Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study

Krautheim, Veronika; Schmitz, Andrea; Benze, Gesine; Standl, Thomas; Schießl, Christine; Waldeyer, Wolfgang; Hapfelmeier, Alexander; Kochs, Eberhard; Schneider, Gerhard; Wagner, Klaus J.; Schulz, Christian

doi:10.1186/s12904-017-0244-6

Cited by 17 publications

(16 citation statements)

References 27 publications

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“…The lack of preparedness of students and professionals is a common feature in the scientific literature. In a multicentre study published in 2017 with Intensive Care Units doctors in Germany, 67.6% of the professionals stated that they felt little or no confidence in tackling basic aspects of palliative care [37]. According to Winthereik et al [38], 76.1% of general practitioners in Denmark reported that they felt confident in treating end-of-life patients.…”

Section: Discussionmentioning

confidence: 99%

Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses

Herrero-Hahn

Montoya‐Juárez

Hueso‐Montoro

et al. 2019

IJERPH

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The aim of the present study is to validate the Self-Efficacy in Palliative Care Scale (SEPC) in Spanish nursing professionals and students, to describe their levels of self-efficacy, and to determine the influencing factors. A validation study and a cross-sectional descriptive study were carried out, with the data analysed using contrast tests and multiple linear regression; 552 nurses and 440 nursing students participated. The Spanish version consists of 23 items and has a high degree of reliability (α = 0.944). Confirmatory factor analysis revealed one additional factor (i.e., management of psychosocial and spiritual aspects) in comparison to the original scale. Contrast tests revealed that the mean SEPC score was higher in professionals than in students (p < 0.001) and that the professionals who had higher levels of self-efficacy were older (p < 0.001), had more previous training (p < 0.001), and had more experience in end-of-life care (p = 0.001). The linear analysis results confirm a significant association between age and previous training in end-of-life care. The Spanish version of the SEPC is a reliable tool for both nursing professionals and students. The level of self-efficacy of both groups is moderate and is influenced by age, experience, and training in end-of-life care.

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Section: Discussionmentioning

confidence: 99%

Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses

Herrero-Hahn

Montoya‐Juárez

Hueso‐Montoro

et al. 2019

IJERPH

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“…Some might interpret that the participants had not previously reflected and thereby had not previously accepted their task to get involved into ambulatory EoLC. A study in postgraduate trainees on intensive care units could show that self-confidence is a very important factor for the delivery of appropriate EoLC [29]. In accordance with studies showing a lack of confidence among GPs in EoLC [19,[30][31][32][33], the intervention might have triggered GP trainees self-confidence.…”

Section: Discussionmentioning

confidence: 65%

How to ensure basic competencies in end of life care – a mixed methods study with post-graduate trainees in primary care in Germany

et al. 2020

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Background: Providing end of life care (EoLC) is an important aspect of primary care, which reduces the risk of hospital admission for most patients. However, general practitioners (GPs) seem to have low confidence in their ability to provide EoLC. Little is known about an adequate volume and kind of training in EoLC among GP trainees. Methods: We performed a before-after comparison in all postgraduate GP trainees who were registered in the vocational training program (KWBW VerbundweiterbildungPLUS). They were offered participation within a two-day seminar focussing on palliative care in 2017. Those who attended the seminar (intervention group I) completed a paper-based questionnaire directly before the intervention (T 1) and 6 months after (T 2). None-attendees (group C) were also asked to fill out the questionnaire once. The questionnaire covered previous experiences in palliative care, self-assessment of competencies in EoLC in the organisation of patient care as well as in control of symptoms, attitudes towards death and caring for dying patients and questions about GPs' role in EoLC. Results: In total, 294 GP trainees (I: n = 219; C: n = 75) participated in the study. Of those, more than 90% had previously gained experience in EoLC mainly during vocational training in the hospital rotation. Around a third had previously gained competencies in EoLC in medical school. Between groups I (T 1) and C no significant differences were observed in socio-demographic characteristics, pre-existing experience or overall expertise. At T 2, 75% of participants of group I declared they have extended their competencies in EoLC after the intervention and 70% classified the intervention as helpful or very helpful. Overall, they rated their competencies significantly higher than at T 1 (p < 0.01). In detail, competencies in organisation of EoLC and competencies in handling of symptoms significantly improved (p < 0.01). Due to the intervention, 66% could reflect their attitudes towards dying, death and grief and 18% changed their attitudes. Group I highlighted palliative care as one of GPs tasks (Likert 4.47/5, SD 0.75). Conclusions: The intervention fostered personal competencies, understanding and self-confidence in EoLC among GP trainees. This is crucial for the aim to broadly provide EoLC.

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“…However, current study negates this finding because stress levels tend to be higher in public hospitals, yet house officers are much more confident in decision making than private house officers. A reason for this could be the point raised by Krautheim et al that confidence is likely to come through experience based intuition (Krautheim et al, 2017) and the current results suggest that government house officers have higher workloads than private house officers. It is also a known fact that government hospitals have a higher flow of patients which gives them more experience.…”

Section: Discussionmentioning

confidence: 66%

Does sector matter in House Officers performances?; A Cross sectional study

Qureshi¹,

Sadiq²,

Mohammad³

et al. 2019

MedEdPublish

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observed for Civil (Public) and Baqai (Private) hospital with a p-value of 0.016. Weekly working hours played no significant role in positive attitudes in both sectors, while in negative attitudes it was significant in Public sector (p=0.008) Conclusion It can be concluded that house officers of Public sectors are suffering from high levels of stress, as compared to that of Private sector, but are more confident in making decisions at the workplace. It is important that concern authorities should take action to reduce working hours and emergency calls so that we can control chronic stress which is a risk factor towards depression.

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Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study

Cited by 17 publications

References 27 publications

Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses

Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses

How to ensure basic competencies in end of life care – a mixed methods study with post-graduate trainees in primary care in Germany

Does sector matter in House Officers performances?; A Cross sectional study

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