Examination of the Perceptions of Nurses Working in a University Hospital towards the Palliative Care and the Obstacles in Practices (original) (raw)
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Journal of applied health sciences =, 2023
Introduction: The health system is one of the most complex systems in any country. According to the definition of the World Health Organization, the health care system includes health infrastructure that provides a spectrum of programs and services and provides health care to individuals, families and the community. A basic human right is the right to health care, which includes health activities such as preventive, curative and palliative treatment. The organization of palliative medicine is necessary at all levels of health care. Aims: Situational analysis of the organization of palliative care in the Clinical Center of the University of Sarajevo. Examining the knowledge and approach of healthcare workers in the process of providing palliative care at the Clinical Center of the University of Sarajevo. To examine the attitude of healthcare workers towards the Awareness and attitudes of nurses of the Clinical center of the University of Sarajevo (ccus) towards the organization of palliative care way palliative care is organized in the Clinical Center of the University of Sarajevo. Material and methods: 141 subjects employed at the Clinical Center of the University of Sarajevo (CCUS) participated in the research. The research is descriptive and analytical. The results are presented in tables and graphs, chi-square and Fisher's exact test were used for testing the significance of differences. Results: It was found that there are different knowledge, attitudes and approaches of the respondents regarding the way palliative care is organized, the provision of services and treatment in the hospital. The majority of respondents (64%) believe that palliative care should be organized in institutions for palliative care that meet the conditions of the prescribed standards and criteria for palliative care. Conclusion: Significant differences were found in the knowledge, practice and attitudes of health workers about palliative care.
Nurses' Knowledge of Palliative Care and Its Related Factors
J Holist Nurs Midwifery, 2019
Introduction: Palliative care is the science of promoting the patient’s quality of life. It can improve the quality of life of a patient, which is effective not only in patient’s late-life but also useful in dealing with a chronic illness over many years. In this regard, nurses, as the largest providers of health care services, play an important role in palliative care. Objective: This study aimed to investigate the palliative care knowledge of nurses and its contributing factors. Materials and Methods: This cross-sectional study was conducted on 280 nurses working in different departments of hospitals affiliated to Guilan University of Medical Sciences (GUMS). They were recruited using the stratified random sampling technique. Their data were collected by a demographic form and the Palliative Care Quiz for Nursing (PCQN) instrument. The collected data were analyzed by Kruskal-Wallis and Mann-Whitney U tests. Results: The Mean±SD score of palliative care knowledge of study nurses was reported as 7.86±2.16 indicating their imperfect knowledge. Among studied factors, only the personal study about palliative care had a significant association with the nurses’ knowledge (P=0.038). Conclusion: Nurses had poor knowledge of palliative care and its subscales that is one of the main obstacles in providing optimal palliative care. So, increasing their quality of palliative care services by improving their knowledge through in-service education and on the job retraining could promote the quality of palliative care services for the patients.
Opinions of Nurses about Palliative Care
2017
Objectives: Nurses play an important role in palliative care s ervices. Therefore, further studies are needed in Turkey to investigate nurses' views on the subject. Based on this, it's aimed to determine nurses' lev el of knowledge about palliative care, increase their sen sitivity and awareness, and to perform training act ivity planning in this regard. Methods: The study population consisted of nurses working a t Firat University Medical Hospital and Elazig Training and Research Hospital located in the Provi nce of Elazig No sampling was performed, and the 50 0 nurses who agreed to participate in the research wa s included in the study. The data collection was pe rformed between February and March 2016 in the study. A "Pe rsonal Information Form" developed by the researche rs and "Expressions of Opinion about Palliative Care S cale" was used for data collection. Evaluation of t he data; number and percentage analysis are used. Results: It was found ...
