Healthcare workers knowledge and attitude toward palliative care in an emerging tertiary centre in South-West Nigeria

Fadare, Joseph; Obimakinde, Abimbola Margaret; Afolayan, Jide Michael; Popoola, Sunday Ogunsuyi; Aduloju, Tolulope; Adegun, Patrick Temi

doi:10.4103/0973-1075.125547

Cited by 18 publications

(25 citation statements)

References 11 publications

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“…This was probably due to lack of correct knowledge. This finding though is represented by few respondents' correlates well with a related study in Nigeria by Fadare, et al [7] and 2016 which showed poor knowledge of health care workers on palliative care and that 90% respondents saying palliative care is the active care of those who are dying but diverges from other study by Glare and Virik [11] whose results emphasized on early integration of palliative care approach for better patient outcomes and improved quality of life of patients and their families. Most of the respondents (58.1%) disagreed with the statement that the philosophy of IPCA is compatible with that of aggressive treatment during end of life stage.…”

Section: Discussion Of Resultssupporting

confidence: 79%

“…Exactly 80.5% (66/82) respondents agreed that palliative care recognizes dying as a normal process while 84.1% (74/88) respondents were of the opinion that all dying patients would require palliative care. The use of morphine would improve the quality of life of patients according to 68.9% (42/61) of respondents [7].…”

Section: Health Workers' Knowledge On Use Of Integrated Palliative Camentioning

confidence: 99%

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The Contribution of Healthcare Workers’ Knowledge on Use of Integrated Palliative Care Approach in the Management of Chronic and Life Threatening Diseases at Kakamega County Referral Hospital, Kenya

Wekesa

Okoth²,

Mutai

et al. 2018

World Scientific Research

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Integrated Palliative care approach (IPCA) is an approach that aims to improve the quality of life of people and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering. However, the use of IPCA in Kenya is low due to lack of access to medicines, technologies and infrastructure. The main objective was to investigate the use of IPCA in the management of chronic diseases at Kakamega County Referral Hospital (KCRH). The study design was a descriptive cross sectional with the quantitative approach. A questionnaire was administered to participants and the data analysis using SPSS. P-value was set at < 0.05. Of the total 196 Health Community Workers (HCWs) selected, a response rate of 95 % (186/196) was register. It showed that 50% males were less likely to have used IPCA as compared to their female counterparts (OR=0.5, 95% CI: 0.3-0.9) and 90% nurses were less likely to practice IPCA as compared to RCOs and MOs (OR=0.1, 95%CI: 0.1-0.5). The overall hypothesis test on the association between knowledge and performance was not significant (OR=1.6; 95% CI: 0.7-3.6, P<.2). The best managed symptoms by majority of respondents were severe diarrhea, anxiety and depression while the poorly managed areas were pain assessment and treatment of dyspnea. In conclusion, the HCWs were knowledgeable about IPCA but few utilized IPCA in managing terminal illnesses. Therefore, is a need to improve the HCWs' skills and performance, increase funding, and improve infrastructure and coordination of use of IPCA.

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Section: Discussion Of Resultssupporting

confidence: 79%

Section: Health Workers' Knowledge On Use Of Integrated Palliative Camentioning

confidence: 99%

The Contribution of Healthcare Workers’ Knowledge on Use of Integrated Palliative Care Approach in the Management of Chronic and Life Threatening Diseases at Kakamega County Referral Hospital, Kenya

Wekesa

Okoth²,

Mutai

et al. 2018

World Scientific Research

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“…Majority of participants believed that people living with HIV/AIDS actually requires palliative care. This shows there is an understanding of the expansion of the scope of palliative from caring for cancer patients to involving HIV infection and other noncommunicable diseases[22].…”

Section: Discussionmentioning

confidence: 99%

Palliative care for people living with HIV/AIDS: Factors influencing healthcare workers’ knowledge, attitude and practice in public health facilities, Abuja, Nigeria

