Information and Attitudes of Nurses About Palliative Care

Yıl 2021, , 375 - 381, 01.11.2021

Filiz Taş , Dilek Soylu , Ayse Soylu

https://doi.org/10.17517/ksutfd.848353

Öz

Introduction and purpose: Palliative care provides a holistic approach that helps improve the patient's quality of life until death, and requires different approaches in different disease groups. Therefore, nurses' knowledge and approach on the subject is important. In this study, it was aimed to determine the knowledge and attitudes of nurses about palliative care. Method: After obtaining the necessary permits research, working in a University hospital located eastern Mediterranean region was performed with 226 nurses. The data of the study were collected by using the survey form prepared by the researchers by scanning the literature. SPSS 24.0 package program was used to evaluate the data. Results: 68.6% of the nurses participating in the study knew about palliative care, 65.5% defined palliative care as facilitating patient care. 40.3% of the nurses stated that they did not give any care to the patient who needed palliative care, 85.0% of them stated that they should be given palliative care to terminal period patients, 43.4% wanted to receive training on “terminal period patient care”. Conclusion: As a result of the research, it was concluded that the majority of the nurses had knowledge about palliative care. However nurses want to learn more about this and improve themselves. It is recommended to reinforce and increase the level of knowledge of nurses through in-service training on palliative care.
Key words: Nurses; palliative care; knowledge and attitudes

Anahtar Kelimeler

nurses, palliative care, knowlwedge and attitude

Destekleyen Kurum

This study was not funded.

Teşekkür

We would like to thank the Nurses who participated in the study and contributed to science and the hospital administrators who gave their approval for this study.

Hemşirelerin Palyatif Bakımla İlgili Bilgileri

Öz

Giriş ve Amaç: Palyatif bakım, ölüme kadar hastanın yaşam kalitesini arttırmaya yardımcı olan bütüncül bir yaklaşım sağlar ve farklı hastalık gruplarında farklı yaklaşım gerektirir. Bu nedenle, hemşirelerin konuyla ilgili bilgi ve yaklaşımları önemlidir. Bu çalışmada, hemşirelerin palyatif bakım hakkında bilgi ve tutumlarının belirlenmesi amaçlandı. Gereç ve Yöntem: Araştırma gerekli izinler alındıktan sonra, Doğu Akdeniz bölgesinde yer alan üniversite hastanesinde çalışan 226 hemşire ile yapıldı. Araştırmanın verileri, literatür taranarak araştırmacılar tarafından hazırlanan anket formuyla toplandı. Verilerin değerlendirilmesinde SPSS 24.0 paket programı kullanıldı. Bulgular: Araştırmaya katılan hemşirelerin %68.6’sının palyatif bakım hakkında bilgi sahibi olduğu, %65.5’inin palyatif bakımı hastalık ile baş etmeyi kolaylaştırıcı hasta bakımı olarak tanımladığı belirlendi. Hemşirelerin %40.3’ü palyatif bakım gereken hastaya hiç bakım vermediğini, %85.0’ı terminal dönem hastalarına palyatif bakım verilmesi gerektiğini, %43.4’ü “terminal dönemdeki hasta bakımı” konusunda eğitim almak istediğini belirtti. Sonuç: Araştırma sonucunda hemşirelerin çoğunluğunun palyatif bakım hakkında bilgi sahibi olduğu belirlendi. Ancak hemşireler bu konuda daha fazla bilgi edinmek ve kendini geliştirmek istemektedirler. Palyatif bakımla ilgili hizmet içi eğitimlerle hemşirelerin bilgilerinin pekiştirilmesi ve artırılması önerilir.

