Influence of Palliative Care Training on Nurses’ Attitudes towards End-of-Life Care during the COVID-19 Pandemic in Spain

Chisbert-Alapont, Encarna; García-Salvador, Isidro; Ossa-Sendra, María Jesús De La; García-Navarro, E. Begoña; Rica-Escuín, Marisa de la

doi:10.3390/ijerph182111249

Cited by 7 publications

(3 citation statements)

References 28 publications

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“…The definition of HPC expertise during the pandemic, especially in quickly formed COVID-19 PC units, was sometimes rather broad, as not all staff were trained PC experts [31,49,76]. Overall, with PC being only scarcely considered in disaster response, it was left to individuals with or without PC expertise at the micro level to balance ICP measures and care needs, while coordination from macro levels was lacking or only slowly developed [49].…”

Section: Lack Of Information and Expertisementioning

confidence: 99%

Hospice and Palliative Care during Disasters: A Systematic Review

Plagg,

Ballmann,

Ewers

2023

Healthcare

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Providing and maintaining hospice and palliative care during disasters poses significant challenges. To understand the impact of disasters on the provision of hospice and palliative care and the disaster preparedness initiatives in the field, a systematic review was undertaken. Eligibility criteria for the selection of studies were: peer-reviewed original research papers addressing HPC during disasters published between January 2001 and February 2023 in English. The databases CINAHL, MEDLINE, APA PsycInfo, APA PsycArticles, and SocINDEX were searched with textword and MeSh-terms between October 2022 and February 2023. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the studies. Content analysis was performed. The results are presented in the form of a narrative synthesis. Of 2581 studies identified, 57 met the inclusion criteria. Most studies were published recently on the impact of the COVID-19 pandemic. Four main themes were identified in the literature: disruption of the system, setting-specific differences, emotional challenges, and system adaptation. Overall, strategies to tackle hospice and palliative care needs have been poorly integrated in disaster preparedness planning. Our findings highlight the need to strengthen the resilience of hospice and palliative care providers to all types of disasters to maintain care standards.

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Section: Lack Of Information and Expertisementioning

confidence: 99%

Hospice and Palliative Care during Disasters: A Systematic Review

Plagg,

Ballmann,

Ewers

2023

Healthcare

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“…There is limited data on attitudes towards death among Occupational Therapy students since the literature on the measurement of this construct is relatively new. In this sense, we need tools that allow measuring this construct, providing greater evidence, since the evaluation of attitudes towards death is increasingly used in teaching, both in the clinical setting and in research [ 25 – 27 ].…”

Section: Introductionmentioning

confidence: 99%

Validation of the Collett-Lester fear of death scale in occupational therapy students: psychometric testing and implications for palliative care education

Gutiérrez-Sánchez,

López-Leiva,

Martín-de-las-Heras

et al. 2024

BMC Palliat Care

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Background The fear of death is a common experience among healthcare students and professionals that may impact the quality of care provided to patients, particularly those receiving palliative care. The Collett-Lester Fear of Death Scale is a widely used instrument to assess this fear, although its psychometric properties have not been extensively studied in Occupational Therapy students. The present study aimed to validate the Collett-Lester Fear of Death Scale (CL-FODS) in a sample of Occupational Therapy students and to explore its implications for palliative care education. Method A cross-sectional study was conducted to perform psychometric testing of the CL-FODS in Occupational Therapy undergraduate students. Structural validity, internal consistency, and test-retest reliability were analysed. A total of 195 Occupational Therapy students were included in this study. Additionally, the participants completed a brief survey on their experiences and attitudes towards palliative care. Results The internal consistency was satisfactory (α = 0.888). The exploratory factor analysis to evaluate the internal structure yielded four factors. The model fit indices were: comparative fit index = 0.89, and root mean square error of approximation = 0.06). The test–retest reliability was satisfactory and demonstrated an intraclass correlation coefficient of 0.939. Conclusion The Spanish version of the CL-FODS showed satisfactory psychometric properties; therefore, assessing fear of death in Occupational Therapy students is helpful. This study highlights the importance of addressing fear of death and palliative care education in Occupational Therapy undergraduates to improve future professional attitudes and, consequently, the quality of patient care at the end of life.

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“…On the other hand, the peaceful end of life theory focuses on the structural setting, that is, the family system, which includes both the terminally ill patient and all other family members who are being cared for in an acute care setting. Quality of life is therefore seen as an essential concept in providing high quality EoLC [22,23]. Ruland and Moore [19] assume that feelings and events during the end of life experience are individualized and personal.…”

Section: Introductionmentioning

confidence: 99%

Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines

Jimenez

Trajera

Ching

2022

IJERPH

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In the midst of COVID-19, radical change in the work environment further exacerbated the detrimental effects of critical illness in the intensive care unit (ICU). This may be heightened if the patient experiences a lamentable end-of-life experience due to inadequate end-of-life care (EoLC). Anchoring on the theory of bureaucratic caring and the peaceful end-of-life theory, insights can be gained into the motivations and behaviors that support the delivery of palliative care during COVID-19. With this having been having said, the objective of this study was to use a narrative approach to examine the lived experience of 12 nurses who provided EoLC in the COVID-19 ward of several hospitals in the Western Philippines. Participants’ narratives were transcribed, translated and analyzed. Among the themes that have emerged are: establishing a peaceful journey to death, holistic caring for the end of life, venturing into risky encounters in the call of duty, staying close amidst the reshaped work environment, and preparing the family life after a loved one’s departure. The study identified the importance of assisting patients on their journey to a peaceful death, but this journey was also accompanied by a sense of self-preservation and safety for colleagues and families.

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Influence of Palliative Care Training on Nurses’ Attitudes towards End-of-Life Care during the COVID-19 Pandemic in Spain

Cited by 7 publications

References 28 publications

Hospice and Palliative Care during Disasters: A Systematic Review

Hospice and Palliative Care during Disasters: A Systematic Review

Validation of the Collett-Lester fear of death scale in occupational therapy students: psychometric testing and implications for palliative care education

Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines

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