Nurses' Knowledge of Palliative Care at Primary, Secondary and Tertiary Levels of Health Care
Croatian nursing journal
Introduction. Comprehensive care for patients who no longer respond to treatment procedures is called palliative care. Palliative medicine does not delay or accelerate death, it promotes life, and considers dying as a normal process. In palliative medicine and care there is no place for hierarchy - teamwork, focus on the patient and respect for his autonomy are what is important. Aim. The conducted research shows the knowledge of nurses about palliative care at the primary, secondary and tertiary levels of health care. Methods. Prospective research in the Republic of Croatia at three levels of health care has been conducted. The sample included 150 nurses. The instrument used in the study was the Palliative Care Quiz for Nursing (PCQN). Results. The results showed that the nurses’ knowledge of palliative care is insufficient among the nursing population. Despite numerous training activities conducted over the past ten years, levels of knowledge are still lower than expected. Nurses ...
Palliative nurse care - education and training
Scripta Scientifica Salutis Publicae, 2016
INTRODUCTION: Palliative care is a method, which improves the quality of life via control over the typical symptoms. The subject of palliative care are patients with life-threatening diseases. The activities follow the basic principles, which are directed to solving physical, mental, spiritual and social problems, as well as, assessment and treatment of the pain. The active communication and cooperation with the patients' relatives are also part of the duties of the nurse who provides palliative care. The specificity of palliative care requires specialized preparation, aimed at acquiring knowledge of the sphere, as well as development of certain skills and competences. The lack of a clinical subject in the field of palliative medical science is a great challenge for the training team in the process of presenting this subject and teaching the skills needed by the students.
Ethiopian journal of health sciences, 2021
BACKGROUND: Palliative care improves the quality of life of patients facing a life-threatening illness. Nurses should improve their caregiving capacity. In Ethiopia, palliative care is underestimated. The availability of data regarding the knowledge and attitude of nurses towards palliative care is critically important. Thus, this study aimed to assess the level of knowledge and attitude of nurses towards palliative care. METHODS: Institution-based, cross-sectional study was conducted in North Wollo hospitals. A simple random sampling technique was used. The data was collected using structured selfadministered questionnaires from February to March 2019. The analysis was done using a binary logistic regression model. P-value < 0.05 was considered as statistically significant. RESULTS: The result revealed that 59.7% of the respondents had good knowledge and 44.2% had a favorable attitude towards palliative care. Level of education, experience in caring for chronically ill patients, and experience in caring for dying family members within the last 6 months had a significant association with the knowledge of nurses. Monthly income, experience in caring for chronically ill patients, formal palliative care education, and knowledge were found statistically significant with the attitude of nurses towards palliative care. CONCLUSION: More than half of the nurses had good knowledge, but less than half of the respondents had a favorable attitude towards palliative care. Attention should be given towards palliative care by the health policy and needs to be incorporated into the national curriculum of nursing education.
Factors Related to Nurses and Physicians’ Knowledge of and Attitudes Towards Palliative Care
Background With the increase of the elderly population, the need for palliative care has increased, which is one of the requirements of effective palliative care services, sufficient knowledge and positive attitude of nurses and physicians towards this care approach. The aim of this study was to determine the factors related to the knowledge and attitudes of nurses and physicians about palliative care. Methods This descriptive correlational study was performed in 2021 on 277 nurses and physicians working in selected teaching hospitals in Iran who were selected by convenience sampling method. The data collection tool was an online and researcher-made questionnaire consisting of three sections: demographics and occupation, knowledge (30 items) and attitude (37 items) that were designed and validated in the present study. To analyze the data, spss-v24 software was used for descriptive statistics tests (means and frequency tables) and inferential tests (correlation and univariate regres...
