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

Martín-Martín, Jaime; López-García, Mónica; Medina-Abellán, María; Beltrán-Aroca, Cristina M.; Martín‐de‐las‐Heras, Stella; Rubio, Leticia; Pérez-Cárceles, María D.

doi:10.3390/ijerph18095031

Cited by 9 publications

(4 citation statements)

References 36 publications

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“…This finding was lower than the studies conducted in Saudi Arabia (63.1%), 35 Spain (54%), 36 Nigeria (94.6%), 37 and Malaysia (75%). 38 This finding was consistent with the studies conducted in Sudan (50.9%), 39 India (38%), 40 Mongolia (39.5%), 41 South Korea (48.3%), 42 India (46%), 43 Spain (34.41%), 44 and Saudi Arabia (38%). 45 However, this finding was higher than the studies done in India (20.5%), 46 Palestine (20.5%), 47 India (6.06%), 48 Vietnam (25.80%), 49 and Greece (26%).…”

Section: Discussionsupporting

confidence: 89%

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Knowledge and associated factors towards palliative care among nurses in Ethiopia: A systematic review and meta-analysis

Wake

2022

SAGE Open Medicine

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Palliative care is a holistic care that emphasises on relieving pain and other symptoms of a critical illness, irrespective of age, diagnosis, or stage of illness. It improves the quality of life of the individual. Since nurses spend the longest time with patients, they are the heart of the palliative care team who deliver high standards of care. This study was intended to assess the pooled prevalence of knowledge and associated factors towards palliative care among nurses in Ethiopia. During this study, a comprehensive search was performed by using different databases. A funnel plot and Egger’s test were used to evaluate a publication bias. I2 statistic was used to check the heterogeneity between the studies. The subgroup analysis was also conducted for this study. A total of 11 studies with 3330 study participants were included in this systematic review and meta-analysis. The systematic review and meta-analysis showed that the pooled prevalence of knowledge towards palliative care among nurses in Ethiopia was 42.31% (95% confidence interval = [32.41, 52.21]). Educational status (adjusted odds ratio = 2.69, 95% confidence interval = [1.11, 4.25]), experience of caring for a dying patient (adjusted odds ratio = 3.15, 95% confidence interval = [1.17, 5.13]), and training on palliative care (adjusted odds ratio = 2.53, 95% confidence interval = [1.42, 3.64]) were factors significantly associated with the knowledge of nurses towards palliative care. This study indicated that the pooled prevalence of knowledge towards palliative care among nurses in Ethiopia was low. Educational status, experience of caring for a dying patient, and training on palliative care were factors significantly associated with the knowledge of nurses towards palliative care. Thus, training on palliative care and education is suggested for nurses to improve their knowledge towards palliative care. Systematic review registration: PROSPERO CRD42021247590

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Section: Discussionsupporting

confidence: 89%

“…This was supported by researches done in Spain, Palestine, and six European countries. 44 , 47 , 51 This could be because the training would fill the gap of the knowledge of the nurses. Training on palliative care would improve the knowledge of the nurses concerning this issue.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and associated factors towards palliative care among nurses in Ethiopia: A systematic review and meta-analysis

Wake

2022

SAGE Open Medicine

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“…Education should focus on non-health professionals who have greater gaps in knowledge about PC [ 10 ] and on the general population who have knowledge deficits [ 18 ]. Moreover, health courses and continuing education, which reveal greater gaps [ 19 ], should be optimized to provide professionals with skills to identify needs, refer patients to specialized services, and deliver quality targeted care [ 20 , 21 ]. The barrier to knowledge about palliative care is important, and there is a need to implement community education and awareness actions in parallel with the establishment of services [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Palliative Care in Portugal—From Intention to Reality, What Is Yet to Be Accomplished

