WHAT DO TURKISH NURSING STUDENTS THINK ABOUT PALLIATIVE CARE?

WHAT DO TURKISH NURSING STUDENTS THINK ABOUT PALLIATIVE CARE?

Objectives:The purpose of this study was to identify Turkish nursing students’ thoughts and attitudes about palliative care.Methods:This is a descriptive survey study that was conducted in Ankara, Turkey with nursing students during between 2015 and 2016.In order to obtain the broadest viewpoint, we decided to survey 163 nursing students, including 77 juniors and 86 seniors. The data was collected using an “Opinion Forms on Palliative Care” as well as a demographic form.  Results:136 out of a total of 163 junior and senior students were included in this study. Most of the students practiced general medicine, surgery and ICU, and described palliative care as a multidisciplinary health service for terminally ill patients with cancer. Although 89.7% of students had received some degree of palliative care training as part of their education, most of them (66.2%) had felt that it was insufficient. Palliative care topics that students wished were included as part of the curriculum included the basic concepts of palliative care (94.9%), communication (91.9%), legal and ethical issues (89.7%), loss and bereavement (89%), and symptom management (86%). Most students (77.9-76.5%) stated that palliative care training ought to be a mandatory training program. Conclusion: Nursing students who have heard about the concept of palliative care during their education thought that the content of the palliative care education was lacking within their nursing program. Also, most had felt that this specialized content ought to be expanded upon as part of specialization training. Keywords: Palliative care, nursing education, undergraduate, student experience    ÖzAmaç:Bu çalışmanın amacı, Türk hemşirelik öğrencilerinin palyatif bakım konusundaki düşünce ve tutumlarının belirlenmesidir.Yöntemler:Bu araştırma Türkiye, Ankara'da hemşirelik öğrencileriyle birlikte 2015 - 2016 yılları arasında gerçekleştirilen tanımlayıcı bir anket çalışmasıdır. En geniş bakış açısını elde etmek için 77 ikinci-üçüncü sınıf ve 86 son sınıf hemşirelik öğrencisi toplam 163 öğrenci araştırmaya dahil edilmiştir. Veriler, “palyatif bakım konusundaki görüş formları” ve demografik form kullanılarak toplanmıştır.Bulgular:Çalışmaya toplam 163 öğrenciden 136 hemşirelik öğrencisi dahil edilmiştir. Öğrencilerin çoğu dahiliye, cerrahi ve yoğun bakımlarda staj yapmışlardır ve palyatif bakımı; kanserli hastalar için multidisipliner bir sağlık hizmeti olarak tanımlamışlardır.Öğrencilerin %89.7'si eğitimlerinin bir parçası olarak bir dereceye kadar palyatif bakım eğitimi almış olmasına rağmen, çoğu (% 66.2) bunun yetersiz olduğunu belirtmişlerdir. Öğrencilerin müfredatın bir parçası olarak dahil edilmesini istedikleri palyatif bakım konularının başında; palyatif bakımın temel kavramları (% 94.9), iletişim (% 91.9), yasal ve etik konular (% 89.7), kayıp ve yas süreci (% 89) ve semptom yönetimi (% 86) gelmektedir.Öğrencilerin çoğu (% 77.9-76.5) palyatif bakım eğitiminin zorunlu bir eğitim programı olması gerektiğini belirtmişlerdir.Sonuç:Eğitiminde palyatif bakım kavramını duyan hemşirelik öğrencileri, palyatif bakım eğitiminin içeriğinin hemşirelik programında eksik olduğunu düşünmektedir. Ayrıca çoğu, bu özel içeriğin uzmanlık eğitiminin bir parçası olarak genişletilmesi gerektiğini düşünmüştür.Anahtar Kelimeler:Palyatif bakım, hemşirelik eğitimi, lisans, öğrenci deneyimi 

