1
|
Li L, Wang F, Liang Q, Lin L, Shui X. Nurses knowledge of palliative care: systematic review and meta-analysis. BMJ Support Palliat Care 2023:spcare-2022-004104. [PMID: 37369574 DOI: 10.1136/spcare-2022-004104] [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: 11/27/2022] [Accepted: 05/23/2023] [Indexed: 06/29/2023]
Abstract
Lack of knowledge about palliative care is one of the most common reasons for hindering the delivery of high-quality palliative care. Nurses play a major role in providing palliative care, and the degree of their mastery of this knowledge is crucial to whether they can effectively deliver the ideal palliative care. Therefore, it is necessary to understand the level of palliative care knowledge in this population. As of 8 November 8, 2022, we performed systematic searches in 10 databases. Meta-analysis of quantitative data that measuring the level of palliative care knowledge of nurses using the Palliative Care Quiz for Nursing (PCQN) was conducted using Stata software (version: V.15). A pooled mean score <10 indicated a low/insufficient knowledge level. The funnel plot and Egger's regression test were used to detect publication bias, and finally, the robustness of the results was evaluated through sensitivity analysis. The pooled mean score for the level of nurses' knowledge of palliative care was 9.68 (95% CI: 9.40 to 9.96). Among the three dimensions of the PCQN scale, the pooled mean score for the '"Philosophy and Principles of Palliative Care'" section was 1.73 (95% CI: 1.38 to 2.08); the '"Pain and Other Symptom Control'" section was 6.73 (95% CI: 6.41 to 7.05); and the '"Psychological, Spiritual and Social Care'" section was 1.21 (95% CI: 0.72 to 1.69). It can be seen that nurses' mastery of palliative care knowledge is not sufficient. It is recommended that relevant departments formulate and promote the implementation of targeted measures to improve the knowledge level of this population.
Collapse
Affiliation(s)
- Ling Li
- School of Nursing, Chengdu University of TCM, Chengdu, Sichuan, China
| | - Fang Wang
- Director's Office, Guang'an Hospital of Traditional Chinese Medicine, Guang'an, Sichuan, China
| | - Qian Liang
- School of Nursing, Chengdu University of TCM, Chengdu, Sichuan, China
| | - Lunwei Lin
- School of Nursing, Chengdu University of TCM, Chengdu, Sichuan, China
| | - Xiaoling Shui
- School of Nursing, Chengdu University of TCM, Chengdu, Sichuan, China
| |
Collapse
|
2
|
Chen X, Zhang Y, Arber A, Huo X, Liu J, Sun C, Yuan L, Wang X, Wang D, Wu J, Du J. The training effects of a continuing education program on nurses’ knowledge and attitudes to palliative care: a cross sectional study. Palliat Care 2022; 21:56. [PMID: 35473551 PMCID: PMC9040326 DOI: 10.1186/s12904-022-00953-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 04/20/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Most nurses in China have not been trained to take care of end-of-life patients appropriately due to lack of educational resources and insufficient training. A palliative care program was launched by the Jiangsu Nursing Association (JNA training program) and to identify gaps in palliative care training. The main aim of this study was to evaluate the training effects of the JNA training program on nurses’ knowledge and attitudes to palliative care.
Methods
A cross-sectional study was conducted with 10 048 registered nurses in all regions of Jiangsu. All participants completed an online questionnaire using the Chinese version of The Palliative Care Quiz for Nursing (PCQN-C) and the Frommelt Attitude Toward Care of the Dying scale (FATCOD-B-C). A propensity score matched analysis was performed between the nurses who had attended the JNA training program and whose who hadn’t.
Results
The average score of PCQN-C among all nurses was 8.79, while the mean score of the FATCOD-B-C was 103.62. Those participants who attended the JNA training program had significantly better scores than those who did not. Propensity score matching analysis showed that the palliative care training program failed to improve nurses’ knowledge in psychosocial and spiritual care or their attitudes towards the necessity of family support although there was positive impact on other aspects of palliative care.