Anahtar Kelimeler

hemşire, palyatif bakım, bilgi ve tutumları

Kaynakça

• 1. Emuk Y, Naz I. The current situation of palliative care in Turkey. Journal of Cancer Policy. 2017;13: 33-37. https://doi.org/10.1016/j.jcpo.2017.07.001.
• 1. Emuk Y, Naz I. The current situation of palliative care in Turkey. Journal of Cancer Policy. 2017;13: 33-37. https://doi.org/10.1016/j.jcpo.2017.07.001.
• 2. Gültekin M, Özgül N, Olcayto E. Current status of palliative care services in Turkey. Turkish Journal of Gynecological Oncology. 2010;13(1): 1–5.
• 2. Gültekin M, Özgül N, Olcayto E. Current status of palliative care services in Turkey. Turkish Journal of Gynecological Oncology. 2010;13(1): 1–5.
• 3. Yıldızer ÖF, Oğur S. Knowledge and Attitudes of Health Personnel on Palliative Care: Sample of Bitlis Province. J. Curr. Res. Heal. Sect. (J o C R e H e S). 2017;8: 303–314. https://doi.org/10.26579/jocrehes.
• 3. Yıldızer ÖF, Oğur S. Knowledge and Attitudes of Health Personnel on Palliative Care: Sample of Bitlis Province. J. Curr. Res. Heal. Sect. (J o C R e H e S). 2017;8: 303–314. https://doi.org/10.26579/jocrehes.
• 4. Sharon Baxter S, Beckwith KS, Clark D. et. all., (2014). Global atlas of palliative care at the end of life. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf Access date. 22.01.2020.
• 4. Sharon Baxter S, Beckwith KS, Clark D. et. all., (2014). Global atlas of palliative care at the end of life. https://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf Access date. 22.01.2020.
• 5. Nelson-Marten P, English N, Jafari A, Fink RM. A Palliative Care Certificate Program: A Nursing Education Model for Developed and Developing Countries. J. Palliat. Care Med. 2015;5:1–6. https://doi.org/10.4172/2165-7386.1000s5010.
• 5. Nelson-Marten P, English N, Jafari A, Fink RM. A Palliative Care Certificate Program: A Nursing Education Model for Developed and Developing Countries. J. Palliat. Care Med. 2015;5:1–6. https://doi.org/10.4172/2165-7386.1000s5010.
• 6. Bouça-Machado R, Rosário M, Alarcão J, Correia-Guedes L, Abreu D, Ferreira JJ. Clinical trials in palliative care: A systematic review of their methodological characteristics and of the quality of their reporting. BMC Palliat. Care. 2017;16: 1–12. https://doi.org/10.1186/s12904-016-0181-9.
• 6. Bouça-Machado R, Rosário M, Alarcão J, Correia-Guedes L, Abreu D, Ferreira JJ. Clinical trials in palliative care: A systematic review of their methodological characteristics and of the quality of their reporting. BMC Palliat. Care. 2017;16: 1–12. https://doi.org/10.1186/s12904-016-0181-9.
• 7. Karacsony SA. Critical review of Instruments for nursing assistants’ Scope of Practice and a Palliative Approach in Long-Term Care Settings. J. Community Public Heal. Nurs. 2015;1(2):105. https://doi.org/10.4172/2471-9846.1000105.
• 7. Karacsony SA. Critical review of Instruments for nursing assistants’ Scope of Practice and a Palliative Approach in Long-Term Care Settings. J. Community Public Heal. Nurs. 2015;1(2):105. https://doi.org/10.4172/2471-9846.1000105.
• 8. Boucher N, Sautter J, Franzione A. Palliative Care Knowledge and Attitudes of Multidisciplinary Health Profession Trainees (TH340B). J. Pain Symptom Manage. 2017;53: 334–335. https://doi.org/10.1016/j.jpainsymman.2016.12.065.
