Palliative Care Issues and Challenges in Saudi Arabia

Khraisat, Omar; Hamdan, Mahmoud; Ghazzawwi, Mohannad

doi:10.1177/0825859717743229

Cited by 27 publications

(31 citation statements)

References 15 publications

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“…The odds of nurses' knowledge were 4.64 times more likely among nurses who were trained on palliative care than those who were not trained on palliative care. This finding was in agreement with studies conducted in Iran, Greece, and Spain [ 3 , 9 , 31 ]. The possible reason might be the fact that getting updated training on palliative care raises the knowledge of nurses on palliative care.…”

Section: Discussionsupporting

confidence: 93%

“…In this systematic review and meta-analysis, the pooled prevalence of the level of nurses' knowledge about palliative care in Ethiopia was 45.57% (95% CI: 35.27-55.87). is finding is almost similar to those in studies conducted in Pakistan (43.5%) [11], Greece (44.5%) [9], South Korea (48.3%) [29], Mongolia (40%) [10], Iran (39.3%) [3], Manipur (38%) [30], Saudi Arabia (36.5%) [31], India (38%) [2], Sudan (50.9%) [32], Spain (54%) [33], and South Iran (37.95%) [34]. Conversely, it is higher than those in studies done in Udupi district, India (20.5%) [35], Palestine (20.8%) [36], and Guwahati city, India (21%) [37].…”

Section: Discussionsupporting

confidence: 89%

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Knowledge on Palliative Care and Associated Factors among Nurses in Ethiopia: A Systematic Review and Meta-Analysis

Getie

Wondmieneh

Bimerew

et al. 2021

Pain Research and Management

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Background. Palliative care is a multidisciplinary team-based care for patients facing life-threatening illness and their families which addresses their physical, psychological, social, and spiritual needs to improve the quality of care. There is a strategy for an increase in palliative care services by integrating with the healthcare system. Therefore, this systematic review and meta-analysis was aimed to assess the overall pooled prevalence of nurses’ knowledge towards palliative care in Ethiopia. Method. PubMed/MEDLINE, HINARI, EMBASE, Scopus, Google Scholar, and African Journals OnLine (AJOL) were the databases used to search for articles. Cochrane I2 statistics and Egger’s test were done to check heterogeneity and publication bias, respectively. Subgroup analysis by region, study period, and sample size was done due to the presence of heterogeneity. Sensitivity analysis was also done to detect the presence or absence of an influential study. Result. Nine studies with a total of 2709 study participants were included in the final analysis. The overall pooled prevalence of nurses’ knowledge towards palliative care was 45.57% (95% CI: 35.27–55.87). Educational status and palliative care training were significantly associated factors with the level of nurses’ knowledge towards palliative care. B.S. degree holder nurses (AOR = 3.01; 95% CI: 1.50–6.02) and nurses who had palliative care training (AOR = 4.64; 95% CI: 2.37–9.08) were found to be significantly associated factors with the nurses’ level of knowledge. Conclusion. More than half of nurses had poor knowledge of palliative care. Educational status of nurses and palliative care training were significantly associated factors with the nurses’ level of knowledge about palliative care. Therefore, palliative care training and improving nurses’ careers through continuous professional development should be focused on regularly to improve nurses’ knowledge about palliative care.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 89%

Knowledge on Palliative Care and Associated Factors among Nurses in Ethiopia: A Systematic Review and Meta-Analysis

Getie

Wondmieneh

Bimerew

et al. 2021

Pain Research and Management

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“…Consistently, students seemed to believe that burnout is inevitable for palliative care professionals, that loss of distant relationships is easier to deal with, or that remaining at the bedside until death occurs is absolutely crucial and expected for family members. Regarding the latter, while most similar studies yielded opposite responses (Carroll et al, 2005;Brajtman et al, 2007;Al Qadire, 2014;Khraisat, Hamdan and Ghazzawwi, 2017), studies with Korean (Kim et al, 2012)and Spanish(Chover-Sierra, Martínez-Sabater and Lapeña-Moñux, 2017) nurses did reflect similar opinions. Cultural/religious factors that shape the society's expectations and fundamental role of the family in the care of the dying patient may have played a role (Kim et al, 2012).…”

Section: Discussionmentioning

confidence: 89%

“…Attitudes towards death and care for the dying are psychological behaviors learned as part of a person's social and cultural experiences during his/her lifetime (Mastroianni et al, 2015). For healthcare professionals, such attitudes can also be influenced by professional education and real-world clinical experiences (Wang et al, 2018) Existing evidence in undergraduate nursing education suggests only low-tomoderate student knowledge about palliative care (Carroll et al, 2005;Brajtman et al, 2007;Al Qadire, 2014;Khraisat, Hamdan and Ghazzawwi, 2017). Knowledge does seem to improve as students' progress in their academic studies, but it still remains inadequate (Kwekkeboom, Vahl and Eland, 2006;Al Qadire, 2014).…”