Conclusions
Knowledge of palliative care among Chinese nurses remains low. Training programs may improve general knowledge and attitudes to palliative care. However, important aspects of knowledge such as communication skills, family support, and psychosocial aspects of care, are missing. These gaps should be filled in future palliative care training programs targeting nurses with oriental culture background.
Collapse
|
3
|
Factors Related to Nurses and Physicians’ Knowledge and Attitudes Towards Palliative Care. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2022. [DOI: 10.5812/ijcm-122653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Background: Changes in the course of diseases, their treatment, and care provision result in the need for a specific type of care known as palliative care. Medical staff’s knowledge and awareness of palliative care is important in this regard. Objectives: This study aims to examine the caregivers’ knowledge and awareness of palliative care and to determine the related predictors. Methods: In this cross-sectional study, 277 subjects were selected from among the caregivers working in the selected teaching hospitals in Iran through non-randomized sampling method. The subjects were asked to fill the online questionnaire which consisted of 3 sections including demographic data, knowledge, and attitude toward palliative care. Descriptive, inferential statistics, correlation and regression analyses were performed. Results: The mean scores of care providers’ attitude and knowledge were 140.90 ± 11.56 and 19.36 ± 2.73 respectively. There was a significant relationships between some variables such as working place, education level, age, palliative care-related working experience, and the necessity to pass training courses and the mean scores of attitude and knowledge. Conclusions: Since palliative care providers’ level of knowledge and attitude were reported to be moderate, training courses at different levels in the form of clinical courses should be offered with the aim of improving care providers’ skills and scientific abilities. It is essential to include the related topics in the curricula of academic programs.
Collapse
|
4
|
Palliative care practices among nurses at Cape Coast Teaching Hospital, Ghana: A cross-sectional study. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2022. [DOI: 10.1016/j.ijans.2022.100454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
5
|
Alshammari F, Jenny Sim RN, Lapkin S, Moira Stephens RN. Registered nurses’ knowledge, attitudes and beliefs about end-of-life care in non-specialist palliative care settings: A mixed studies review. Nurse Educ Pract 2022; 59:103294. [DOI: 10.1016/j.nepr.2022.103294] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Revised: 11/17/2021] [Accepted: 01/04/2022] [Indexed: 11/16/2022]
|
6
|
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: 2] [Impact Index Per Article: 0.7] [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.
Collapse
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:
| |
Collapse
|
7
|
Jung MY, Matthews AK. Understanding Nurses' Experiences and Perceptions of End-of-Life Care for Cancer Patients in Korea: A Scoping Review. J Palliat Care 2021; 36:255-264. [PMID: 34182840 DOI: 10.1177/08258597211027021] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Abstract
BACKGROUND Quality end-of-life care for cancer patients is a global health priority, and nurses are instrumental in providing this care. However, little is known about nurses' experiences and perceptions in end-of-life care settings in Korea. Aims: This scoping review examined Korean nurses' end-of-life care experiences and assessed the state of research in this area. METHODS Systematic searches were conducted using 7 electronic databases (PubMed, CINAHL, Scopus, Embase, WPRIM, KCI, and RISS), and 17 studies were selected for review. FINDINGS Most studies were limited to cross-sectional, descriptive designs. Outcomes regarding end-of-life care measured in the studies were categorized into cognitive variables, emotional variables, participation/performance, and educational needs. Study results suggested low nurse knowledge and self-efficacy with regard to provision of end-of-life care. Perceived barriers to quality end of life care included difficulties in meeting family members' needs. In addition, emotional outcomes associated with end-of-life care included high levels of nurse stress and burnout. Predictors of elevated stress included inability to provide adequate pain control, inability to reconcile patient requests with physician orders, and heavy workload. Although most nurses had end-of-life care experience, fewer than half reported receiving related education. The lack of knowledge and skill related to end of life care was a primary contributor to stress. CONCLUSIONS Korean nurses providing end-of-life care for cancer patients need additional education and support to help them manage high stress levels. Further study is needed to identify strategies for meeting nurses' end-of-life care education needs and of improving their overall performance in such practice.
