ASSESSMENT OF KNOWLEDGE REGARDING END-OF-LIFE CARE AMONG NURSES

I TEHSEEN; S REHMAT; Z NIGAR

doi:10.54112/bcsrj.v2024i1.1132

Authors

I TEHSEEN College of Nursing, Superior University Lahore, Pakistan
S REHMAT College of Nursing, Superior University Lahore, Pakistan
Z NIGAR College of Nursing, Superior University Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1132

Keywords:

End-of-life care, Individualized care plans, Nurse-patient communication, Nursing practice, Pain management, Psychological support, Quality of life, Spiritual care, Tertiary care hospital.

Abstract

Background: End-of-life care is a critical component of nursing practice, aimed at providing compassionate support to patients in the final stages of life. This care focuses on ensuring patients' comfort, preserving their dignity, and addressing their emotional needs during this sensitive time. Objective: This study aims to evaluate nurses' knowledge level regarding end-of-life care practices. Methods: A cross-sectional study was conducted in a tertiary care hospital involving 108 patients who received end-of-life care over a six-month period from January to June 2023. Data collection methods included structured interviews and questionnaires directed at both the patients and their primary nurses. The data were analysed using SPSS version 25, with descriptive statistics to summarise the findings. Inferential statistics, including the chi-square test, were used to identify significant factors influencing end-of-life care quality. Results: The study involved 108 participants, primarily females (93.52%) and a minority of males (6.48%). The analysis showed that 85% of the patients experienced notable relief from physical symptoms, particularly in pain management. Moreover, 75% of the patients highlighted the importance of psychological support, while 70% emphasised the significance of spiritual care in contributing to their overall satisfaction. Including family members in care planning positively affected the emotional well-being of 65% of the patients. Key factors such as effective communication between nurses and patients (80%) and the use of individualised care plans (78%) were significantly associated with an improved quality of end-of-life care (p < 0.05). Conclusion: End-of-life care in nursing is crucial for enhancing patients' comfort, dignity, and emotional well-being. Effective pain management, psychological support, and involving family members in care planning are vital for delivering high-quality end-of-life care. Further training and resources for nurses are recommended to maintain and improve these practices.

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References

Wang W, Wu C, Bai D, Chen H, Cai M, Gao J, et al. A meta-analysis of nursing students' knowledge and attitudes about end-of-life care. 2022;119:105570.

Smothers A, Young S, Dai ZJNE. Prelicensure nursing students' attitudes and perceptions of end-of-life care. 2019;44(4):222-5.

Thiel M, Harden K, Brazier L-J, Marks A, Smith MJPmr. Improving the interdisciplinary clinical education of a palliative care program through quality improvement initiatives. 2020;1(1):270-9.

Heath L, Egan R, Ross J, Iosua E, Walker R, MacLeod RJNet. Preparing nurses for palliative and end of life care: A survey of New Zealand nursing schools. 2021;100:104822.

Cescon DW, Kalinsicy K, Parsons HA, Smith KL, Spears PA, Thomas A, et al. Therapeutische Behandlung der minimalen Resterkrankung zur Verhinderung von Spätrezidiven bei Hormonrezeptor-positivem Brustkrebs: Herausforderungen und neue Ansätze. 2022;9(2):55-65.

Meier DE, Back AL, Berman A, Block SD, Corrigan JM, Morrison RSJHa. A national strategy for palliative care. 2017;36(7):1265-73.

Berndtsson IE, Karlsson MG, Rejnö ÅCJH. Nursing students’ attitudes toward care of dying patients: A pre-and post-palliative course study. 2019;5(10).

Xue B, Cheng Q, Yue S-W, Zhao Z-H, Wang R, Redding SR, et al. Attitudes and knowledge of palliative care of Chinese undergraduate nursing students: A multicenter cross-sectional study. 2023;122:105720.

Ferri C, Giuggioli D, Raimondo V, Dagna L, Riccieri V, Zanatta E, et al. COVID-19 and systemic sclerosis: clinicopathological implications from Italian nationwide survey study. 2021;3(3):e166-e8.

Smothers N, Cropley B, Hanton S, McKay A, Williams TJJoF, Education H. (Re) conceptualising effective teaching in further education: an exploratory study. 2022;46(5):620-35.

Al Qadire MJO-JoD, Dying. Jordanian student nurses’ attitudes towards the care of dying patients. 2022;86(2):382-94.

Muliira JK, Lazarus ER, Mirafuentes ECJJoCE. A Countrywide Assessment of Omani Undergraduate Nursing Students’ Palliative Care Knowledge and Attitudes Towards End-of-Life Care. 2023;38(3):781-8.