The Palliative Care Education Needs of Nursing Home Staff. (original) (raw)

Study of nurses′ knowledge about palliative care: A quantitative cross-sectional survey

Indian Journal of Palliative Care, 2012

Studies have documented that nurses and other health care professionals are inadequately prepared to care for patients in palliative care. Several reasons have been identified including inadequacies in nursing education, absence of curriculum content related to pain management, and knowledge related to pain and palliative care. Aims: The objective of this paper was to assess the knowledge about palliative care amongst nursing professionals using the palliative care knowledge test (PCKT). Settings and Design: Cross-sectional survey of 363 nurses in a multispecialty hospital.

Educational needs in palliative care of Primary Health Care nurses

Revista Brasileira de Enfermagem

Objectives: to understand the experience of Primary Health Care nurses with palliative care and their educational needs on the topic. Methods: an exploratory study, with a qualitative approach. The data was collected through 19 focus groups involving 181 nurses. In interpreting the results, the thematic analysis was used. Results: the knowledge presented by nurses in palliative care proved to be limited. Gaps were identified in the definition of palliative care and in the philosophical principles that guide it. The experiences described highlighted the need for continuing education regarding the definition and philosophy of palliative care, patient eligibility, integral care to the patient and the family, interpersonal communication and difficult news, performance in a multi-professional team, and end-of-life care. Final Considerations: the analysis of the perceptions of Primary Health Care nurses about palliative care can help identify the obstacles to improving the provision of th...

The palliative care knowledge of nursing home staff: The EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries

Palliative medicine, 2018

The provision of high-quality palliative care in nursing homes (NHs) is a major challenge and places demands on the knowledge and skills of the staff. This study assesses the palliative care knowledge of staff in NHs in Europe. Cross-sectional study using structured survey Setting/participants: Nurses and care assistants working in 322 representative samples of NHs in Belgium, the Netherlands, England, Finland, Poland and Italy. Palliative care knowledge is measured with the Palliative Care Survey. Scores on the scales range between 0 and 1; higher scores indicate more knowledge. A total of 3392 NH-staff were given a questionnaire, and 2275 responded (67%). Knowledge of basic palliative care issues ranged between 0.20 in Poland (95% confidence interval (CI) 0.19; 0.24) and 0.61 in Belgium (95% CI 0.59; 0.63), knowledge of physical aspects that can contribute to pain ranged between 0.81 in Poland (95% CI 0.79; 0.84) and 0.91 in the Netherlands (95% CI 0.89; 0.93), and knowledge of ps...

Evaluation of Education in Palliative Care: Determining the Effects on Nurses’ Knowledge and Attitudes

Journal of Palliative Care, 2005

Our study was an evaluation of a pilot course in palliative nursing care designed to improve practising nurses’ knowledge regarding cancer pain management and attitudes toward care of the dying patient. The course involved 12 weeks (36 hours) of systematic classroom instruction for registered nurses, and a one-day observational experience on a designated palliative care unit. A total of 16 nurses participated in the study. A repeated measures design was used to evaluate the effectiveness of the course. Attitudes toward care of the dying patient and his/her family were also evaluated. Results showed that nurses’ attitudes improved significantly from Time 1 (first day of course) to Time 2 (last day of course) (p=0.0007), and that this improvement was maintained at Time 3 (three months later) (p=0.064). The observational experience on a palliative care unit held in conjunction with the course was reported to be helpful to students in consolidating theoretical instruction.

Educational needs in palliative care:A survey of GPs and community nurses

European Journal of General Practice, 2001

Background: Most patients with cancer want to die at home and will spend most of the final year of life there. Primary care staff will, therefore, provide the bulk of palliative care at home. Yet, palliative care training for staff is fragmented and ad hoc. Some feel inadequately trained for the tasks they are expected to perform.

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.

Palliative care in nursing homes: exploring care assistants' knowledge

International journal of older people nursing, 2007

Aim. To explore the level of palliative care knowledge and to identify educational needs of care assistants (CAs) working within a nursing home context. Background. In the United Kingdom (UK) many patients at the end-of-life are admitted to (or reside in) nursing homes, where they receive care from unqualified CAs who have little formal training. Mandatory training in specific skills to meet palliative care needs are absent. Method. Questionnaire to CAs in 48 of 91 private nursing homes in one UK region. Findings. A population of 1135 CAs were targeted with a response rate of 45% (n = 508). A high proportion of CAs in this sample required information about the philosophy and principles of palliative care. Results support the need for an educational initiative to improve palliative care in nursing homes. Conclusion. Although recognized as a common place of death for older people, CAs are often unprepared to provide end-of-life care to nursing home residents. It is recommended th...

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.

Palliative Care: Improving Nursing Knowledge, Attitudes, and Behaviors

Clinical journal of oncology nursing, 2017

Oncology nurses affect patient care at every point along the cancer journey. This creates the perfect opportunity to educate patients and caregivers about palliative care early and often throughout treatment. However, healthcare providers frequently do not have the knowledge and confidence to engage in meaningful conversations about palliative care. . The specific aims were to improve oncology nurses' palliative care knowledge, attitudes, and behaviors by providing a palliative care nursing education program. An additional aim was to increase the number of conversations with patients and families about palliative care. . This project had a pre-/post-test design to assess knowledge, attitudes, and behaviors at baseline and one month after implementation of an established education curriculum. The teaching strategy included one four-hour class for oncology RNs with topics about the definition of palliative care, pain and symptom management, and how to have palliative care conversa...