Collapse
Affiliation(s)
- Min Young Jung
- Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Alicia K Matthews
- Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| |
Collapse
|
8
|
Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study. PLoS One 2020; 15:e0236390. [PMID: 32702007 PMCID: PMC7377484 DOI: 10.1371/journal.pone.0236390] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 07/06/2020] [Indexed: 12/20/2022] Open
Abstract
Background Nurses have a primary role in providing palliative and end-of-life (EOL) care. Their knowledge of EOL care, attitudes toward care of the dying, and palliative care self-efficacy are important in care delivery. Little is known regarding palliative care preparedness among Mongolian nurses. This study examines palliative care knowledge, attitude towards death and dying, and self-efficacy among Mongolian nurses, and examines predictors of self-efficacy. Methods A cross-sectional descriptive study was conducted. Participants were 141 nurses employed at the National Cancer Center in Mongolia. Data was collected using a self-administered questionnaire. Results The median score for the knowledge of palliative care was 8.0/20. “Psychosocial and spiritual care” was the lowest score on the palliative care knowledge subscale. The mean score for attitude toward care of the dying was 69.1%, indicating positive attitudes. The mean score for the palliative care self-efficacy was 33.8/48. Nurses reported low self-efficacy toward communicating with dying patients and their families, and managing delirium. Palliative care knowledge and duration of experience as an oncology nurse significantly predicted self-efficacy toward palliative care, accounting for 14.0% of the variance. Conclusions Palliative education for nurses should address the knowledge gaps in EOL care and focus in increasing palliative care self-efficacy. Considering palliative care knowledge and nursing experience as an oncology nurse were significant predictors of self-efficacy toward palliative care, more effort is needed to fill the knowledge gaps in EOL care among nurses, especially for less experienced nurses.
Collapse
|
9
|
Kim S, Lee K, Kim S. Knowledge, attitude, confidence, and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional, descriptive study. BMC Palliat Care 2020; 19:105. [PMID: 32652984 PMCID: PMC7354682 DOI: 10.1186/s12904-020-00581-6] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2019] [Accepted: 05/19/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND Palliative care is a patient-centred, integrated approach for improving quality of life for both patients facing life-threatening illnesses and for their families. Although there has been increased interest in palliative care for non-cancer patients, the palliative care competency of nurses who care for non-cancer patients has rarely been investigated. This study described the palliative care knowledge, attitude, confidence, and educational needs in nurses who care for patients with congestive heart failure, stroke, end-stage renal disease, and end-stage liver disease; explored the relationships between those variables; and identified factors affecting nurses' palliative care confidence. METHODS A cross-sectional, descriptive, correlational design was employed; data collection was conducted at a tertiary hospital in Seoul, Korea. Nurses who were working in general wards and intensive care units (N = 102) completed valid and reliable self-administered questionnaires. Descriptive statistics, frequencies, independent t-tests, one-way ANOVA, Pearson's correlations, and multiple regression were conducted to analyse the data. RESULTS Nurses' palliative care knowledge level was low (9.73 ± 2.10; range = 0-20) and their attitude toward palliative care was moderate (87.97 ± 6.93, range: 30-120). Knowledge was significantly correlated with attitude (r = .29, p = .003). Nurses were highly confident in pain and symptom management but demonstrated high educational needs for managing human and material resources to provide palliative care. Previous training in hospice, palliative, and EOL care was a significant and modifiable factor that affected nurses' confidence (std. β = 0.25, p = .010). CONCLUSIONS To facilitate high-quality palliative care for non-cancer patients and families, nursing education programs should be developed to address nurses' knowledge level, confidence level, and educational needs. This study provides relevant information that can be utilised to develop palliative care educational programs for nurses who care for non-cancer patients.
