NURSES’ KAP ANALYSIS FOR PALLIATIVE CARE PATIENTS WITH HEART FAILURE

F SHAHEEN; S AKRAM; N SHAHEEN

doi:10.54112/bcsrj.v2024i1.1347

Authors

F SHAHEEN College Of Nursing Nishtar Medical University And Hospital Multan, Pakistan
S AKRAM College Of Nursing Nishtar Medical University And Hospital Multan, Pakistan
N SHAHEEN CH. Pervaiz Elahi Institute Of Cardiology Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.1347

Keywords:

Knowledge, KAP, Nurses, Nursing, Palliative care

Abstract

Heart failure patients admitted for palliative care require specialized management to alleviate symptoms and enhance their quality of life. Nurses play a pivotal role in delivering palliative care; however, their knowledge, attitudes, and practices significantly influence patient outcomes. This study aims to assess these parameters in nurses working in intensive care and cardiology settings. Objective: T o evaluate the knowledge, attitudes, and practices of nurses working with palliative care patients with heart failure. Methods: A cross-sectional study was conducted in the Nursing Department of Nishtar Hospital, Multan from October 2023 to October 2024. A total of 100 nurses working in the ICU and Cardiology department with heart failure patients admitted for palliative care were included in the study. Data was collected through questionnaires. Knowledge was assessed by the 30-item Palliative Care Quiz for Nursing, attitude regarding death was evaluated by a 32-item Death Attitude Profile and practice was assessed by 6-item perceptions of preparedness and ability to care for the dying (PPACD) R-I scale. Results: The mean knowledge score was 13.8 ± 2.55 with a satisfactory score in only 46% of participants. Only 29% were aware of symptom management in terminally ill patients. The mean attitude score was 133.6 ± 108.4 and the mean practice score was 16.2 ± 5.1. No significant association between knowledge scores and previous palliative care training was noted (r=0.1) but attitude scores were positively related to age and experience. The approach acceptance (r=0.292) and neutral acceptance (r=0.339) were significantly associated with practice. Conclusion: Nurses working in the palliative care unit possessed unsatisfactory knowledge, attitudes, and practices to manage patients with heart failure. Intervention programs and the inclusion of palliative care subjects in the curriculum can improve these results and avert the healthcare hazard.

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