Nurses knowledge and attitude about palliative care in a private sector hospital Lahore, Pakistan
DOI:
https://doi.org/10.71395/ijhp.1.3.2024.37-42Abstract
Background and Objectives: The most important members of any nation are its nurses. With the growing number
of patients in the latter stages of life, palliative care has become vital in nursing care. One of the most frequent
obstacles to providing high-quality palliative care is nurses' ignorance of and unfavourable attitudes toward it.
The purpose of the study is to assess the knowledge and attitude among nurses regarding palliative care in
Pakistan.
METHODOLOGY: This is a descriptive cross sectional study with sample size 92 staff nurses, included 4.3 %
male and 95.7% female. Data was collected by self-administered questionnaire, comprised on three parts: Demographic
characteristics of nurses, the Palliative Care Quiz for Nursing (PCQN), and the Frommelt Attitudes
Towards Care of the Dying (FATCOD). SPSS version 25 was used for data analysis.
RESULTS: Regarding Knowledge assessment (PCQN), less than half (35.88%) of the study participant had
scored above the mean cut off point (8.717, SD = 7.98) and one fourth of the participant (29.3%) had scores
exceeding a cut off score 15, representing adequate knowledge about palliative care. The rate of correct answers
was ranged from 69.6% to 15.2%. Regarding nurses’ attitude, the total FATCOD score were ranged from 36–105
(mean = 76.03, median = 80, SD = 13.06), but only 40 (43.5%) had a score greater than75% for FATCOD scales.
CONCLUSION: The study investigated evidence that nurses have a positive attitude about caring for patients and
concluded that more resources and attention should be allocated to training and assisting nurses who provide
palliative care to patients.
References
Ayed, Ahmad; Sayej, Sumaya; Harazneh, Lubna; Fashafsheh, Imad; Eqtait, Faeda Journal of Education and Practice, v6 n4 p91-99 2015
Prem, V., Karvannan, H., Kumar, S. P., Karthikbabu, S., Syed, N., Sisodia, V., & Jaykumar, S. (2012). Study of Nurses' Knowledge about Palliative Care: A Quantitative Cross-sectional Survey. Indian journal of palliative care, 18(2), 122–127
Addisu Getie, Adam Wondmieneh, Melaku Bimerew, Getnet Gedefaw, Asmamaw Demis, "Knowledge on Palliative Care and Associated Factors among Nurses in Ethiopia: A Systematic Review and Meta-Analysis", Pain Research and Management, vol. 2021, Article ID 5557947, 9 pages, 2021.
Getie, A., Wondmieneh, A., Mengesha, A., Fitwi, A., Gedefaw, G., & Demis, A. (2021). Assessment of Knowledge and Attitude towards Palliative Care and Associated Factors among Nurses Working in North Wollo Hospitals. Ethiopian journal of health sciences, 31(2), 393–400.
Alshammari, F., Sim, J., Lapkin, S., & Stephens, M. (2022). Registered nurses' knowledge, attitudes and beliefs about end-of-life care in non-specialist palliative care settings: A mixed studies review. Nurse education in practice, 59, 103294.
Parveen, A., Sultana, K., Waqas, A., Tasneem, S., Jabeen, R., Faiz, A., & faiz, a. h. (2020). Knowledge and Attitude of Nurses About Palliative Care,
Journal of Bioresource Management, 7 (1):12-15.
Abate, A.T., Amdie, F.Z., Bayu, N.H. et al. Knowledge, attitude and associated factors towards end of life care among nurses’ working in Amhara Referral Hospitals, Northwest Ethiopia: a cross-sectional study. BMC Res Notes 12, 521 (2019).
Al-Falahi, M., Haza’a, A., & Al-Qalah, T. (2022). Nurses Knowledge, and Attitude of Palliative Care for Non-Cancer Patient at Public Hospitals in
Sana’a City, Yemen. Al-Razi University Journal for Medical Sciences, 6(1).
Al-Ansari, A.M.; Suroor, S.N.; AboSerea, S.M.; Abd-El-Gawad, W.M. Development of palliative care attitude and knowledge (PCAK) questionnaire for physicians in Kuwait. BMC Palliat. Care 2019,
Alshammari, F., Sim, J., Lapkin, S., & Stephens, M. (2022). Registered nurses' knowledge, attitudes and beliefs about end-of-life care in
non-specialist palliative care settings: A mixed studies review. Nurse education in practice, 59, 103294.