Collapse
Affiliation(s)
- Sanghee Kim
- Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
| | - Kyunghwa Lee
- Konyang University College of Nursing, 158, Gwanjeodong-ro, Seo-gu, Daejeon, 35365, Republic of Korea.
| | - Sookyung Kim
- Department of Nursing, Yonsei University Graduate School, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea
| |
Collapse
|
10
|
An Integrative Review on Knowledge and Attitudes of Nurses Toward Palliative Care: Implications for Practice. J Hosp Palliat Nurs 2020; 21:29-37. [PMID: 30608355 DOI: 10.1097/njh.0000000000000481] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
To effectively participate in provision of palliative care, nurses need to possess a combination of knowledge, skills, and positive attitudes in equal measure in a way that is sensitive and meaningful and in a dynamic manner. The aim of this review was to examine nurses' knowledge and attitudes about palliative care, to identify gaps to improve care of patients and families facing death. An integrative review method guided this review. After implementation of a search strategy, data from 26 studies were analyzed and synthesized. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the studies. Data were extracted using a common table, and themes were generated from the available peer-reviewed studies using narrative synthesis. Findings revealed knowledge deficit but favorable attitudes toward palliative care among nurses. Education and the clinical experience of nurses in palliative care influenced their knowledge and attitudes toward palliative care. There is a need for mandatory inclusion of basic palliative care content in nursing school curricula and more in-depth postgraduate curricula. In clinical practice, there is a need to reinforce palliative care education by creating expert nurse support networks to model excellence in palliative care.
Collapse
|
11
|
|
12
|
Soikkeli‐Jalonen A, Stolt M, Hupli M, Lemetti T, Kennedy C, Kydd A, Haavisto E. Instruments for assessing nurses’ palliative care knowledge and skills in specialised care setting: An integrative review. J Clin Nurs 2020; 29:736-757. [DOI: 10.1111/jocn.15146] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Revised: 10/12/2019] [Accepted: 11/24/2019] [Indexed: 12/29/2022]
Affiliation(s)
| | - Minna Stolt
- Department of Nursing Science Finland and Researcher Turku University Hospital University of Turku Turku Finland
| | - Maija Hupli
- Department of Nursing Science University of Turku Turku Finland
| | - Terhi Lemetti
- Department of Nursing Science Helsinki University Hospital University of Turku Turku Finland
| | - Catriona Kennedy
- School of Nursing and Midwifery Robert Gordon University Aberdeen UK
- Department of Nursing and Midwifery The University of Limerick Limerick Ireland
| | - Angela Kydd
- School of Nursing and Midwifery Robert Gordon University Aberdeen UK
| | - Elina Haavisto
- Department of Nursing Science Satakunta Central Hospital University of Turku Turku Finland
| |
Collapse
|
13
|
Abstract
Prelicensure nursing programs have been slow to integrate end-of-life care into their curricula. In those prelicensure nursing programs that do offer courses on end-of-life care, student outcomes include positive attitudes toward dying patients. This mixed-method study had 2 purposes: first to compare 2 teaching strategies, hospice simulation and hospice clinical. The second purpose of this study was to strengthen understanding of the attitudes and perceptions of nursing students caring for dying patients and their families in both simulated and hospice clinical settings. Fourth-year nursing students enrolled in a Medical-Surgical Nursing III course participated in the study (n = 134). Participants were placed in an inpatient hospice clinical setting or a hospice simulation. Students completed the Frommelt Attitudes Toward Care of the Dying Scale and a reflection journal, before and after the assigned clinical or hospice day. Thematic analysis of the reflection journals was conducted. Key phrases and themes were identified, and the major themes were described. Prior to the hospice clinical or simulated educational experience, students reported feeling anxious caring for a dying patient or a patient who has just died. After the hospice clinical or simulation, students reported feeling more comfortable discussing end-of-life preferences with the patient and interdisciplinary team.