• 8. Boucher N, Sautter J, Franzione A. Palliative Care Knowledge and Attitudes of Multidisciplinary Health Profession Trainees (TH340B). J. Pain Symptom Manage. 2017;53: 334–335. https://doi.org/10.1016/j.jpainsymman.2016.12.065.
• 9. Akın Korhan E, Kırşan M, Yıldırım D, Kıray S, Uyar M. Ethical Problems in Palliative Care: A Systematic Review. Turkiye Klin. J. Med. Ethics-Law Hist. 2019;27: 116–127. https://doi.org/10.5336/mdethic.2019-65994.
• 9. Akın Korhan E, Kırşan M, Yıldırım D, Kıray S, Uyar M. Ethical Problems in Palliative Care: A Systematic Review. Turkiye Klin. J. Med. Ethics-Law Hist. 2019;27: 116–127. https://doi.org/10.5336/mdethic.2019-65994.
• 10. Fins JJ, Nilson EG. An approach to educating residents about palliative care and clinical ethics. Acad. Med. 2000;75:662–665. https://doi.org/10.1097/00001888-200006000-00021.
• 10. Fins JJ, Nilson EG. An approach to educating residents about palliative care and clinical ethics. Acad. Med. 2000;75:662–665. https://doi.org/10.1097/00001888-200006000-00021.
• 11. Cıtıl R, Okan I, Onder Y, et.al. Evaluation of the awareness of medical students on Palliative Care. Bezmialem Sci. 2018;6:100–107. https://doi.org/10.14235/bs.2018.1582.
• 11. Cıtıl R, Okan I, Onder Y, et.al. Evaluation of the awareness of medical students on Palliative Care. Bezmialem Sci. 2018;6:100–107. https://doi.org/10.14235/bs.2018.1582.
• 12. McWilliams A, Lam B, Sutedja T. Early proximal lung cancer diagnosis and treatment. Eur. Respir. J. 2009; 33: 656–665. https://doi.org/10.1183/09031936.00124608.
• 12. McWilliams A, Lam B, Sutedja T. Early proximal lung cancer diagnosis and treatment. Eur. Respir. J. 2009; 33: 656–665. https://doi.org/10.1183/09031936.00124608.
• 13. Demir M. Palliative care ethics. J. Med. Surg. Intensive Care Med. 2016;7: 62–66. https://doi.org/10.5152/dcbybd.2016.1202.
• 13. Demir M. Palliative care ethics. J. Med. Surg. Intensive Care Med. 2016;7: 62–66. https://doi.org/10.5152/dcbybd.2016.1202.
• 14. Ozgül N, Gültekin M, Koc O, et. al. Turkish community-based palliative care model: A unique design. Ann. Oncol. 2012;23: 76–78. https://doi.org/10.1093/annonc/mds093.
• 14. Ozgül N, Gültekin M, Koc O, et. al. Turkish community-based palliative care model: A unique design. Ann. Oncol. 2012;23: 76–78. https://doi.org/10.1093/annonc/mds093.
• 15. Twamley K, Craig F, Kelly P, Hollowell DR, Mendoza P, Bluebond-Langner M. Underlying barriers to referral to paediatric palliative care services: Knowledge and attitudes of health care professionals in a paediatric tertiary care centre in the United Kingdom. J. Child Heal. Care. 2014;18: 19–30. https://doi.org/10.1177/1367493512468363.
• 15. Twamley K, Craig F, Kelly P, Hollowell DR, Mendoza P, Bluebond-Langner M. Underlying barriers to referral to paediatric palliative care services: Knowledge and attitudes of health care professionals in a paediatric tertiary care centre in the United Kingdom. J. Child Heal. Care. 2014;18: 19–30. https://doi.org/10.1177/1367493512468363.
• 16. Mukemo AK, Kasongo NM, Nzaji MK, et. al. The Nurses ’ Knowledge and Attitudes towards the Palliative Care. Am. Int. J. Res. Humanit. Arts Soc. Sci. 2017;18: 114–119. https://doi.org/10.13140/RG.2.1.1756.0486.