Background: Palliative care refers to interdisciplinary team-based care for persons and family members experiencing life-threatening illness or injury that addresses their physical, emotional, social and spiritual needs and seeks to improve quality of life across the illness/ dying trajectory. To provide quality care on palliative care (PC) nurses must not only possess knowledge and skills but must also develop positive attitudes. In Harari region PC is new to the health care field and as such very little is known about nurses Knowledge, Attitude and Practice on PC. Objectives: to assess Knowledge, Attitude and Practice of nurses towards palliative care in Harari Regional Public & Private Hospitals. Materials & Methods: Across-sectional descriptive survey using self-administered questionnaire with a quantitative approach performed on 197 clinical nurses in six hospitals from December, to May 2012. in Harar. Data were analyzed using SPSS package Version 15.0. The demographic and general characteristics were identified using descriptive statistics. Chi-square, test was used to categorical variables and Pearson product-moment correlation coefficient (r) was used to examine the relationship between nurses' knowledge and attitude score. Significance levels were taken at p < 0.05, p < 0.01. Results: the response rate was 89.5%.The average age of the participants was 39.5 years, with range of from 20 to 59 years. More male 54.3% than female 45.7%. The results showed that that 56 %, had good knowledge, 88.3 % of them had favorable attitude towards palliative care. Concerning the expressed practice on palliative care 61.4 % said that they had experience in giving palliative care. The chi-square showed that there is no a significant association knowledge of PC and age, sex and experiences of the nurses (P value > 0.05). There was a positive correlation between knowledge and attitude regarding palliative care (r = .268, p = .00). Conclusion: although majority of respondents had positive attitude; their knowledge and practice was inadequate. Continuing education and in-service training may be required to improve nurse's knowledge, building up positive attitude; there by practice PC.
PALLIATIVE CARE FOR ELDERLY PEOPLE IN SITUATION OF ENDITUDE - OPINION OF NURSING PROFESSIONALS (Atena Editora), 2023
1.Introduction: changes in their epidemiological and demographic profiles, due to low mortality rates from infectious diseases, studies have signaled a rapid increase in the number of elderly people in Brazil. This process can be observed in developed and developing countries, which generates socioeconomic, cultural, demographic and epidemiological transformations. Unfortunately, in developing countries, this fact leads to social inequalities that require planning and public policies that focus on the elderly and their particularities, including the proximity of death and injuries that can lead to early finitude. 2- Objective: To understand the perceptions of the nursing team in the sector of Medical Clinic in Palliative Care with elderly people in finitude of a private hospital in the city of São Paulo that serves mostly elderly people. 3- Methodology - This was field research, exploratory and descriptive with a qualitative approach, which sought to describe palliative care for the elderly in their finitude and to understand the perceptions of the nursing team in the Internal Medicine sector in palliative care for the elderly. This study was carried out in a private hospital that provides services and assistance to the predominantly elderly population with different pathologies. It had the participation of 18 professionals who provide care to the hospitalized elderly, who agreed to participate in the study by signing the Free and Informed Consent Form (TCLE) and approval of CEP CAAE: 332959914.5.0000.5494. 4. Discussion -The transcription was carried out in the speech of the subjects using the words of significance in relation to the team's perception of palliative care through charts and diagrams, and later discussed in comparison to what the literature addresses in relation to the findings, through the analysis by Laurence Bardin.5. Conclusion - Through the results of this study, it was possible to describe and understand the actions and perceptions of the nursing team in the elderly in their finitude, the results of the research showed that the nursing team is not yet prepared to act in front of the elderly in a terminal phase, i.e. facing death.
Nurses’ Knowledge of Palliative Care
Croatian nursing journal, 2019
Introduction. Palliative care has evolved to identify the specific needs of patients with severe and incurable diseases. An estimated 46,000 patients in the Republic of Croatia require some form of palliative care. The aim of this study is to examine nurses' knowledge of palliative care. Methods. A cross-sectional study included 198 nurses. The survey was conducted during March and April of 2017. As a survey instrument, a 2-part questionnaire was used. The first part dealt with sociodemographic data and the second part consisted of a standardized palliative care quiz for nursing (PCQN) questionnaire. Results. Respondents gave the most correct answers in the area of pain and other symptoms control. It was found that there was no significant difference in gender, age, or seniority in knowledge of palliative care. Respondents who received informal education showed better knowledge. Conclusion. From the study conducted, we can conclude that nurses have insufficient knowledge of palliative care.