KNOWLEDGE AND ATTITUDES OF NURSES TOWARDS PALLIATIVE CARE FOR THE DYING PATIENT
DOI:
https://doi.org/10.54112/bcsrj.v2024i1.1305Keywords:
Attitude, Knowledge, Nurses, Palliative CareAbstract
Palliative care is crucial in managing elderly patients at the end of life, yet nurses’ knowledge and attitudes significantly influence the quality of care provided. Understanding these factors can highlight areas for improvement in training and practice. Objective: To assess the knowledge and attitudes of nurses towards palliative care for older dying patients. Methods: A cross-sectional study was conducted in the Nursing Department of Nishtar Hospital, Multan from September 2023 to September 2024. A total of 100 nurses involved with palliative care of elderly patients were selected for the study. Knowledge of nurses was evaluated by the Palliative Care Quiz for Nursing which contained 20 questions that could be answered by selecting true, false, or unknown options. The attitudes of nurses were assessed on a seven-item thanatophobia scale which could be answered on a Likert scale from 1 to 7 with 1 being strongly agree and 7 being strongly disagree. Results: The mean knowledge score was 12 ± 3.1 which showed a moderate understanding with a score range of 6-19. The median attitude score on the thanatophobia scale was 13 with a score range of 8 to 35. Age (r= -0.347, p=0.006) and experience (r= -0.286) were negatively associated with attitudes and these associations were significant. Total knowledge scores and total attitude scores were moderately and negatively associated indicating that good knowledge was correlated to positive attitudes (p=0.008). Conclusion: A moderate knowledge level and favorable attitudes of nurses were recorded towards palliative care. However, more experience and training can improve these scores.
Downloads
References
Silva DBdL, Fernandes MdGM, Arruda AJCGd, Cavalcanti CC. HEALTH OF THE ELDERLY IN THE CONTEXT OF POPULATION GROWTH AND LEGISLATION: AN EX-POST-FACT RESEARCH. Enferm Foco. 2022;13:-.
Cheng X, Yang Y, Schwebel DC, Liu Z, Li L, Cheng P, et al. Population ageing and mortality during 1990–2017: a global decomposition analysis. PLoS medicine. 2020;17(6):e1003138.
Liu X, Chang Y-C, Hu W-Y. The Effectiveness of Palliative Care Interventions in Long-Term Care Facilities: A Systematic Review. Journal of personalized medicine. 2024;14(7):700.
Kamel AKM, El-Guindy HA, Mohamed AAE, Saleh ASEM. Assessment of Elderly Patient Satisfaction about Palliative Care Services for Cancer. NILES journal for Geriatric and Gerontology. 2023;6(1):114-32.
Huang YL, Alsaba N, Brookes G, Crilly J. End‐of‐life care for older people in the emergency department: A scoping review. Emergency Medicine Australasia. 2020;32(1):7-19.
May P, Roe L, McGarrigle CA, Kenny RA, Normand C. End-of-life experience for older adults in Ireland: results from the Irish longitudinal study on ageing (TILDA). BMC Health Services Research. 2020;20:1-10.
Söderman A, Werkander Harstäde C, Östlund U, Blomberg K. Community nurses’ experiences of the Swedish Dignity Care Intervention for older persons with palliative care needs–A qualitative feasibility study in municipal home health care. International journal of older people nursing. 2021;16(4):e12372.
de Nooijer K, Pivodic L, Deliens L, Miccinesi G, Alonso TV, Moreels S, et al. Primary palliative care for older people in three European countries: a mortality follow-back quality study. BMJ Supportive & Palliative Care. 2020;10(4):462-8.
Etafa W, Wakuma B, Fetensa G, Tsegaye R, Abdisa E, Oluma A, et al. Nurses’ knowledge about palliative care and attitude towards end-of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study. PloS one. 2020;15(10):e0238357.
Hao Y, Zhan L, Huang M, Cui X, Zhou Y, Xu E. Nurses’ knowledge and attitudes towards palliative care and death: a learning intervention. BMC palliative care. 2021;20:1-9.
Kim JS, Kim J, Gelegjamts D. Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study. Plos one. 2020;15(7):e0236390.
Zhou Y, Li Q, Zhang W. Undergraduate nursing students’ knowledge, attitudes and self‐efficacy regarding palliative care in China: A descriptive correlational study. Nursing open. 2021;8(1):343-53.
Lin H-Y, Chen C-I, Lu C-Y, Lin S-C, Huang C-Y. Nurses’ knowledge, attitude, and competence regarding palliative and end-of-life care: a path analysis. PeerJ. 2021;9:e11864.
Zeru T, Berihu H, Gerensea H, Teklay G, Teklu T, Gebrehiwot H. Assessment of knowledge and attitude towards palliative care and associated factors among nurses working in selected Tigray hospitals, northern Ethiopia: a cross-sectional study. Pan African Medical Journal. 2020;35(1).
Barnett MD, Reed CM, Adams CM. Death attitudes, palliative care self-efficacy, and attitudes toward care of the dying among hospice nurses. Journal of clinical psychology in medical settings. 2021;28:295-300.
Ashrafizadeh H, Mojen LK, Barasteh S, Akbari ME, Beiranvand S, Farahani AS, et al. Factors Related to Nurses and Physicians' Knowledge and Attitudes Towards Palliative Care. International Journal of Cancer Management. 2022;15(2).
Gómez-Urquiza JL, Albendín-García L, Velando-Soriano A, Ortega-Campos E, Ramírez-Baena L, Membrive-Jiménez MJ, et al. Burnout in palliative care nurses, prevalence and risk factors: A systematic review with meta-analysis. International Journal of Environmental Research and Public Health. 2020;17(20):7672.
Chen L, Li X-H, Pan X, Pan Q-N, Huang H-Q, Tao P-Y, et al. Nurses’ knowledge, attitudes, and willingness to practice hospice care: an analysis of influencing factors. PLoS One. 2022;17(2):e0259647.
Blaževičienė A, Laurs L, Newland JA. Attitudes of registered nurses about the end–of–life care in multi-profile hospitals: A cross sectional survey. BMC palliative care. 2020;19:1-8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 K KHAN , R SALEEM , A MURTAZA , S BANO
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.