• 16. Mukemo AK, Kasongo NM, Nzaji MK, et. al. The Nurses ’ Knowledge and Attitudes towards the Palliative Care. Am. Int. J. Res. Humanit. Arts Soc. Sci. 2017;18: 114–119. https://doi.org/10.13140/RG.2.1.1756.0486.
• 17. Smith S, Brick A, O’Hara S, Normand C. Evidence on the cost and cost-effectiveness of palliative care: A literature review. Palliat. Med. 2014;28: 130–150. https://doi.org/10.1177/0269216313493466.
• 17. Smith S, Brick A, O’Hara S, Normand C. Evidence on the cost and cost-effectiveness of palliative care: A literature review. Palliat. Med. 2014;28: 130–150. https://doi.org/10.1177/0269216313493466.
• 18. Uslu Sahan F, Terzioglu F. Nurses’ Knowledge and Practice toward Gynecologic Oncology Palliative Care. J. Palliat. Care Med. 2017;7:2–6. https://doi.org/10.4172/2165-7386.1000315.
• 18. Uslu Sahan F, Terzioglu F. Nurses’ Knowledge and Practice toward Gynecologic Oncology Palliative Care. J. Palliat. Care Med. 2017;7:2–6. https://doi.org/10.4172/2165-7386.1000315.
• 19. Tosello B, Dany L, Bétrémieux P, Le Coz P, Auquier P, Gire C, Einaudi MA. Barriers in referring neonatal patients to perinatal palliative care: A French multicenter survey. PLoS One. 2015;10(5):e0126861. https://doi.org/10.1371/journal.pone.0126861.
• 19. Tosello B, Dany L, Bétrémieux P, Le Coz P, Auquier P, Gire C, Einaudi MA. Barriers in referring neonatal patients to perinatal palliative care: A French multicenter survey. PLoS One. 2015;10(5):e0126861. https://doi.org/10.1371/journal.pone.0126861.
• 20. Benino F, Orzalesi M, Santi A, et. al. Barriers to the development of pediatric palliative care in Italy Franca. Ann Ist Super Sanità. 2016;52:558–564. https://doi.org/10.4415/ANN_16_04_16.
• 20. Benino F, Orzalesi M, Santi A, et. al. Barriers to the development of pediatric palliative care in Italy Franca. Ann Ist Super Sanità. 2016;52:558–564. https://doi.org/10.4415/ANN_16_04_16.
• 21. Paice JA, Ferrell BR, Coyle N, Coyne P, Callaway M. Global efforts to improve palliative care: The International End-of-Life Nursing Education Consortium Training Programme. J. Adv. Nurs. 2008;61: 173–180. https://doi.org/10.1111/j.1365-2648.2007.04475.x.
• 21. Paice JA, Ferrell BR, Coyle N, Coyne P, Callaway M. Global efforts to improve palliative care: The International End-of-Life Nursing Education Consortium Training Programme. J. Adv. Nurs. 2008;61: 173–180. https://doi.org/10.1111/j.1365-2648.2007.04475.x.
• 22. Harstide CW, Andershed B. Good Palliative Care: How and Where? J. Hospce Palliat. Nurs. 2004;6(1):27-35. https://doi.org/10.1177/026921639300700106.
• 22. Harstide CW, Andershed B. Good Palliative Care: How and Where? J. Hospce Palliat. Nurs. 2004;6(1):27-35. https://doi.org/10.1177/026921639300700106.
• 23. Temelli G. (2018). Perceptıons of palliative care nurses related to death and palliative care practices. Bolu Abant İzzet Baysal University. Nursıng Department Master Thesıs. https://www.researchgate.net/publication/330934051. Access date. 20.01.2020.
• 23. Temelli G. (2018). Perceptıons of palliative care nurses related to death and palliative care practices. Bolu Abant İzzet Baysal University. Nursıng Department Master Thesıs. https://www.researchgate.net/publication/330934051. Access date. 20.01.2020.