Anila, G.D.; Haseena, T.A. Knowledge and Attitude of Staff Nurses Regarding Palliative Care. Int. J. Sci Res. IJSR 2015, 4, 1790–1794.
Alshaikh,Z., Alkhodari,M. ,Sormunen,T.and Hillerås,P.( 2015).Nurses‟ knowledge about palliative care an intensive care unit in Saudi Arabia
,Middle East journal of nursing .volume( 9) issue (1), pp7-13.
Ayed, Ahmad; Sayej, Sumaya; Harazneh, Lubna; Fashafsheh, Imad; Eqtait, Faeda Journal of Education and Practice, v6 n4 p91-99 2015
Buss Mary K, Rock Laura K, McCarthy Ellen P et al. Understanding palliative care and hospice a review fornprimary care providers. Concise Review for Clinicians 2017; 92(2): 280-286.
Chinemerem Eleke, Goodluck Azuonwu, Ifeyinwa S. Agu, Raphaela M. Nnorom, Augustina N. Ogini, Esther Eleke-Bempong, Rosemary A.
Uzoma,Knowledge of palliative care among professional nurses in south east Nigeria: A needs assessment for continuing education, International
Journal of Africa Nursing Sciences, Volume 13,2020,100237,ISSN 2214-1391,https://- doi.org/10.1016/j.ijans.2020.100237. Chover-Sierra, E., & Martínez-Sabater, A. (2020).
Analysis of Spanish nursing students' knowledge in palliative care. An online survey in five colleges. Nurse education in practice, 49, 102903.
Etafa, W., Wakuma, B., Fetensa, G., Tsegaye, R., Abdisa, E., Oluma, A., Tolossa, T., Mulisa, D., & Takele, T. (2020). Nurses' knowledge about palliative care and attitude towards end- of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study. PloS one, 15(10), 23-26.
Carrasco, J.M.; Lynch, T.J.; Garralda, E.; Woitha, K.; Elsner, F.; Filbert, M.; Ellershaw, J.E.; Clark, D.; Centeno, C. Palliative Care Medical Education in European Universities: A Descriptive Study and Numerical Scoring System Proposal for Assessing Educational Development. J. Pain Symptom Manag. 2015, 50, 516–523.
Coffey A, McCarthy G, Weathers E, Friedman MI, Gallo K, Ehrenfeld M, Itzhaki M. 2016. Nurses’ knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countries. International Journal of Nursing Practice 22(3):247-257.
Etkind, S.N.; Bone, A.E.; Gomes, B.; Lovell, N.; Evans, C.J.; Higginson, I.J.; Murtagh, F.E.M. How many people will need palliative care in 2040?
Past trends, future projections and implications for services. BMC Med. 2017
Ferrell B, Virani R, Paice JA, Coyle N, Coyne P. Evaluation of palliative care nursing education seminars. Eur J Oncol Nurs. 2010 Feb;14(1):74-9.
Lin H, Chen C, Lu C, Lin S, Huang C. 2021. Nurses’ knowledge, attitude, and competence regarding palliative and end-of-life care: a path
analysis. PeerJ 9:86-89.
Hend M. El Azazey , Hanem F. Mohamed , Asma Alzahrani,Ghalyah Alhozaimi, Khawater Alotaibi, Sahar Tohary,Professor, Medical Surgical Nursing Department, College of Nursing, Tanat University, Egypt.Vol. 6, Issue 2, pp: (637-647), Month: May - August 2019
Kassa, H., Murugan, R., Zewdu, F., Hailu, M., & Woldeyohannes, D. (2014). Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. BMC palliative care, 13(1), 6.
Lin H, Chen C, Lu C, Lin S, Huang C. 2021. Nurses’ knowledge, attitude, and competence regarding palliative and end-of-life care: a path analysis. PeerJ 9:86-89.
Masli Yuzar, Kartini Hasballah, Teuku Tahlil, Irwan Saputra, & Elly Wardani. (2021). Nurses’ Knowledge and Attitudes towards Palliative Care: A Study in a Western Province in Indonesia. International Journal of Nursing Education, 13(4),109–117.
Budkaew, J. and Chumworathayi, B. (2013). Knowledge and Attitudes toward Palliative Terminal Cancer Care among Thai Generalists. Asian
Pac J Cancer Preview, 14 (10), 6173-6180.
Rome, R. B., Luminais, H. H., Bourgeois, D. A., & Blais, C. M. (2011). The role of palliative care at the end of life. The Ochsner journal, 11(4),348–352.
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