Marques,

Rêgo,

Nunes

2023

Nursing Reports

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Objectives: This article focuses on exploring the evolution of palliative care in Portugal. Ten years after the approval of its Basic Law, the aim was to investigate the quality of the path followed and the guidelines that could promote its development. Thus, this study sought to identify (a) the goals of the current members of parliament concerning palliative care, (b) the major priorities that should guide the development of palliative care in the coming decade, (c) the facilitating or hindering factors to accelerating the process, and (d) to propose consensually agreed measures for the integral development of palliative care within the health system. Methods: The qualitative data analysis was performed through the reading of the literature and interviews conducted via Zoom with several intentionally chosen participants. The data extracted from the previous studies were analyzed in a focus group. The NVivo® 10 was used for the data processing and categorization. Results: Three key themes emerged concerning the current status of palliative care: the policymakers, the health professionals, and the society. This first line of structuring is explained by a second set of categories, namely, (a) the knowledge about palliative care; and (b) palliative care organization from the policymakers’ perspective. In the health professionals’ domain: (a) knowledge about palliative care, (b) clinical training, and (c) medical specialty. Finally, in society: (a) knowledge about palliative care. Significance of the results: Advancing general education, increasing the qualitative training for different health professionals, reformulating the laws supporting them, promoting the flexibility of the implementation methodologies, and establishing a medical specialty are crucial to achieving the proposed goal. This study was not registered.

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“…Att vårdpersonal får möjlighet till utbildning och träning inom palliativ vård har beskrivits som ett av de mest elementära redskapen för att en organisation ska kunna tillfredsställa patienters och närståendes behov av palliativa insatser (113,114). Tid för reflektion och minskad etisk stress kan vara en möjlighet för vårdpersonal att känna att de lever upp till god palliativ vård, idag saknas det ibland utrymme för det utifrån de organisatoriska förutsättningarna (115,116).…”

Section: Vårdpersonalenatt Vårda Patienter Med Palliativa Vårdbehovunclassified

Samtal vid allvarlig sjukdom - Kronobergsmodellen

Granat

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Aim: The overall aim of this thesis was to explore clinicians’ perceptions and self-efficacy regarding the use of the ‘Serious illness conversation’ structured workflow, and to explore their self-efficacy in caring for patients with palliative care needs. Methods: This thesis is comprised of four studies: two qualitative studies, one methodological study, and one quantitative study. In studies I and II, observations of clinic meetings and training sessions were undertaken with clinicians. Interviews were performed and a thematic analysis was conducted. In study III, the Self-Efficacy in Palliative Care scale (SEPC) was translated, adapted, and validated. In study IV, the SEPC-SE was completed by nurses and physicians. Factor analysis and Cronbach's alpha were calculated, and the Mann-Whitney U test was used to compare self-efficacy. Multiple linear regression was used to explore associated factors. Results: In study I, clinicians expressed that working with serious illness conversations was vital, but the conversations were also considered in terms of risks. The conversation training sessions created feelings of exposure but were perceived to be rewarding due to an increase in self-awareness. Obstacles in practice were identified as barriers to change. Study II showed that positive experiences and the group’s level of support, consensus, and behaviour was important for self-efficacy. Some clinicians were affected by perceived high demands, failures, anxiety, stress, when working with serious illness conversations. Study III showed that the SEPC-SE needed improvements in understandability and clarity. In study IV, the SEPC-SE reported high reliability. Physicians reported higher self-efficacy than nurses. Education at work and experience in advanced homecare had the strongest associations with self-efficacy. Conclusions: Implementing serious illness conversations can increase clinicians’ awareness about the importance of engaging in serious illness conversations and thus contribute to increased motivation through behavioural and attitudinal changes. However, building a support system for clinicians within the organisation seems essential for improving self-efficacy. The SEPC-SE was found to be valid and reliable. Clinicians’ estimation of their perceived self-efficacy indicates that healthcare organisations should prioritise work-related education and experience to improve self-efficacy in providing palliative care.

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

Cited by 9 publications

References 36 publications

Knowledge and associated factors towards palliative care among nurses in Ethiopia: A systematic review and meta-analysis

Knowledge and associated factors towards palliative care among nurses in Ethiopia: A systematic review and meta-analysis

Palliative Care in Portugal—From Intention to Reality, What Is Yet to Be Accomplished

Samtal vid allvarlig sjukdom - Kronobergsmodellen

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