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García-Salvador I, Chisbert-Alapont E, Campos AA, Mohedo JC, Navarro CH, Peris SF, López JB, De la Rica Escuín ML. Training Proposal in Palliative Care for Primary Care Nurses in a Health Area in Spain. NURSING REPORTS 2023; 13:890-901. [PMID: 37368345 DOI: 10.3390/nursrep13020078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 05/19/2023] [Accepted: 06/08/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND Primary Health Care nurses express deficits in their training in Palliative Care. The purpose of this study is to design a Palliative Care training plan and a bereavement care protocol for Primary Health Care nurses of the Dr. Peset Health Department according to their needs. METHODS Assessment of theoretical and practical training needs and literature review for the design of the training plan. RESULTS A training plan was elaborated that included a protocol of care for the bereaved. The plan was adjusted to the needs detected in Primary Health Care nurses of the Dr. Peset Health Department. Important training deficits were detected in clinical practice; Conclusions: Improving the care of people with palliative needs in Primary Health Care requires adequate training of the nurses who care for them so their knowledge is the basis of their interventions. This study was not registered.
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Affiliation(s)
- Isidro García-Salvador
- Nurse Oncology Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Encarna Chisbert-Alapont
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Hematology Service, Valencia Health Department La Fe, 46026 Valencia, Spain
| | - Amparo Antonaya Campos
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Primary Care Nursing Director, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Jorge Casaña Mohedo
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nursing Department, Faculty of Health Sciences of Universidad Internacional de Valencia and Faculty of Medicine and Health Sciences of Universidad Católica San Vicente Mártir, 46001 Valencia, Spain
| | - Clara Hurtado Navarro
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Training Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Silvia Fernández Peris
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Carena Association of Psycho-Oncology, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - José Bonías López
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Primary Care Center of San Marcelino, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Maria Luisa De la Rica Escuín
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
- Nurse Research Group on Care in End-of-Life Processes, Institute for Health Research Aragón, 50009 Zaragoza, Spain
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Mengual TE, Chover-Sierra E, Ballestar-Tarín ML, Saus-Ortega C, Gea-Caballero V, Colomer-Pérez N, Martínez-Sabater A. Knowledge about Palliative Care and Attitudes toward Care of the Dying among Primary Care Nurses in Spain. Healthcare (Basel) 2023; 11:healthcare11071018. [PMID: 37046946 PMCID: PMC10094341 DOI: 10.3390/healthcare11071018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/17/2023] [Accepted: 03/31/2023] [Indexed: 04/05/2023] Open
Abstract
Objective: To analyze the knowledge in palliative care and the attitudes toward caring for the dying of nurses who carry out their professional activity in primary care in Spain. Design: A cross-sectional descriptive observational study was carried out among Spanish primary care centers. Participants: A total of 244 nurses who had completed their primary care work and agreed to participate in this study were included. Main measurements: The level of knowledge in palliative care was analyzed using the PCQN-SV scale, and attitudes toward care of the dying were measured with the FATCOD-S scale, both of which are instruments that are validated in Spain. Results: Regarding the level of knowledge in palliative care, at a global level, the results revealed that 60% of the answers in the PCQN-SV were correct, with different results for each of the three subscales that compose it. When analyzing the attitudes of primary care nurses toward the care of the dying, an average of 132.21 out of 150 was obtained, representing a positive attitude. On the other hand, when analyzing these results in terms of knowledge and attitudes according to the population’s characteristics, we see that participants with both experience and training in palliative care present a better level of knowledge and a higher score regarding their attitudes toward care of the dying. However, the differences are only significant regarding the level of knowledge in palliative care. When analyzing the data from the two scales together, it is noteworthy that the participants with the most positive attitudes (highest scores on the FATCOD-S) also have the highest percentages of correct answers on the PCQN-SV.
