Comprehensive Hospitals Nurses’ Cognition on Palliative Care in Shandong Province, China: A Cross-Sectional Study

Abstract

Background: Palliative care is an essential part of medical practice, however, it has developed slowly in China. We aimed to analyze the current situations of the cognition on palliative care among the nurses in Shandong Province, China.
 Methods: This was a cross sectional study. Investigation of 1050 nurses came from 5 third-class hospitals and 5 second-class hospitals in Shandong Province, China from Jul to Oct in 2018. The questionnaire included 4 parts: general information of the subject, the questionnaire of palliative nursing knowledge, attitude, and the behavior. Data were collected by the APP. Overall, after eliminating the invalid questionnaires, 1026 questionnaires were included in the final analyses. The software Stata 14.2 was used for all statistical analyses.
 Results: The score of knowledge and attitude was low, the practice was higher. Multivariate analysis results: the significant independent variables of univariate analysis were included in the multivariate non-conditional logistic regression model for analysis. Some departments had statistical significance in knowledge multivariate Logistic regression analysis. The multivariate logistic regression analysis of practice was significant for physical health and religious beliefs. The statistical variables of the total score of cognition were gender, age of care, health status and religious beliefs.
 Conclusion: Nursing knowledge is lacking and attitude remains to be improved as soon as possible. It is vital to improve the cognition of palliative care of nurses in Shandong general hospitals by developing relevant rules and regulations, strengthening the supervision of relevant ant departments, and enhancing training for nurses.

Spanish Nurses’ Knowledge about Palliative Care. A National Online Survey

“…Focusing on the precise results obtained by the participants, an average percentage of correct answers in PCQN of 61.4% was found. These results are better than those obtained when piloting the Spanish version of the PCQN [ 52 ], a study conducted in Florida among pediatric nurses [ 61 ], a study to validate the French version of the PCQN [ 62 ], and those obtained in research conducted in countries where palliative care has very little development, such as Ethiopia [ 40 , 63 ], Saudi Arabia [ 64 ], Mongolia [ 65 ], China, [ 48 ] Nepal [ 51 ], Jordan [ 50 , 66 ], and Indonesia [ 45 ].…”

“…This fact is also identified in studies exploring educational needs in palliative care for both students and professionals. Indeed, both groups refer to the need for training in these psychosocial aspects of palliative care [ 16 , 23 , 48 , 49 , 71 , 72 , 73 , 74 , 75 ].…”

“…Many other studies about Nurses’ knowledge in palliative care have analyzed the percentage of subjects with experience or education in palliative care [ 39 , 48 , 49 , 68 , 76 ]. Although they did not always analyze differentiated results based on these characteristics, they usually show a direct relationship between experience or training in palliative care and better results in palliative care knowledge.…”

“…The PCQN has been used in research developed in different countries, either the original in English or its versions in other different languages [ 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 ]. The authors validated the Spanish version of the questionnaire (PCQN-SV) using a translation and back-translation process.…”

National Survey on the Availability of Oncology Palliative Care Services at Tertiary General and Cancer Hospitals in China

“…Importantly, randomized controlled trials have shown that specialist PC offered from basic symptom management to goals-of-care discussions 11,12 , which added onto usual oncologic care can improve quality of life, symptom control, patient and caregiver satisfaction, quality of end-of-life care, and possibly survival. 13 From the practical standpoint, it is important to recognize that oncologists and nursing staff often have very limited clinic time, making it di cult to address supportive care issues comprehensively 14,15 . They may also lack the interest, interdisciplinary teams, screening tools, and knowledge to provide state-of-the-art supportive care.…”