• 24. Clark D, Graham F, Centeno C. Changes in the world of palliative care. Med. (United Kingdom). 2015;43: 696–698. https://doi.org/10.1016/j.mpmed.2015.09.012.
• 24. Clark D, Graham F, Centeno C. Changes in the world of palliative care. Med. (United Kingdom). 2015;43: 696–698. https://doi.org/10.1016/j.mpmed.2015.09.012.
• 25. Lehto JT, Hakkarainen K, Kellokumpu-Lehtinen PL, Saarto T. Undergraduate curriculum in palliative medicine at Tampere University increases students’ knowledge. BMC Palliat. Care. 2017;16: 1–9. https://doi.org/10.1186/s12904-016-0182-8.
• 25. Lehto JT, Hakkarainen K, Kellokumpu-Lehtinen PL, Saarto T. Undergraduate curriculum in palliative medicine at Tampere University increases students’ knowledge. BMC Palliat. Care. 2017;16: 1–9. https://doi.org/10.1186/s12904-016-0182-8.
• 26. Kelley AS, Morrison RSS. Palliative Care for the Seriously Ill HHS Public Access. N Engl J Med. 2015;373: 747–755. https://doi.org/10.1056/NEJMra1404684.
• 26. Kelley AS, Morrison RSS. Palliative Care for the Seriously Ill HHS Public Access. N Engl J Med. 2015;373: 747–755. https://doi.org/10.1056/NEJMra1404684.
• 27. Centeno C, Clark D, Lynch T, et al. Facts and indicators on palliative care development in 52 countries of the WHO European region: Results of an EAPC task force. Palliat. Med. 2007;21(6): 463–471. https://doi.org/10.1177/0269216307081942.
• 27. Centeno C, Clark D, Lynch T, et al. Facts and indicators on palliative care development in 52 countries of the WHO European region: Results of an EAPC task force. Palliat. Med. 2007;21(6): 463–471. https://doi.org/10.1177/0269216307081942.
• 28. Kaasa S, Hjermstad MJ, Loge JH. Methodological and structural challenges in palliative care research: How have we fared in the last decades? Palliat. Med. 2006;20: 727–734. https://doi.org/10.1177/0269216306072620.
• 28. Kaasa S, Hjermstad MJ, Loge JH. Methodological and structural challenges in palliative care research: How have we fared in the last decades? Palliat. Med. 2006;20: 727–734. https://doi.org/10.1177/0269216306072620.
• 29. Kabalak AA, Öztürk H, Çağil H. Palyatif Bakım End of Life Care Organization; Palliative Care. Journal of Intensive Care. 2013;11(2): 56–70.
• 29. Kabalak AA, Öztürk H, Çağil H. Palyatif Bakım End of Life Care Organization; Palliative Care. Journal of Intensive Care. 2013;11(2): 56–70.
• 30. Aydoğan F, Uygun K. Palliative Treatments in Cancer Patients. Clinical development. 2011;24: 4–9.
• 30. Aydoğan F, Uygun K. Palliative Treatments in Cancer Patients. Clinical development. 2011;24: 4–9.
• 31. İnci̇ F, Öz F. Effects of death education on nurses’ death anxiety, depression regarding death, and attitudes towards the dying patient. Anatolian Journal of Psychiatry 2009;10(4): 253–260.
• 31. İnci̇ F, Öz F. Effects of death education on nurses’ death anxiety, depression regarding death, and attitudes towards the dying patient. Anatolian Journal of Psychiatry 2009;10(4): 253–260.
• 32. Bilal M. (2018).The knowledge of Palliative Care and the attitude toward it among the nurses at Sabia General Hospital Sudan J. Med. Sci. 2018;13: 301. https://doi.org/10.18502/sjms.v13i4.3606.
• 32. Bilal M. (2018).The knowledge of Palliative Care and the attitude toward it among the nurses at Sabia General Hospital Sudan J. Med. Sci. 2018;13: 301. https://doi.org/10.18502/sjms.v13i4.3606.