Collapse
|
14
|
Jiang Q, Lu Y, Ying Y, Zhao H. Attitudes and knowledge of undergraduate nursing students about palliative care: An analysis of influencing factors. NURSE EDUCATION TODAY 2019; 80:15-21. [PMID: 31203031 DOI: 10.1016/j.nedt.2019.05.040] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Revised: 03/01/2019] [Accepted: 05/24/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND With the growing aging population, continual increase of the number of the old, and increase of cancer survival rate, palliative care is being considered a global public health issue. As a core force for the sustainable development of the nursing field, undergraduate nursing students' knowledge about and attitudes toward palliative care will directly affect the quality of care for dying patients in the future. OBJECTIVE To investigate undergraduate nursing students' knowledge about and attitudes toward palliative care and analyze their influencing factors. METHODS This descriptive and cross-sectional survey was conducted in 2016. A total of 1200 Chinese undergraduate nursing students were randomly selected as the survey subjects using stratified sampling method. The revised palliative care quiz for nursing (PCQN) and a self-designed questionnaire were used to measure students' knowledge and attitudes. RESULTS The mean score of the revised PCQN was 16.10 ± 5.04. Only a few respondents (19.8%) expressed desire to work in palliative care in the future. The findings show that knowledge and school, grade, gender, birthplace, and religious beliefs have statistically significant impacts (P < 0.01). In addition, logistic regression analysis showed that talking about death and caring for dying family members can have a significant influence on students' attitudes (P < 0.05). CONCLUSION At present, Chinese undergraduate nursing students' knowledge about palliative care is minimal with the majority holding negative attitudes. Thus, the development of an effective end-of-life care program for nursing students is critical.
Collapse
Affiliation(s)
- Qingjuan Jiang
- The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China
| | - Yunhong Lu
- Guangxi Medical University, Nanning, 530021, China.
| | - Yanping Ying
- The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China
| | - Huihan Zhao
- The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China
| |
Collapse
|
15
|
Chover-Sierra E, Martínez-Sabater A. Utility of social networks and online data collection in nursing research: Analysis of Spanish nurses' level of knowledge about palliative care. PLoS One 2018; 13:e0197377. [PMID: 29758066 PMCID: PMC5951581 DOI: 10.1371/journal.pone.0197377] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2017] [Accepted: 05/01/2018] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Internet-based social networks are used by nurses with different purposes, including the creation of working groups and to share and create knowledge. PURPOSE To evaluate the utility of social networks in the dissemination of an online questionnaire and to measure Spanish RNs' knowledge about palliative care. METHODS A descriptive cross-sectional study was carried out. Using social networks we distributed an online questionnaire with the Spanish version of Palliative Care Quiz for Nurses (PCQN-SV) throughout August 2015. RESULTS A direct relationship between the number of responses and the questionnaire's apparitions in each social network was found. Comparing the results obtained by the 446 RNs participating in this study with those obtained in the study to pilot the PCQN-SV we identify that differences found are related to the participants' features (years of experience and hours of training in palliative care) and not to the type of questionnaire they answered. CONCLUSIONS Social networks have shown to be a useful tool for nursing research by its ability, to recruit participants as well as to collect data, so their role as an instrument of research should be considered.
Collapse
Affiliation(s)
- Elena Chover-Sierra
- Nursing Department, University of Valencia, Valencia, Spain
- Hospital General Universitario, Valencia, Spain
- * E-mail:
| | | |
Collapse
|
16
|
Chover-Sierra E, Martínez-Sabater A, Lapeña-Moñux Y. Knowledge in palliative care of nursing professionals at a Spanish hospital. Rev Lat Am Enfermagem 2017; 25:e2847. [PMID: 29069265 PMCID: PMC5656333 DOI: 10.1590/1518-8345.1610.2847] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 10/28/2016] [Indexed: 11/22/2022] Open
Abstract
Objective: to determine the level of knowledge in palliative care of nursing staff at a
Spanish tertiary care hospital. Method: descriptive, cross-sectional study. Data were collected about the results of
the Spanish version of the Palliative Care Quiz for Nurses (PCQN),
sociodemographic aspects, education level and experience in the field of
palliative care. Univariate and bivariate descriptive analysis was applied.
Statistical significance was set at p < 0.05 in all cases. Results: 159 professionals participated (mean age 39.51 years ± 10.25, with 13.96
years ± 10.79 of professional experience) 54.7% possessed experience in
palliative care and 64.2% educational background (mainly basic education).