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Affiliation(s)
| | - Elena Chover-Sierra
- Nursing Department, Facultat d’Infermeria i Podologia, Universitat de Valencia, 46010 Valencia, Spain
- Internal Medicine, Consorcio Hospital General Universitario de Valencia, 46014 Valencia, Spain
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, Spain
| | - María Luisa Ballestar-Tarín
- Nursing Department, Facultat d’Infermeria i Podologia, Universitat de Valencia, 46010 Valencia, Spain
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, Spain
| | - Carles Saus-Ortega
- Nursing Department, Facultat d’Infermeria i Podologia, Universitat de Valencia, 46010 Valencia, Spain
- Nursing School “La Fe”, Generalitat Valenciana, 46026 Valencia, Spain
| | - Vicente Gea-Caballero
- Community Health and Care Research Group, Faculty of Health Sciences, Valencian International University, Pintor Sorolla St., 21, 46002 Valencia, Spain
| | - Natura Colomer-Pérez
- Nursing Department, Facultat d’Infermeria i Podologia, Universitat de Valencia, 46010 Valencia, Spain
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, Spain
| | - Antonio Martínez-Sabater
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, Spain
- Care Research Group (INCLIVA), Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain
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García-Salvador I, Chisbert-Alapont E, Antonaya Campos A, Casaña Mohedo J, Hurtado Navarro C, Fernández Peris S, Bonías López J, de la Rica Escuín ML. [Assessment of basic training needs in palliative care in primary healthcare nurses in Spain]. Aten Primaria 2022; 54:102344. [PMID: 35489161 PMCID: PMC9062674 DOI: 10.1016/j.aprim.2022.102344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 02/11/2022] [Accepted: 02/18/2022] [Indexed: 11/25/2022] Open
Abstract
AIM Asses training, perception of readiness and training needs in palliative care (PC) theoretical and practical of primary care nurses in Spain, through descriptive cross-sectional study. DESIGN Descriptive cross-sectional study. SETTING Primary care nurses in Spain with online access. PARTICIPANTS Primary care nurses in Spain, January and February 2021. 344 responses, 339 met the inclusion criteria. MAIN NEASUREMENTS Sociodemographic variables, PC training, training needs were analyzed. Through Google Forms online questionnaire and INCUE Instrument. Descriptive analyses were performed and the results were compared using the exact symmetry test and the Mann-Whitney test. RESULTS 82,6% women, with an average age of 45.5years. 86.1% of the nurses had training in PC, been basic in the 45.4%. Only 40.5% feel quite or very prepared to take care for palliative patients. Nurses demanded more training in psycho-emotional and grief and coping with losses. 83.76% passed the theoretical block compared to 43.36% of the practical, detecting higher training needs in the last (P<.001). The passed rates varied depending on the educational level. CONCLUSIONS Nursing training in PC in primary care continues to be deficient, especially in practical application. Targeted training is necessary to have an impact on the care of people with palliative needs and their families.
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Affiliation(s)
- Isidro García-Salvador
- Enfermería, Servicio de Oncología, Departamento de Salud Dr. Peset, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España
| | - Encarna Chisbert-Alapont
- Enfermería, Servicio de Hematología, Departamento de Salud La Fe, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España.
| | - Amparo Antonaya Campos
- Dirección de Atención Primaria, Departamento de Salud Dr. Peset, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España
| | - Jorge Casaña Mohedo
- Departamento de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad Católica San Vicente Mártir, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España
| | - Clara Hurtado Navarro
- Adjunta de Docencia, Departamento de Salud Dr. Peset, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España
| | - Silvia Fernández Peris
- Asociación de Psicooncología Carena, Departamento de Salud Dr. Peset, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España
| | - José Bonías López
- Enfermería, Centro de Salud de San Marcelino, Departamento de Salud Dr. Peset, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España
| | - María Luisa de la Rica Escuín
- Enfermería, Grupo de Investigación del Cuidado en el proceso de final de vida, Instituto para la Investigación en Salud de Aragón, Zaragoza, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España
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