The views of nurses working at palliative care centers about palliative care and the influence of education on their knowledge level

This study is conducted as a qualitative research in order to determine the effect of education on knowledge level and attitudes of nurses about palliative care (PC). 42 nurses participated in this work voluntarily. Open-ended questions are used in order to measure the knowledge level and attitudes of the nurses about the palliative care. 10 open-ended questions are asked to participants before training (both theoretical and practical training), and 12 open-ended questions are asked after training. The obtained data are subjected to thematic analysis. 6 main themes are found out as a result of the study: “The Meaning of Palliative”, “Improving the Quality of Life”, “A Great Part of Care: Patient’s Family/Relatives”, “Incompletenesses”, “Communication and Colloboration” and “Difficulties”. Before and after the training, differences are seen in the knowledge level and attitudes of the participants in palliative care, in the sub-categories of the meaning of the palliative care and in improving the quality of life and in the category of ethical dilemmas. As a result, it is observed that the knowledege level of the nurses working in the palliative care centers (PCCs) has improved and developed after the training program. Palliative care has an important place in maintaining the integration of palliative care to health care services

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1. The top 10 causes of death. http://www.who.int/mediacentre/factsheets/ fs310/en/ access date 28.04.2017

2. Life expectancy at birth. http://hdr.undp.org/en/69206 access date 28.04.2017

3. Sandsdalen T, Grondahl VA, Hov R, Hoye S, Rystedt I, Wilde-Larsson B.

4. http://www.who.int/cancer/palliative/en/ access date 28.04.2017

5. Kaasalainen S, Brazil K, Williams A. Nurses’ experiences providing palliative care to individuals living in rural communities: aspects of the physical residential setting. Rural Remote Health. 2014;14(2):2728.

6. Hamooleh MM, Borimnejad L, Seyedfatemi N, Tahmasebi M. Perception of Iranian nurses regarding ethics-based palliative care in cancer patients. J Med Ethics Hist Med. 2013;6:12.

7. Sandsdalen T, Rystedt I, Grondahl VA, Hov R, Hoye S, Wilde-Larsson B. Patients’ perceptions of palliative care: adaptation of the Quality from the Patient’s Perspective instrument for use in palliative care, and description of patients’ perceptions of care received. BMC Palliat Care. 2015;14:54.

8. Ewing G, Farquhar M, Booth S. Delivering palliative care in an acute hospital setting: views of referrers and specialist providers. J Pain Symptom Manage. 2009;38(3):327-40.

9. Fadare JO, Obimakinde AM, Afolayan JM, Popoola SO, Aduloju T, Adegun PT. Healthcare workers knowledge and attitude toward palliative care in an emerging tertiary centre in South-west Nigeria. Indian J Palliat Care. 2014;20(1):1-5.

10. SB. Sağlık Bakanlığı Palyatif Bakım Hizmetlerinin Uygulama Usul Ve Esasları Hakkında Yönerge. 2015.

11. Connor SR, Bermedo MCS. Global atlas of palliative care at the end of life. 2014.

12. Pavlish C, Ceronsky L. Oncology nurses’ perceptions of nursing roles and professional attributes in palliative care. Clin J Oncol Nurs. 2009;13(4):404- 12.

13. Benzein E, Saveman BI. Nurses’ perception of hope in patients with cancer: a palliative care perspective. Cancer Nurs. 1998;21(1):10-6.

14. McIlfatrick S, Curran CI. District nurses’ perceptions of palliative care services: part 2. Int J Palliat Nurs. 2000;6(1):32-8.

15. Sleeman KE, Koffman J, Bristowe K. ‘It doesn’t do the care for you’: a qualitative study of health care professionals’ perceptions of the benefits and harms of integrated care pathways for end of life care. BMJ open. 2015;5(9):e008242.

16. Wilson O, Avalos G, Dowling M. Knowledge of palliative care and attitudes towards nursing the dying patient. Br J Nurs (Mark Allen Publishing). 2016;25(11):600-5.

17. Potter G, Pesut B, Hooper BP, Erbacker L. Team-based education in a palliative approach for rural nurses and unlicensed care providers. J Contin Educ Nurs. 2015;46(6):279-88.

18. Frey R, Boyd M, Foster S, Robinson J, Gott M. Necessary but not yet sufficient: a survey of aged residential care staff perceptions of palliative care communication, education and delivery. BMJ Support Palliat Care. 2016;6(4):465-73.

19. Kafadar D, Ince N, Akcakaya A, Gumus M. Evaluation of Managerial Needs for Palliative Care Centers: Perspectives of Medical Directors. Asian Pac J Cancer Prev. 2015;16(11):4653-8.

20. Russ A, Mountain D, Rogers IR. Staff perceptions of palliative care in a public Australian, metropolitan emergency department. Emerg Med Australas. 2015;27(4):287-94.

21. Shearer FM, Rogers IR, Monterosso L, Ross-Adjie G, Rogers JR. Understanding emergency department staff needs and perceptions in the provision of palliative care. Emerg Med Australas. 2014;26(3):249-55.

22. Definition of Palliative Care. http://www.who.int/cancer/palliative/definition/ en/ access date 25.04.2017

23. van de Geer J, Veeger N, Groot M. Multidisciplinary training on spiritual care for patients in palliative care trajectories improves the attitudes and competencies of hospital medical staff. Am J Hosp Palliat Care. 2017:1049909117692959.

24. Chih AH, Su P, Hu WY. The Changes of ethical dilemmas in palliative care. A lesson learned from comparison between 1998 and 2013 in Taiwan. Medicine (Baltimore). 2016;95(1):e2323.

25. Selman LE, Brighton LJ, Robinson V. Primary care physicians’ educational needs and learning preferences in end of life care: A focus group study in the UK. BMC Palliat Care. 2017;16(1):17.

26. Kizawa Y, Morita T, Miyashita M. Improvements in physicians’ knowledge, difficulties, and self-reported practice after a regional palliative care program. J Pain Symptom Manage. 2015;50(2):232-40.

27. Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, McIntyre L, Tulsky JA. Factors considered important at the end of life by patients, family, physicians, and other care providers. Jama. 2000;284(19):2476-82.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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