The mean percentage of hits on the quiz was 54%, with statistically
significant differences in function of the participants’ education and
experience in palliative care. Conclusions: although the participants show sufficient knowledge on palliative care, they
would benefit from a specific training program, in function of the mistaken
concepts identified through the quiz, which showed to be a useful tool to
diagnose professionals’ educational needs in palliative care.
Collapse
Affiliation(s)
- Elena Chover-Sierra
- Doctoral student, Facultat d'Infermeria i Podologia, Universitat de València, Valencia, Spain. Professor, Facultat d'Infermeria i Podologia, Universitat de València, Valencia, Spain. RN, Hospital General Universitario, Valencia, Spain
| | | | - Yolanda Lapeña-Moñux
- PhD, Associate Professor, Faculty of Health Sciences, University Jaime I, Castellón, Spain
| |
Collapse
|
17
|
|
18
|
Chover-Sierra E, Martínez-Sabater A, Lapeña-Moñux YR. An instrument to measure nurses' knowledge in palliative care: Validation of the Spanish version of Palliative Care Quiz for Nurses. PLoS One 2017; 12:e0177000. [PMID: 28545037 PMCID: PMC5436641 DOI: 10.1371/journal.pone.0177000] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Accepted: 04/20/2017] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Palliative care is nowadays essential in nursing care, due to the increasing number of patients who require attention in final stages of their life. Nurses need to acquire specific knowledge and abilities to provide quality palliative care. Palliative Care Quiz for Nurses is a questionnaire that evaluates their basic knowledge about palliative care. The Palliative Care Quiz for Nurses (PCQN) is useful to evaluate basic knowledge about palliative care, but its adaptation into the Spanish language and the analysis of its effectiveness and utility for Spanish culture is lacking. PURPOSE To report the adaptation into the Spanish language and the psychometric analysis of the Palliative Care Quiz for Nurses. METHOD The Palliative Care Quiz for Nurses-Spanish Version (PCQN-SV) was obtained from a process including translation, back-translation, comparison with versions in other languages, revision by experts, and pilot study. Content validity and reliability of questionnaire were analyzed. Difficulty and discrimination indexes of each item were also calculated according to Item Response Theory (IRT). FINDINGS Adequate internal consistency was found (S-CVI = 0.83); Cronbach's alpha coefficient of 0.67 and KR-20 test result of 0,72 reflected the reliability of PCQN-SV. The questionnaire had a global difficulty index of 0,55, with six items which could be considered as difficult or very difficult, and five items with could be considered easy or very easy. The discrimination indexes of the 20 items, show us that eight items are good or very good while six items are bad to discriminate between good and bad respondents. DISCUSSION Although in shows internal consistency, reliability and difficulty indexes similar to those obtained by versions of PCQN in other languages, a reformulation of the items with lowest content validity or discrimination indexes and those showing difficulties with their comprehension is an aspect to take into account in order to improve the PCQN-SV. CONCLUSION The PCQN-SV is a useful Spanish language instrument for measuring Spanish nurses' knowledge in palliative care and it is adequate to establish international comparisons.
