Predicted difficulties, educational needs, and interest in working in end of life care among nursing and medical students

Dobrowolska, Beata; Mazur, Ewelina; Pilewska–Kozak, Anna B.; Dońka, Katarzyna; Kosicka, Bogumiła; Palese, Alvisa

doi:10.1016/j.nedt.2019.08.012

Cited by 18 publications

(25 citation statements)

References 23 publications

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“…It was communication with relatives what worried students the most and felt the least competent in. This is in accordance with a previous study that showed how communication with the family of a dying patient and management of their reactions were considered the most difficult tasks for nursing students (Dobrowolska et al, 2019).…”

Section: Fear and Questioning Regarding Care For Terminally Ill Patientssupporting

confidence: 93%

“Do Not Protect Us, Train Us.”—Swiss Healthcare Students’ Attitudes Toward Caring for Terminally Ill Patients

et al. 2021

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Positive attitudes and a sense of competence toward end-of-life care are the key to adequately support terminally ill patients. This qualitative study aims to explore healthcare students’ attitudes toward caring for terminally ill patients. Eleven students from the University of Applied Health Sciences in Switzerland participated in focus groups. Attitudes were overall positive. Most participants felt that supporting dying patients was a way to achieve professional fulfillment. However, most students felt not competent in palliative care and lacking experience. They wanted to receive better training, more specifically in good practices and appropriate behaviors. Our study fills a knowledge gap regarding the opinions and pedagogical needs of healthcare students, and highlights the importance of experiencing end-of-life care during the educational process. We recommend early exposure to terminally ill patients and appropriate attitudes toward death and dying as part of the bachelor’s curriculum, accompanied by benevolent guidance from teachers and health professionals.

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Section: Fear and Questioning Regarding Care For Terminally Ill Patientssupporting

confidence: 93%

“Do Not Protect Us, Train Us.”—Swiss Healthcare Students’ Attitudes Toward Caring for Terminally Ill Patients

et al. 2021

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“…The surveyed students also anticipated that they would have difficulties while providing care to dying patients, related to psychosocial aspects of EOLC, communication with dying patients, cooperation and interaction with patients' families, and coping with the emotions experienced when seeing a dying person. 29 We believe that more attention should be paid to these issues at the undergraduate and, even more so, at the graduate level. The Polish education system should be given clear guidelines for developing and improving the education standards for the professions of physician, nurse, midwife, and paramedic, amended in 2019.…”

Section: Discussionmentioning

confidence: 99%

“…Cross-field education should be promoted, in particular addressing the psychosocial aspects of EOLC. 29 Our findings can have the following implications for clinical practice: (a) filling in gaps in the curricula of postgraduate programs for ICU nurses, (b) revised mission and objectives of ICUs, (c) organizational changes to facilitate the arrangement of ICU beds to EOLC patients, (d) increased support for and psychological monitoring of EOLC nurses, and (e) availability of guidelines on how to handle communication with families and how to consult within interdisciplinary ICU teams.…”

Section: Discussionmentioning

confidence: 99%

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Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study

Ozga

Woźniak

Gurowiec

2020

Glob Adv Health Med

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Background: With advances in medicine and technology, intensive care units (ICUs) have the capacity to treat patients who would have previously not been expected to survive and would therefore not have been managed in ICUs. When an individual is not expected to survive, doctors and nurses face the modern ethical dilemma of death associated with withdrawal of life-supporting strategies. The aim of this study was to identify difficulties perceived by ICU nurses providing endof-life care (EOLC) in Poland. Methods: The qualitative study was designed to investigate the difficulties, and the related barriers, to EOLC provided in ICUs in Poland. We conducted individual telephone interviews with ICU nurses from across Poland. Results: The main issues raised during the interviews included (1) barriers attributable to the hospital, (2) barriers related to the patient's family, and (3) barriers related to the ICU personnel providing direct EOLC. The interviewed nurses considered the lack of support from managers to be the main barrier. We found that ICU nurses in Poland dealt with end-of-life aspects that were emotionally and psychologically taxing. In addition, they lacked specialized training in this area, especially with regard to family care and care provision. Conclusions: A pressing need exists to improve facilities and make equipment ensuring a desirable standard of care more available. Specialized palliative care training programs should be incorporated into compulsory nursing curricula for ICU nurses.

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“…Students ask for instruction and training regarding attitudes toward death and dying through experiencebased teaching (37). Education is effective in improving students' knowledge and attitudes towards PC, however, some studies highlight the need for more high-quality, long-term trials on the effect of PC education to determine the most effective model of PC´s curriculum (19).…”

Section: Death and End-of-life Issuesmentioning

confidence: 99%

Knowledge in Pain and Palliative Care in Medical Students From 2 Universities in Mozambique: A Cross Sectional Study

Pinto¹,

Schwalbach²,

Gonçalves³

et al. 2020

Preprint

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Background: Palliative Care (PC) needs have been increasing in low- and middle-income countries. The education of its contents avoids the patients and families´ suffering and therapeutic futility. Aim: to assess the pain and palliative care´s knowledge in Mozambican medical students of the fifth and sixth years. Methods: A cross–sectional study was conducted between August 2018 and July 2019. Data was collected by applying a self-administered survey directed to students from 2 medical schools in Mozambique. Comparison of answer’s frequencies between hospitals was performed using chi-square and Fisher’s exact test. Results: From the 146 participants, 52.7% were female and the median age was 24 years old. Regarding general knowledge: 90.1% think they need to improve their knowledge on pain management, 50.3% of the participants did not know the palliative care World Health Organization´s (WHO) definition. Concerning to therapeutic approach, 36.4% did not have knowledge in control of symptoms, 43.7% did not know the WHO pain management scale, 65.3% did not know how to initiate analgesia for cancer pain. There are significant differences between universities in training related to medical posture on communication to bad news to patients and family as well as training in terminally ill patients. Conclusion: Results show that students from these 2 medical schools have gaps in pain and palliative care knowledge. There is a need to introduce palliative care education in medical training in Mozambique.

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Predicted difficulties, educational needs, and interest in working in end of life care among nursing and medical students

Cited by 18 publications

References 23 publications

“Do Not Protect Us, Train Us.”—Swiss Healthcare Students’ Attitudes Toward Caring for Terminally Ill Patients

“Do Not Protect Us, Train Us.”—Swiss Healthcare Students’ Attitudes Toward Caring for Terminally Ill Patients

Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study

Knowledge in Pain and Palliative Care in Medical Students From 2 Universities in Mozambique: A Cross Sectional Study

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