Ajisegiri

Abubakar

Gobir

et al. 2018

Preprint

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21 Physicians, nurses and allied health staff play very vital roles in addressing palliative care (PC) 22 needs of people living with HIV/AIDS (PLWHA). The healthcare professionals' experiences 23 determine the success of palliative care delivery. There is paucity of data on palliative care for 24 PLWHA. For this reason, we assessed the knowledge, attitude and practice of palliative care for 25 PLWHA and associated factors among health care professionals. 26 We conducted a cross-sectional descriptive study among healthcare workers (HCWs) in public 27 health facilities in the Federal Capital Territory, Nigeria between February and May, 2017.28 Multistage sampling technique with proportionate-to-size allocation was used to determine facility 29 sample size and HCWs per professional discipline. Data were collected with questionnaires 30 adapted from Palliative Care Quiz for Nursing, Frommelt Attitude toward Care of the Dying and 31 practical questions adapted from PC standard guidelines. Univariate analysis was done to compute 32 frequencies and proportions. Odd's ratios were calculated to assess the statistical association 33 between variables and P-value ≤ 0.05 was considered significant. Multivariate analysis was 34 conducted on variables that were significant with bivariate analysis. Epi-Info software was used 35 for statistical analyses.36 The mean age of the 348 participants was 37.5 years (SD: ±8.9) and 201 (57.8%) were female. 37 Thirty-six (10.3%) participants had good knowledge, 344 (98.9%) had favourable attitude and 90 38 (25.9%) had good practice of PC for PLWHA. Major determinants of good knowledge of PC 39 include being a doctor (aOR = 2.70; 95%CI: 1.28 -5.56). Determinants of good practice of 40 palliative care include possessing a minimum of a bachelor degree (aOR=2.30; 95%CI : 1.05-5.08) 41 and practicing in a tertiary hospital (aOR=6.67; 95%CI : 3.57-12.5). 3 42 HCWs had favourable attitude towards PC for PLWHA despite an overall poor knowledge and 43 practice. We recommended quality in-service training and continuous education on palliative care 44 for HCWs. 45 Introduction 46 Sub-Saharan Africa is the most affected region in terms of Human Immunodeficiency Virus (HIV) 47 infection ad it harbours about 70% of the global population of people living with HIV/AIDS 48 (PLWHA)[1,2]. Nigeria, being the most populous country in Africa with estimated population of 49 182 million[3] has an estimated national HIV prevalence rate of 3.4%.[4] and that of the Federal 50 Capital Territory, Abuja is 7.5%[5].51 The advent of highly active anti-retroviral therapy (HAART) has transformed HIV infection and 52 AIDS to another chronic illness that can be managed but not cured. Despite the use of HAART, 53 PLWHA still continue to die at a higher rate than the uninfected individuals [6]. These among other 54 issues necessitated the need for palliative care as part management of HIV/AIDS [6,7]. 55 "Palliative care is an approach which improves the quality of life of patients and their families facing 56 life-threate...

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“…There are gaps in the knowledge of PC personnel working in the field of PC and their capacities are needed to be improved by some applications [9]. Therefore, it is thought that in our country education has an important place in the integration of the new practice of PC into the health system.…”

Section: Discussionmentioning

confidence: 99%

“…In the studies aiming to determine the perception of nurses to the PC, the themes of the definition, meaning, communication, delivering service, conditions related with the implementation, family education/ importance, collaboration, labour force, education and needs of the PC are found [9,[12][13][14].…”

Section: Discussionmentioning

confidence: 99%

The views of nurses working at palliative care centers about palliative care and the influence of education on their knowledge level

Dinçer¹,

Torun²

2017

Med-Science

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This study is conducted as a qualitative research in order to determine the effect of education on knowledge level and attitudes of nurses about palliative care (PC). 42 nurses participated in this work voluntarily. Open-ended questions are used in order to measure the knowledge level and attitudes of the nurses about the palliative care. 10 open-ended questions are asked to participants before training (both theoretical and practical training), and 12 open-ended questions are asked after training. The obtained data are subjected to thematic analysis. 6 main themes are found out as a result of the study: "The Meaning of Palliative", "Improving the Quality of Life", "A Great Part of Care: Patient's Family/Relatives", "Incompletenesses", "Communication and Colloboration" and "Difficulties". Before and after the training, differences are seen in the knowledge level and attitudes of the participants in palliative care, in the sub-categories of the meaning of the palliative care and in improving the quality of life and in the category of ethical dilemmas. As a result, it is observed that the knowledege level of the nurses working in the palliative care centers (PCCs) has improved and developed after the training program. Palliative care has an important place in maintaining the integration of palliative care to health care services.

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Healthcare workers knowledge and attitude toward palliative care in an emerging tertiary centre in South-West Nigeria

Cited by 18 publications

References 11 publications

The Contribution of Healthcare Workers’ Knowledge on Use of Integrated Palliative Care Approach in the Management of Chronic and Life Threatening Diseases at Kakamega County Referral Hospital, Kenya

The Contribution of Healthcare Workers’ Knowledge on Use of Integrated Palliative Care Approach in the Management of Chronic and Life Threatening Diseases at Kakamega County Referral Hospital, Kenya

Palliative care for people living with HIV/AIDS: Factors influencing healthcare workers’ knowledge, attitude and practice in public health facilities, Abuja, Nigeria

The views of nurses working at palliative care centers about palliative care and the influence of education on their knowledge level

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