A Short Educational program for the working staff of a university hospital: An intriguing implementation strategy for palliative care.

Abstract

Background: Palliative care practice, aimed at improving psychosocial and physical quality of life without the aim of providing medical cure, is under development in our country. We aimed to reveal the implementation strategy and success of a short palliative care education program organised for health workers in our institution. Method: This descriptive and cross-sectional study was conducted at the Palliative Care Research and Application Centre of Gaziosmanpaşa University in Tokat. As part of implementation strategy, an educational program for all nurses, technicians and other hospital staff (bureau personnel and etc.) was organised. A test about palliative care was conducted before and after the education program. 4 weeks later, the same test was delivered to hospital staff who can’t attend education program. The pre- and post-test results of attending staff and the test results of non-attending staff were compared and analysed via SPSS Statistic 20 program. Findings: There were 120 women (63,2%), 70 men (36,8%) participants in attending group and 42 women (45,2%), 51 men (54,8 %) participants in non-attending group. Rate of correct response to ‘Which of the following is not suitable for the definition of palliative care?’ question, increased 14,7 % and reached 55,8 % in attending group. The non-attending group expressed that they have learned palliative care from attending group with 73,7 % . Conclusions: This study showed that there is a high level of lack of knowledge about palliative care among healthcare workers and that a statistically significant level of awareness can be achieved via a brief education program.

Keywords

• Palliative Care,Education Program,Hospital Staff

References

1. Kabalak AA, Öztürk H, Çağıl H. Yaşam sonu bakım organizasyonu; palyatif bakım. Yoğun Bakım Dergisi 2013; 11: 56- 70.
2. Ulusoy SK, Koç ZA, Çayköylü A. Kanser hastalarında palyatif bakım. Türkiye Klinikleri J Psychiatry-Special Topics 2014; 7: 85-8.
3. Bingley, A., Clark, D. Palliative care in the region represented by the Middle East Cancer Consortium (MECC): A Review and Comparative Analysis. National Cancer Institute. NIH Pub. No. 07-6230.
4. Uslu F.Ş., Terzioğlu F., Dünyada Ve Türkiye’de Palyatif Bakım Eğitimi Ve Örgütlenmesi, Cumhuriyet Hemşirelik Dergisi 2015; 4(2): 81-90
5. Meghani, S.H. (2004). A Concept Analysis of Palliative Care In the United States. Journal of Advanced Nursing, 46(2): 152-161.
6. Pastrana, T., Jünger, S., Ostgathe, C., Elsner, F., Radbruch, L. (2008). A Matter of Definition-Key Elements Identified in a Discourse Analysis of Definitions of Palliative Care. Palliative Medicine, 22(3): 222-232.
7. Paice, J.A., Ferrell, B.R., Coyle, N., Coyne, P., Callaway, M. (2008). Global Efforts to Improve Palliative Care: The International End-of-Life Nursing Education Consortium Training Programme. Journal of Advanced Nursing, 61(2): 173-180.
8. White, K.R., Coyne, P.J., Patel, U.B. (2001). Are Nurses Adequately Prepared for End-of-Life Care? Journal of Nursing Scholarship, 33(2): 147-151.

9. Barclay, S., Wyatt, P., Shore, S., Fınlay, I., Grande, G., Todd, C. (2003). Caring for the Dying: How Well Prepared are General Practitioners? A Questionnaire Study in Wales. Palliative Medicine, 17(1): 27-39.
10. Turgay G., Sağlık Personelinin Palyatif Bakıma İlişkin Görüşleri, Başkent Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Yüksek Lisans Tezi, Ankara 2010;31
11. Kıvanç M.M., Türkiye’de Palyatif Bakım Hizmetleri, HSP2017;4(2):132-135 https://doi.org/10.17681/hsp-dergisi.316894 Erişim Tarihi: 10.05.19
12. https://khgmozellikli.saglik.gov.tr/svg/palyatif.php Erişim Tarihi: 25.06.2019
13. Çıtıl, R., Okan, İ., Önder, Y., Çeltek, N.Y., Süren, M., Bulut, Y.E., Zihni, H. (2018). Tıp Fakültesi Öğrencilerinin Palyatif Bakım Konusundaki Farkındalıklarının Değerlendirilmesi. Bezmialem Science, 6: 100-107.
14. Bahçecioğlu Turan, G., Türben Polat, H., Mankan, T. (2017). İntörn Hemşirelik Öğrencilerinin Palyatif Bakıma İlişkin Görüşleri. Cumhuriyet Hemşirelik Dergisi, 6 (2): 54-60
15. Wechter, E., O’Gorman, D.C., Singh, M.K., Spanos, P., Daly, B.J. (2015). The Effects of an Early Observational Experience on Medical Students’ Attitudes Toward End-of-Life Care. American Journal of Hospice and Palliative Care, 32: 52-60
16. Billings, M.E., Engelberg, R., Curtis, J.R., Block, S., Sullivan, A.M. (2010).Determinants of Medical Students’ Perceived Preparation to Perform Endof-Life Care, Quality of End-of-Life Care Education, and Attitudes Toward End-of-Life Care. Journal of Palliative Medicine, 13: 319-326.
17. Sullivan AM, Lakoma MD, Block SD. The status of medical education in end-of-life care: a national report. J Gen Intern Med 2003; 18: 685-95
18. Yıldızer, Ö. F. & Oğur, S. (2018). Knowledge and Attitudes of Health Personnel on Palliative Care:Sample of Bitlis Province. Journal of Current Researches on Health Sector, 8 (2), 411-438.
19. Gültekin, A., Özdemir, A., Kavak, F. (2018). Hemşirelik öğrencilerinin palyatif bakımla ilgili görüşleri. 5. Uluslararsı evde sağlık ve sosyal hizmetler kongresi, 26-28 Nisan, Antalya, Bildiri Kitapçığı, s.61-65
20. Gibbins, J., Mccoubrie, R., Maher, J., Wee, B., Forbes, K. (2010). Recognizing That It is Part and Parcel of What They Do: Teaching Palliative Care to Medical Students in the UK. Palliative Medicine, 24(3): 299-305