Collapse
Affiliation(s)
- Elena Chover-Sierra
- Nursing Department, University of Valencia, Valencia, Spain
- Hospital General Universitario de Valencia, Valencia, Spain
| | | | | |
Collapse
|
19
|
Kisvetrová H, Školoudík D, Joanovič E, Konečná J, Mikšová Z. Dying Care Interventions in the Intensive Care Unit. J Nurs Scholarsh 2016; 48:139-46. [PMID: 26756287 DOI: 10.1111/jnu.12191] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2015] [Indexed: 12/12/2022]
Abstract
PURPOSE Providing high-quality end-of-life care is a challenging area in intensive care practice. The aim of the current study was to assess the practice of registered nurses (RNs) with respect to dying care and spiritual support interventions in intensive care units (ICUs) in the Czech Republic (CR) and find correlations between particular factors or conditions and the frequency of NIC interventions usage. DESIGN AND METHODS A cross-sectional, descriptive study was designed. A questionnaire with Likert scales included the particular activities of dying care and spiritual support interventions and an evaluation of the factors influencing the implementation of the interventions in the ICU. The group of respondents consisted of 277 RNs working in 29 ICUs in four CR regions. The Mann-Whitney U test and Pearson correlation coefficient were used for statistical evaluation. FINDINGS The most and least frequently reported RN activities were "treat individuals with dignity and respect" and "facilitate discussion of funeral arrangements," respectively. The frequencies of the activities in the biological, social, psychological, and spiritual dimensions were negatively correlated with the frequency of providing care to dying patients. A larger number of activities were related to longer lengths of stay in the ICU, higher staffing, more positive opinions of the RNs regarding the importance of education in a palliative care setting, and attending a palliative care education course. CONCLUSIONS The psychosocial and spiritual activities in the care of dying patients are used infrequently by RNs in CR ICUs. The factors limiting the implementation of palliative care interventions and strategies improving implementation warrant further study. CLINICAL RELEVANCE Assessment of nursing activities implemented in the care of dying patients in the ICU may help identify issues specific to nursing practice.
Collapse
Affiliation(s)
- Helena Kisvetrová
- Phi Gamma, Assistant Professor, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic
| | - David Školoudík
- Professor, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic
| | - Eva Joanovič
- Doctoral Student, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic
| | - Jana Konečná
- Doctoral Student, Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic
| | - Zdeňka Mikšová
- Associate Dean and Head of Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic
| |
Collapse
|
20
|
Abudari G, Zahreddine H, Hazeim H, Assi MA, Emara S. Knowledge of and attitudes towards palliative care among multinational nurses in Saudi Arabia. Int J Palliat Nurs 2014; 20:435-41. [PMID: 25250548 DOI: 10.12968/ijpn.2014.20.9.435] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background Palliative care is not yet integrated into the health-care system in Saudi Arabia. King Faisal Specialist Hospital and Research Centre-Riyadh (KFSH&RC-Riyadh) is a tertiary care facility and regional cancer centre in Saudia Arabia with a highly multinational nursing workforce. Little is known about these nurses' knowledge of and attitudes towards palliative care. Aim To determine the palliative care knowledge and attitudes of the nursing workforce of KFSH&RC-Riyadh and any influencing factors. Method A questionnaire including demographic data, the Palliative Care Quiz for Nurses (PCQN), and Frommelt Attitude Toward Care of the Dying scale (FATCOD) was completed by 395 staff nurses from 19 countries. Results The nurses scored a mean of 111.66 out of 150 on the FATCOD scale and of 9.06 out of 20 on the PCQN. These scores indicate moderate attitudes towards but a knowledge deficit regarding palliative care. The nurses' palliative care training and years of nursing experience significantly affected the scores. The level of palliative care integration in the nurses' home countries was the most significant factor in multiple regression tests. Conclusion Palliative care integration into the health-care system of the country in which nurses train significantly influences their knowledge of and attitudes towards palliative care. Incorporating palliative care into nursing education might promote positive attitudes towards palliative care in nurses while enhancing their knowledge and skills.
