Harmonising palliative care: a national survey to evaluate the knowledge and attitude of emergency physicians towards palliative care in Kuwait

Al-Ansari, Ameena Mohammed; Suroor, Saleem Nawaf; AboSerea, Sobhi Mostafa; Abd‐El‐Gawad, Wafaa Mostafa

doi:10.1136/bmjspcare-2019-002141

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…Both Wong and Al-Ansari also concluded that inadequate knowledge and training were key factors in the emergency medicine doctor's dissatisfaction with palliative care delivery in Hong Kong and Kuwait, respectively [4,9]. A similar trend was seen in this study with one in five respondents reporting that they had received formal training.…”

Section: Discussionsupporting

confidence: 81%

Attitudes and knowledge of emergency doctors towards end-of-life care in the emergency department: a national survey

Saeed,

Mulcaire,

Umana

et al. 2023

European Journal of Emergency Medicine

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Background Emergency departments (EDs) are seeing an increase in patients requiring end-of-life (EOL) care. There is paucity of data of attitudes and knowledge of physicians providing EOL care in the ED both internationally and in Ireland. Objective The aim of this project was to assess the attitudes and knowledge of ED physicians towards EOL care. Methods This was a cross-sectional electronic survey of ED physicians working in Irish EDs and was facilitated through the Irish Trainee Emergency Research Network over a 6-week period. The questionnaire covered the following domains: demographic data, awareness of EOL Care, views and attitudes towards EOL care. Results Of a potential 679 respondents, 441 responses were received, of which 311 (response rate of 44.8%) had fully completed the survey across 23 participant sites. Majority of the respondents were under the age of 35 (62%), were male (58%) and at Senior House Officer level (36%). In terms of awareness, 32% (98) of respondents were not aware of palliative care services in their hospitals while only 29% (91) were aware of national EOL guidance. Fifty-five percent (172) reported commencing EOL care in the ED, however 75.5% (234) respondents reported their knowledge of EOL care to be limited or non-existent. Only 30.2% respondents felt comfortable commencing EOL care in the ED without speciality team input. There appears to be a lack of clarity on the roles and responsibilities of emergency medicine nurses and doctors in the care of the dying patient in ED with only 31.2% (95) being clear on this role. Significant differences were observed associated with clinical experience and physician grade. Conclusion This study has highlighted a lack of awareness and knowledge of EOL care particularly amongst less experienced emergency medicine doctors. Formalized training and education programs in the provision of EOL care in the ED will improve comfort levels and knowledge amongst the emergency medicine doctors and improve the quality of care provided.

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Section: Discussionsupporting

confidence: 81%

Attitudes and knowledge of emergency doctors towards end-of-life care in the emergency department: a national survey

Saeed,

Mulcaire,

Umana

et al. 2023

European Journal of Emergency Medicine

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“…Studies have shown that nurses with a negative attitude towards PC avoid dealing with dying patients and transfer their fears, hopelessness and frustrations to the patient and his/her family. This attitude discourages patients from using these services or leads to their being referred for receiving service after the disease has progressed and the patient is in the end-of-life stages (Al- Ansari et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Caregivers’ Knowledge of and Attitude towards Palliative Care in Iran

Mojen

Akbari

Ashrafizadeh

et al. 2022

Asian Pac J Cancer Prev

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Background: Addressing the palliative care needs requires clinicians to have sufficient knowledge of and positive attitudes toward palliative care. The study aimed to determine nurses' and physicians' knowledge of and attitudes towards palliative care in Iran. Methods: This descriptive cross-sectional study was conducted in 2021 on 493 physicians and nurses, selected through convenience sampling. Three online questionnaires addressing caregivers' demographic and professional's questionnaire, Health Care Providers' Attitude toward PC Questionnaire, and Health Care Providers' Knowledge of PC Questionnaire were used. The data was analyzed in SPSS using correlational and descriptive statistics and regression analysis. Results: The mean score of attitude towards palliative care was 142.03 ± 11.35 and the mean score of palliative care knowledge, 19.47 ± 2.62. Considering the regression coefficients between these two mean scores (P-value = 0.001, b = 1.304), it can be inferred that knowledge is a good predictor of attitude. In addition, the mean scores of knowledge and attitude have a significant relationship with age, female gender, holding a master's or PhD degree, the need for formal education in the field of palliative care and the need to take a palliative care course. Conclusions: The present study showed that Iranian nurses and physicians have a moderate level of knowledge and attitude towards palliative care. It is necessary to take measures in order to improve knowledge and attitude by holding retraining courses, theoretical and clinical training sessions and relevant seminars in short term, and also by integrating related topics into nursing and medical curriculums in long term.

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YouTube as a source of information on breast cancer in the Arab world

Ayoub

Chalhoub

Sleilaty

et al. 2021

Support Care Cancer

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BackgroundPatients are increasingly using YouTube™ as a source of information on Breast cancer, the most frequent cancer among women. Educating patients is highly important to reduce mortality rates. This study aims to evaluate, for the rst time, Breast Cancer Videos on YouTube™ in the Arab world that hosts their highest use. MethodsIn this cross-sectional study, the most viewed 60 videos were evaluated for global quality (GQS score), reliability (modi ed DISCERN score), usefulness (content-speci c score), and misleading claims. Videos' power index, popularity, duration, and viewers' interaction were assessed. Sources (professional/ nonprofessional) and speakers (physician/ non-physician) were categorized. ResultsThe median Global Quality (3/5), Reliability (2/5), and Usefulness scores (4/11) were overall low. Out of all videos, the speaker was a physician in 32% and misleading information was found in 42%. Although professional source videos (45%) were less viewed, they were less misleading, of higher quality, reliability, and usefulness than non-professional source videos (55%). Source categories did not affect viewers' interaction, video power index, nor duration. While Symptoms (55%) were discussed the most, genetic counseling (13%) and prevention (20%) were scarcely mentioned; professionals were more likely to highlight early diagnosis importance. ConclusionsYouTube™ is poorly informational on breast cancer and may be inaccurate in the Arab world where highly used. Although professional uploaders' videos tend to be more adequate, they are of lower quantity and popularity. Governments and physicians should upload more intelligibly informational videos, guide the public for accurate sources, and encourage regulations.

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Harmonising palliative care: a national survey to evaluate the knowledge and attitude of emergency physicians towards palliative care in Kuwait

Cited by 4 publications

References 30 publications

Attitudes and knowledge of emergency doctors towards end-of-life care in the emergency department: a national survey

Attitudes and knowledge of emergency doctors towards end-of-life care in the emergency department: a national survey

Caregivers’ Knowledge of and Attitude towards Palliative Care in Iran

YouTube as a source of information on breast cancer in the Arab world

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