___

  • References 1. WHO Definition of palliative care. 2014. http://www.who.int/cancer/palliative/definition/en/ Accessed December 1, 2017. 
2. Sujatha R, Jayagowri K. Assessment of palliative care awareness among undergraduate healthcare students. Journal of Clinical and Diagnostic Research. 2017;11(9):06-10.3. Martins Pereira S, Herna ́ndez-Marrero P. Palliative care nursing education features more prominently in 2015 than 2005: Results from a nationwide survey and qualitative analysis of curricula. Palliat Med. 2016;30(9):884-888.4.Quill TE, Abernethy AP Generalist plus Specialist Palliative Care — Creating a More Sustainable Model. New England Journal of Medicine. 2013; 368(13):1173-1175. doi:10.1056/NEJMp12156205. American Nurses Association. Call for action: nurses lead and transform palliative care. 2017. http://nursingworld.org/Call for Action-Nurse Lead Transform Palliative Care. Accessed December 1, 2017. 
6. Ferrell BR, Malloy P, Virani R. The End of Life Nursing Education Nursing Consortium project. Ann Palliat Med. 2015;4(2):61-69. doi:10.3978/j.issn.2224-5820.2015.04.057. Lippe M, Johnson B, Mohr SB, Kraemer KR. Palliative care educational interventions for prelicensure health-care students: an integrative review. American Journal of Hospice & Palliative Medicine. 2018;1-10.8.Von Roenn JH, Voltz R, Serrie A. Barriers and approaches to the successful integration of palliative care and oncology practice. J Natl Compr Canc Netw. 2013;11(1):11-16.9. Barrere CC, Durkin A, La Coursiere S. The influence of end-of-life education on attitudes of nursing students. Int. J. Nurs. Educ. Scholarsh. 2008;5(1):1–18. 10.EONS Cancer Nursing Education Framework. 2018. https://www.cancernurse.eu/documents/EONSCancerNursingFramework2018.pdf.11. Wilson DM, Goodwin BL, Hewitt JA. An examination of palliative or end-of-life care education in introductory nursing programs across Canada. Nurs. Res. Pract. 2011. doi:10.1155/2011/90717212.DeCoste-Lopez J, Madhok J, Harman S. Curricular innovations for medical students in palliative and end-of-life care: a systematic review and assessment of study quality. J Palliat Med. 2015;18(4):338-349. 13. Terzioglu F, Sahan Uslu F, Boztepe H. Palliative care to the cancer patient: Turkish nurses’ perspectives. J Palliat Care Med. 2015;5-004. doi:10.4172/2165-7386.1000S5004 14. Walker DK, Edwards RL, Bagcivan G, Bakitas MA. Cancer and palliative care in the United States, Turkey, and Malawi: Developing global collaborations. Asia-Pacific journal of Oncology Nursing. 2017;4(3):209.15.Turgay G, Kav S. Turkish healthcare professionals' views on palliative care. J Palliat Care. 2012;28(4):267-273.16. Karkada S, Nayak BSM. Awareness of palliative care among diploma nursing students. Indian J Palliat Care. 2011;17:20-3. 17.Glover TL, Garvan C, NealisRM, CittySW, Derrico DJ. Improving end-of-life care knowledge among senior baccalaureatenursing students.American Journal of Hospice & Palliative Medicine. 2017;34(10): 938-945.18. Khraisat OM, Hamdan M, Ghazzawwi M. Palliative care ıssues and challenges in Saudi Arabia: knowledge assessment among nursing students. Journal of Palliative Care. 2017; 32(3-4):121-126.19.Bassah N, Seymour J, Cox K. A modified systematic review of research evidence about education for pre-registration nurses in palliative care. BMC Palliat. Care. 2014;13(1):56. http://dx.doi.org/10.1186/1472-684X-13-56.20. Bassah N, Cox K, Seymour J. A qualitative evaluation of the impact of a palliative care course on preregistration nursing students' practice in Cameroon. BMC Palliat. Care. 2016;15:37doi: 10.1186/s12904-016-0106-7.21.Ferrel B, Malloy P, Mazanec P, Virani R. CARES: AACN's new competencies and recommendations for educating undergraduate nursing students to ımprove palliative care. J Prof Nurs. 2016;32(5):327-33. doi: 10.1016/j.profnurs.2016.07.002.22.Charalambous A, Kaite C. Undergraduate nursing students caring for cancer patients: hermeneutic phenomenological insights of their experiences. BMC Health Services Research. 2013;13:63. doi:10.1186/1472-6963-13-63.23. Sweeney C, Lynch G, Khashan AS, Maher B, Murphy M, O’Brien T. The impact of a medical undergraduate student-selected module in palliative care. BMJ Support Palliat Care. 2014;4:92–97.24.Brand AH, Harrison A, Kumar K. It was definitely very different: an evaluation ofpalliative care teaching to medical students using a mixed methods approach. J Palliat Care. 2015;31:21–28.25. Groot MM, Vernooij-Dassen MJ, Courtens AM, Kuin A, Van der Linden BA, Van Zuylen L, Crul BJ, Grol RP. Requests from professional care providers for consultation with palliative care con- sultation teams. Supportive Care in Cancer. 2005;13(11):920–928.26. Kao CY, Hu WY, Chiu TY, Chen CY. Effects of the hospital-based palliative care team on the care for cancer patients: an evaluation study. International Journal of Nursing Studies. 2014;51(2):226–235 doi: 10.1016/j.ijnurstu.2013.05.008.27. Bakitas M, Lyons KD, Hegel MT, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the project ENABLE II randomized controlled trial. JAMA. 2009;32(7):741–749.28. Walker DK, Edwards RL, Bagcivan G, Bakitas MA. Cancer and palliative care in the United States, Turkey, and Malawi: Developing global collaborations. Asia-Pacific Journal of Oncology Nursing. 2017;4(3):209.29.Germano KS, MeneguinS. Meanings attributed to palliative care by nursing undergraduates.Acta Paul Enferm. 2013;26(6):522-8.30.Adesina O, DeBellis A, Zannettino L.Third-year Australian nursing students’ attitudes, experiences, knowledge, and education concerning end-of-life care. International Journal of Palliative Nursing. 2014;20(8):395-401.