Collapse
|
21
|
Sato K, Inoue Y, Umeda M, Ishigamori I, Igarashi A, Togashi S, Harada K, Miyashita M, Sakuma Y, Oki J, Yoshihara R, Eguchi K. A Japanese Region-wide Survey of the Knowledge, Difficulties and Self-reported Palliative Care Practices Among Nurses. Jpn J Clin Oncol 2014; 44:718-28. [DOI: 10.1093/jjco/hyu075] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
22
|
Hou Y, Zhao A, Feng Y, Cui X, Wang L, Wang L. Nurses' knowledge and attitudes on comfort nursing care for hospitalized patients. Int J Nurs Pract 2013; 20:573-8. [PMID: 24118635 DOI: 10.1111/ijn.12200] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Yan‐Fang Hou
- Department of Cardiology Liaocheng People's Hospital and Liaocheng Clinical School of Taishan Medical University Liaocheng Shandong China
| | - Ai‐Ping Zhao
- Department of Cardiology Liaocheng People's Hospital and Liaocheng Clinical School of Taishan Medical University Liaocheng Shandong China
| | - Ya‐Xin Feng
- Department of Cardiology Liaocheng People's Hospital and Liaocheng Clinical School of Taishan Medical University Liaocheng Shandong China
| | - Xiao‐Ning Cui
- Department of Cardiology Liaocheng People's Hospital and Liaocheng Clinical School of Taishan Medical University Liaocheng Shandong China
| | - Ling‐Ling Wang
- Department of Cardiology Liaocheng People's Hospital and Liaocheng Clinical School of Taishan Medical University Liaocheng Shandong China
| | - Le‐Xin Wang
- Department of CardiologyLiaocheng People's Hospital Liaocheng Shandong China
- Cardiovascular Research GroupCharles Sturt University Wagga Wagga Australia
| |
Collapse
|
23
|
Al-Kindi SG, Zeinah GFA, Hassan AA. Palliative care knowledge and attitudes among oncology nurses in Qatar. Am J Hosp Palliat Care 2013; 31:469-74. [PMID: 23689365 DOI: 10.1177/1049909113489874] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES Formal palliative care (PC) education is lacking in the middle eastern state of Qatar. This study was done to assess the need for PC education among oncology nurses in Qatar. METHODS In March 2012, a self-constructed questionnaire was distributed to 115 nurses at the Qatar National Center for Cancer Care and Research. RESULTS A total of 115 nurses responded to the questionnaire. The majority (87.8%) were female. Although 60% had more than 10 years of work experience, only 31% had received formal training in PC, with only 6.1% having completed postgraduate training. The majority (63%) of responders attributed this issue to unavailability of PC courses rather than lack of time, interest, or financial issues. Currently, only 16.7% did not express interest in the field, with 56% showing some kind of interest. In terms of knowledge, 54% of the responders were familiar with the World Health Organization ladder for pain relief. Only 43.6% know about Palliative Performance Scale, and half of the nurses know the Edmonton Symptom Assessment System. Overall, 56% of the nurses indicated a need for training in more than 1 aspect. These aspects included training in care of the dying patients (14.6%), communication strategies (22%), caregiver support (10.6%), psychosocial care (15%), pain management (10.2%), other symptom management (13%), and other ethical/spiritual issues (14.2%). CONCLUSIONS There is a clear deficiency in formal PC education among the nurses at the National Center for Cancer Care and Research, in Qatar. This is reflected by their lack of experience and exposure to PC and their mediocre knowledge in the field. This could be attributed to the fact that formal PC service was established only recently in Qatar (2008). Formal training courses in PC nursing are required.
Collapse
Affiliation(s)
| | | | - Azza Adel Hassan
- Weill Cornell Medical College in Qatar, Doha, Qatar Palliative Care Unit, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar
| |
Collapse
|
24
|
Woo YW, Kim KH, Kim KS. Death Anxiety and Terminal Care Stress among Nurses and the Relationship to Terminal Care Performance. ACTA ACUST UNITED AC 2013. [DOI: 10.14475/kjhpc.2013.16.1.033] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Young Wha Woo
- Unit 15, Department of Nursing, Chung-Ang University Hospital, Seoul
| | | | - Ki Sook Kim
- Department of Nursing, Changwon National University, Changwon, Korea
| |
Collapse
|
25
|
Woo YW, Kim KH, Kim KS. Death Anxiety and Terminal Care Stress among Nurses and the Relationship to Terminal Care Performance. ACTA ACUST UNITED AC 2013. [DOI: 10.14475/kjhpc.2013.16.1.33] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Young Wha Woo
- Unit 15, Department of Nursing, Chung-Ang University Hospital, Seoul, Korea
| | - Kyung Hee Kim
- Department of Nursing, Chung-Ang University, Seoul, Korea
| | - Ki Sook Kim
- Department of Nursing, Changwon National University, Changwon, Korea
| |
Collapse
|