Nurses’ Knowledge of Palliative Care and Its Related Factors

Paknejadi, Fatemeh; Hasavari, Farideh; Mohammadi, Tahereh; Leili, Ehsan Kazemnejad

doi:10.32598/jhnm.29.4.236

Cited by 18 publications

(39 citation statements)

References 19 publications

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“…Having a bachelor of science or a higher degree in nursing, working in an emergency department, having a daily experience of caring for chronically ill patients, and taking part in a training on the end-of-life care were significantly associated with good knowledge of nurses toward the end-of-life care [ 28 ]. Nurses with a poor understanding of palliative care were the main limitation to providing excellent palliative care [ 3 ]. The level of knowledge of nurses as well as experience in advance directives (ADs) discussions reported a moderate level of confidence to explain ADs to patients and their families [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

“…A previous study reported that providing DNR information to the patient was important, but a few nurses and physicians stated that they often discuss DNR with patients before issuance [ 2 ]. The better the nursing staff’s knowledge and attitude toward the terminal patients’ care, the more confident they can be in discussing DNR and hospice care with terminal patients and their families [ 3 ]. DNR discussion should be carried out as early as possible when the patient is relatively healthy and is still able to understand its undertakings, as well as provide a reference for the terminal patient and family members to make medical decisions to provide better care [ 2 , 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

Chang

Hung

et al. 2020

IJERPH

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This study aimed to elucidate the predictors and the effects of path modeling on the knowledge, attitude, and practice toward do-not-resuscitate (DNR) among the Taiwanese nursing staff. This study was a cross-sectional, descriptive design using stratified cluster sampling. We collected data on demographics, knowledge, attitude, and practice as measured by the DNR inventory (KAP-DNR), Mindful Attention Awareness Scale, General Self-Efficacy Scale, and Dispositional Resilience Scale. Participants were 194 nursing staff from a medical center in northern Taiwan in 2019. The results showed that participation in DNR signature and education related to palliative care were significant positive predictors of knowledge toward DNR. The DNR predictors toward attitude included DNR knowledge, mindfulness, self-efficacy, dispositional resilience, and religious belief of nurses. Generally, the critical predictors of DNR practice were DNR attitude, dispositional resilience, and male nurses. In path modeling, we identified that self-efficacy, dispositional resilience, master’s degree, and religious belief directly influenced practice constituting DNR. Based on the findings of this study, we propose that nurses should improve their self-efficacy and dispositional resilience through training programs. Encouraging staff to undertake further education and have religious beliefs can enhance the practice of DNR and provide better end-of-life care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

Chang

Hung

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Having a bachelor of science or a higher degree in nursing, working in an Emergency department, having a daily experience of caring for chronically ill patients and taking part in a training on end of life care were signi cantly associated with good knowledge of nurses toward the end of life care [21]. Nurses with poor knowledge of palliative care were the main limitation to providing good palliative care [3]. The level of knowledge of nurses as well as experience in advance directives (ADs) discussions reported a moderate level of con dence to explain ADs to patients and their families [22].…”

Section: Factors Affecting the Kap-dnr Among Nursesmentioning

confidence: 99%

“…The level of knowledge of nurses as well as experience in advance directives (ADs) discussions reported a moderate level of con dence to explain ADs to patients and their families [22]. Nurses can improve their knowledge through in-service education and on job retraining to promote the quality of palliative care services for the patients [3]. Therefore, it is crucial to participate in the DNR signature with patients or family and receive education related to palliative care to improve the nurses' knowledge toward DNR.…”

Section: Factors Affecting the Kap-dnr Among Nursesmentioning

confidence: 99%

“…A previous study reported that providing DNR information to the patient was important, but a few nurses and physicians stated that they discussed DNR with patients before issuance [2]. The better the nursing staff's knowledge and attitude towards the terminal patients' care, the more con dent they can be in discussing DNR and hospice care with terminal patients and their families [3]. Additionally, DNR discussion should be carried out as early as possible when the patient is relatively healthy and is still able to understand its undertakings, as well as provide a reference for the terminal patient and family members to make medical decisions to provide better care [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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The effect of practice toward do-not-resuscitate among Taiwanese nursing staff using path modeling

