was used to examine the efficacy of an educational program nurses’ knowledge and attitude toward NPC. Almost 164 nurses participated in the study, 82 intervention groups and 82 control groups.<br />
<b>Results: </b>The overall NPC mean knowledge score for the control group was 30.60 (SD=4.01) and for the intervention group was 73.85 (SD=5.78). The control group’s mean attitude for the NPC score is 88.94 (SD=14.45), whereas the intervention group’s is 82.13 (SD=10.59). There was also a substantial favorable effect of education program on nurses’ knowledge and attitude regarding NPC. Furthermore, there was no influence of characteristics on nurses’ knowledge and attitude regarding NPC.<br />
<b>Conclusion:</b> Depending on the findings of this study, the NPC educational program is beneficial in improving nurse knowledge and attitudes for NPC services, as well as providing an effective educational program for nurses. With the rising demand for NPC services with chronic critical illnesses and the documented good impact of NPC services on neonates in need and their families, it became imperative to improve the nurse’s knowledge and attitude toward NPC.
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Affiliation(s)
- Sawsan Abuhammad
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
| | - Marah Elayyan
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
| | - Mohanad El-Bashir
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
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Meglič J, Lisec A, Lepej D, Loboda T, Bertok S, Lešnik Musek P, Kreft Hausmeister I, Oštir M, Ponjević T, Meglič A. Challenges in establishing optimal pediatric palliative care at the university hospital in Slovenia. Eur J Pediatr 2023; 182:1393-1401. [PMID: 36680577 PMCID: PMC10023644 DOI: 10.1007/s00431-023-04806-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 12/19/2022] [Accepted: 01/03/2023] [Indexed: 01/22/2023]
Abstract
The integration of pediatric palliative care (PPC) should become a standard of care for all children with life-limiting and life-threatening illnesses. There are many barriers and misperceptions in pediatrics which hinder the early implementation of PPC. The aim of the study was to design starting points for the establishment of accessible PPC with early involvement of patients in a tertiary-level children's hospital. An intervention, presentation, and discussion on PPC were offered by the hospital PPC team to all employees in the hospital. A total of 237 participants (physicians 30.4%, nurses 49.4%, psychologists 8.4%, and others) completed a questionnaire before and after the intervention. The personnel's knowledge, self-assessment of their ability to perform PPC, attitude to participate in PPC, and their awareness and understanding of the need for PPC were evaluated. The results were analyzed using Pandas and SciPy libraries in Python. The knowledge, awareness, and attitude of the physicians, nurses, and other professionals improved significantly after the intervention. However, the self-assessment of their ability to perform PPC did not increase. Previous experience with the death of a patient has proven to be a stimulus for self-initiative in acquiring knowledge in PPC and was linked with a better attitude and higher awareness of the need for PPC.Conclusions: More education and practical work tailored to the different professional profiles are needed, with adjustments for specific subspecialist areas, especially where patients could be included in early PPC. Although additional studies are needed, we identified the main directions for the further implementation of PPC in clinical practice in our setting.
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Affiliation(s)
| | - Ajda Lisec
- University Medical Centre, Ljubljana, Slovenia.
| | - Dušanka Lepej
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
| | - Tanja Loboda
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
| | - Sara Bertok
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
| | - Petra Lešnik Musek
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
| | - Ivana Kreft Hausmeister
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
| | - Majda Oštir
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
| | - Tehvida Ponjević
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
| | - Anamarija Meglič
- Pediatric Palliative Team, University Children's Hospital, University Medical Centre, Ljubljana, Slovenia
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Martínez-Sabater A, Chover-Sierra P, Chover-Sierra E. Spanish Nurses' Knowledge about Palliative Care. A National Online Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111227. [PMID: 34769747 PMCID: PMC8583050 DOI: 10.3390/ijerph182111227] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 10/17/2021] [Accepted: 10/22/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: Nurses can find people with advanced diseases or in their last days of life during their professional careers and in many different care settings. For this reason, they need to have at least a basic level of palliative care education since they are the professional cohort treating these patients in a very close way. This research aims to determine the level of knowledge in palliative care of Spanish nurses and establish any possible difference based on their experience and training in palliative care. (2) Methods: A cross-sectional design using survey methods (distributed an online questionnaire) aimed at Spanish registered nurses. A validated questionnaire (PCQN-SV) was used to determine the level of knowledge in palliative care; information on some variables to characterize the population was also collected (experience and education in palliative care, years of professional experience, academic level, and others). Uni and bivariate descriptive analyses were performed. A binary logistic regression model was also developed to identify those variables that influenced obtaining results higher than the population’s average. (3) Results: Spanish nurses have a medium–low level of knowledge in palliative care, higher in those who have previous experience or education in this area. Statistically significant differences were also found according to the area in which their caring activity was developed. (4) Conclusions: It is necessary to implement strategies for the basic training of nursing professionals in palliative care to offer quality care to people in advanced stages of illnesses or at the end of their lives.
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Affiliation(s)
- Antonio Martínez-Sabater
- Nursing Department, University of Valencia, 46010 Valencia, Spain; (A.M.-S.); (P.C.-S.)
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Faculty of Nursing and Podiatrics, University of Valencia, 46010 Valencia, Spain
- Grupo Investigación en Cuidados (INCLIVA), Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain
- Hospital Clinico Universitario de Valencia, 46010 Valencia, Spain
| | - Pilar Chover-Sierra
- Nursing Department, University of Valencia, 46010 Valencia, Spain; (A.M.-S.); (P.C.-S.)
| | - Elena Chover-Sierra
- Nursing Department, University of Valencia, 46010 Valencia, Spain; (A.M.-S.); (P.C.-S.)
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Faculty of Nursing and Podiatrics, University of Valencia, 46010 Valencia, Spain
- Internal Medicine Department, Consorcio Hospital General Universitario de Valencia, 46014 Valencia, Spain
- Correspondence:
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