Section: Undergraduate Nursing Students' Knowledge About Palliative Cmentioning

confidence: 99%

Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey

Dimoula

Kotronoulas

Katsaragakis

et al. 2019

Nurse Education Today

110

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Background: Ensuring adequate knowledge about palliative care and positive attitudes towards death and dying are crucial educational aspects when preparing undergraduate nursing students to respond effectively to the complexities of care for people affected by a progressive, life-limiting illness. In undergraduate nursing education in Greece, the level of students' attained knowledge and developed attitudes towards palliative and end-of-life care remain unknown. Purpose: To investigate undergraduate nursing students' knowledge about palliative care and attitudes towards death and end-of-life care, and explore demographic and academic factors as potential moderators of student knowledge and attitudes. Methods: We conducted a descriptive, cross-sectional, questionnaire-based survey. We recruited 2 nd , 3 rd and 4 th year undergraduate nursing students from the country's two University Faculties. Participants completed a demographic form, the Palliative Care Quiz for Nursing (PCQN), and the Frommelt Attitudes Towards Care of the Dying (FATCOD) questionnaire. Results: The final sample was 529 students (response rate=87.6%). Mean total PCQN scores revealed low levels of knowledge. Knowledge about pain/symptom management and psychosocial/spiritual care was insufficient. Mean total FATCOD scores indicated positive, liberal and supportive attitudes towards end-of-life care, with 60% of respondents keen to care for a dying person and their family. We noted less positive attitudes mainly in relation to student comfort with the care of a dying person and his/her imminent death. Academic parameters (year of study) and student demographic characteristics (older age) were the most significant moderators of both knowledge and attitudes. Greater knowledge about palliative care was a relatively weak, yet significant, predictor of more liberal attitudes towards care of the dying. Conclusion: Our findings suggest that structured courses in palliative care can be a core part of undergraduate nursing education. Specific attention could be given to such areas patient-health professional communication, misconceptions and biases towards death and dying, and comfort in caring for the dying in order to prepare student nurses to psychologically deal with the sensitive and challenging process of death and dying.

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“…2,3 Research has pointed out that the palliative care approach is applicable globally; however, it is influenced by the culture and religious teachings of the particular country. 4,5…”

Section: Introductionmentioning

confidence: 99%

Self-Assessment of Competence in Palliative Care of Medical Doctors Working in Saudi Arabia

Malibari

Connolly

Aljohani

2020

Am J Hosp Palliat Care

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Background: The provision of palliative care (PC) for individuals with a life-threatening condition is fundamental to the role of the physician, in order to improve quality of life; however, little research has assessed the competence of the physicians in PC in Saudi Arabia. Aim: To conduct a baseline assessment of self-assessed palliative care competences among medical physicians in Saudi Arabia. Design: A survey-based cross-sectional study was employed using a specifically designed questionnaire. Setting: The participants in the study were selected from 6 specialist medical departments (Family medicine, cardiology, internal medicine, pulmonary medicine, neurology and oncology) in 4 Saudi Arabian Hospitals, based on inclusion criteria. Results: The study was conducted using a validated questionnaire used in Ireland to evaluate the competence skills of physicians for the provision of palliative care. All categories showed internal reliability and normal distribution of the data. However, the score of the knowledge, attitude and practice among the physicians was higher than the expected. The clinical specialty of the physicians demonstrated greater influence on knowledge, attitude and practice related to the palliative care compared to medical education. This highlighted the importance of training in palliative care to the medical doctors working in a range of specialist area. Conclusion: The study provides baseline data on the level of competence of palliative care of physicians in Saudi Arabia. This study can be used as an assessment tool to further evaluate the effectiveness of palliative care in other areas as primary and secondary care settings

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Palliative Care Issues and Challenges in Saudi Arabia

Abstract: Integrating palliative care education within the nursing programs is the backbone to improve nursing students' knowledge, namely, in principles of palliative care and symptom management.

Cited by 27 publications

References 15 publications

Knowledge on Palliative Care and Associated Factors among Nurses in Ethiopia: A Systematic Review and Meta-Analysis

Knowledge on Palliative Care and Associated Factors among Nurses in Ethiopia: A Systematic Review and Meta-Analysis

Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey

Self-Assessment of Competence in Palliative Care of Medical Doctors Working in Saudi Arabia

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