Chang

Hung

et al. 2020

Preprint

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Background: Do-Not-Resuscitate (DNR) is signed to prevent patients from receiving invalid treatment at the end of life or near death. Nurses play an important role to discuss the DNR with patients or the patients’ family members. However, research focusing on the relationship between the knowledge, attitude and practice of a DNR using path modeling in nursing staff is limited. Therefore, this study aimed to elucidate the effect of path modeling on the knowledge, attitude, and practice toward DNR among the Taiwanese nursing staff.Methods: This was a cross-sectional, descriptive design using a simple random sampling. Data on demographics, knowledge, attitude, and practice as measured by the DNR inventory (KAP-DNR), Mindful Attention Awareness Scale, General Self-Efficacy Scale, and Dispositional Resilience Scale was collected. Participants were 194 nursing staff from a medical center in northern Taiwan in 2019. We performed descriptive statistics, regression analysis, and path modeling using SPSS 22.0 and set p <0.05 as the statistical significance threshold. Results: The results showed that participation in DNR signature and education related to palliative care were positive significant predictors of knowledge towards DNR. The DNR predictors toward attitude included DNR knowledge, mindfulness, self-efficacy, dispositional resilience, and religious belief of nurses. Generally, the key predictors of DNR practice were DNR attitude, dispositional resilience, and male nurses. In path modeling, we identified that self-efficacy, dispositional resilience, master’s degree, and religious belief directly influenced practices constituting DNR. Conclusion: Based on the findings of this study, it is proposed that nurses should improve their self-efficacy and dispositional resilience. Encouraging staff to undertake further education and have religious beliefs can improve the practice of DNR and provide better end of life care.

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Nurses knowledge of palliative care: systematic review and meta-analysis

Wang²,

Liang

et al. 2023

BMJ Support Palliat Care

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Lack of knowledge about palliative care is one of the most common reasons for hindering the delivery of high-quality palliative care. Nurses play a major role in providing palliative care, and the degree of their mastery of this knowledge is crucial to whether they can effectively deliver the ideal palliative care. Therefore, it is necessary to understand the level of palliative care knowledge in this population. As of 8 November 8, 2022, we performed systematic searches in 10 databases. Meta-analysis of quantitative data that measuring the level of palliative care knowledge of nurses using the Palliative Care Quiz for Nursing (PCQN) was conducted using Stata software (version: V.15). A pooled mean score <10 indicated a low/insufficient knowledge level. The funnel plot and Egger’s regression test were used to detect publication bias, and finally, the robustness of the results was evaluated through sensitivity analysis. The pooled mean score for the level of nurses’ knowledge of palliative care was 9.68 (95% CI: 9.40 to 9.96). Among the three dimensions of the PCQN scale, the pooled mean score for the ‘“Philosophy and Principles of Palliative Care’” section was 1.73 (95% CI: 1.38 to 2.08); the ‘“Pain and Other Symptom Control’” section was 6.73 (95% CI: 6.41 to 7.05); and the ‘“Psychological, Spiritual and Social Care’” section was 1.21 (95% CI: 0.72 to 1.69). It can be seen that nurses’ mastery of palliative care knowledge is not sufficient. It is recommended that relevant departments formulate and promote the implementation of targeted measures to improve the knowledge level of this population.

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Nurses’ Knowledge of Palliative Care and Its Related Factors

Cited by 18 publications

References 19 publications

The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

The Effect of Practice toward Do-Not-Resuscitate among Taiwanese Nursing Staff Using Path Modeling

The effect of practice toward do-not-resuscitate among Taiwanese nursing staff using path modeling

Nurses knowledge of palliative care: systematic review and meta-analysis

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