Palliative care undergraduate education: Do medical and nursing students need more skills in ethical and legal issues?

Rubio, Leticia; López-García, Mónica; Gaitán-Arroyo, María J.; Martín-Martín, Jaime; Santos-Amaya, Ignacio Miguel

doi:10.1016/j.mehy.2020.110138

Cited by 12 publications

(7 citation statements)

References 30 publications

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“…Seven items (8,9,11,13,14,26,28) were selected in both studies. Five items (3,5,6,7,15) were only retained in the previous study of the authors [16] and 2 items (25,29) were isolated in the study of Browall and colleagues [17]. Considering the results of these two independent revisions, a joint set of 14 items was tested using IRT models (partial credit model (PCM) and rating scale model (RSM) specifications).…”

Section: Resultsmentioning

confidence: 99%

“…Accordingly, there has been an increase in palliative care curricula in medical and nursing schools in recent decades worldwide. Medical educators have defined guidelines on essential contents for adequate training in palliative care and proposed teaching methods to train medical and nursing students on interpersonal and communication skills in end-of-life care, often from a teaching perspective [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Shortening the Frommelt Attitude Toward the Care Of the Dying Scale (FATCOD-B): a Brief 9-Item Version for Medical Education and Practice

et al. 2021

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End-of-life care training has gaps in helping students to develop attitudes toward caring for the dying. Valid and reliable assessment tools are essential in building effective educational programmes. The Frommelt Attitude Toward the Care Of the Dying scale (FATCOD-B) is widely used to measure the level of comfort/discomfort in caring for the dying and to test the effectiveness of end-of-life care training. However, its psychometric properties have been questioned and different proposals for refinement and shortening have been put forward. The aim of this study is to get to a definitive reduction of the FATCOD-B through a valid and parsimonious synthesis of the previous attempts at scale revision. Data were gathered from a sample of 220 medical students. The item response theory approach was used in this study. Of the 14 items selected from two previous proposals for scale revision, 3 had a weak correlation with the whole scale and were deleted. The resulting 11-item version had good fit indices and withstood a more general and parsimonious specification (rating scale model). This solution was further shortened to 9 items by deleting 2 of 3 items at the same level of difficulty. The final 9-item version was invariant for gender, level of religiosity and amount of experience with dying persons, free from redundant items and able to scale and discriminate the respondents.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Shortening the Frommelt Attitude Toward the Care Of the Dying Scale (FATCOD-B): a Brief 9-Item Version for Medical Education and Practice

et al. 2021

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“…However, the level of knowledge in the palliative care of nurses is increasing due to the inclusion of expert personnel in hospital teams [ 25 ]. The difference in knowledge between physicians and nurses is also related to the undergraduate training that they receive [ 32 ]. Furthermore, it must be taken into account that the duration of the undergraduate training is longer for physicians than for nurses.…”

Section: Discussionmentioning

confidence: 99%

“…Other studies have reported that the attitude is a key element in the level of knowledge in palliative care [ 22 , 34 ], since a higher knowledge could be associated with a more positive attitude. Therefore, to improve the training of future professionals, it would be necessary to implement specific training in palliative care at all universities [ 32 , 40 ]. According to our results, nursing and medicine educational plans should be improved in order to cover specific palliative care knowledge gaps, including pain and dyspnea management for nurses, and philosophy dimension for physicians.…”

Section: Discussionmentioning

confidence: 99%

Physicians’ and Nurses’ Knowledge in Palliative Care: Multidimensional Regression Models

Martín-Martín

López-García

Medina-Abellán

et al. 2021

IJERPH

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The increase in life expectancy has led to a growth in the number of people in need of palliative care. Health professionals must possess appropriate knowledge and skills. This study aimed to assess knowledge in palliative care through the Palliative Care Knowledge Test Spanish Version (PCKT-SV)®. A cross-sectional analytical study was conducted in 40 primary care health services. A total of 600 PCKT-SV questionnaires were distributed among health professionals; 561 of them (226 nurses and 335 physicians) were properly filled up. Sociodemographic information, education, and work experience were also recorded. A total of 34.41% of the nurses and 67.40% of the physicians showed good or excellent knowledge of palliative care. Physicians’ scores for pain, dyspnea, and psychiatric disorders were higher than those of the nurses. Nurses scored significantly better in philosophy. Professionals with continuous training in palliative care showed a higher level of knowledge. Age and work experience of physicians and undergraduate training in nurses had significant weight in knowledge. Developing continuous training and enhancing undergraduate training in palliative care will lead to improved patient care at the end of life.

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“…In recent years, this training has been progressively included in the degree programs of different faculties in Spain, despite not being offered in all of them [ 28 , 29 ]. In addition, professionals can have access to different ongoing training programs on this topic, always depending on their personal and professional interests.…”

Section: Introductionmentioning

confidence: 99%

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

Martínez-Sabater

Chover-Sierra

2021

IJERPH

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(1) Background: Nurses can find people with advanced diseases or in their last days of life during their professional careers and in many different care settings. For this reason, they need to have at least a basic level of palliative care education since they are the professional cohort treating these patients in a very close way. This research aims to determine the level of knowledge in palliative care of Spanish nurses and establish any possible difference based on their experience and training in palliative care. (2) Methods: A cross-sectional design using survey methods (distributed an online questionnaire) aimed at Spanish registered nurses. A validated questionnaire (PCQN-SV) was used to determine the level of knowledge in palliative care; information on some variables to characterize the population was also collected (experience and education in palliative care, years of professional experience, academic level, and others). Uni and bivariate descriptive analyses were performed. A binary logistic regression model was also developed to identify those variables that influenced obtaining results higher than the population’s average. (3) Results: Spanish nurses have a medium–low level of knowledge in palliative care, higher in those who have previous experience or education in this area. Statistically significant differences were also found according to the area in which their caring activity was developed. (4) Conclusions: It is necessary to implement strategies for the basic training of nursing professionals in palliative care to offer quality care to people in advanced stages of illnesses or at the end of their lives.

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Palliative care undergraduate education: Do medical and nursing students need more skills in ethical and legal issues?

Cited by 12 publications

References 30 publications

Shortening the Frommelt Attitude Toward the Care Of the Dying Scale (FATCOD-B): a Brief 9-Item Version for Medical Education and Practice

Shortening the Frommelt Attitude Toward the Care Of the Dying Scale (FATCOD-B): a Brief 9-Item Version for Medical Education and Practice

Physicians’ and Nurses’ Knowledge in Palliative Care: Multidimensional Regression Models

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

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