Associations among knowledge, attitudes, and practices toward palliative care consultation service in healthcare staffs: A cross-sectional study

Autoři: Li-Chun Huang aff001;  Ho-Jui Tung aff002;  Pei-Chao Lin aff004
Působiště autorů: Department of Nursing, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan aff001;  Department of Healthcare Administration, Asia University, Taichung, Taiwan aff002;  Department of Health Policy and Community Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Georgia, United States of America aff003;  School of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan aff004;  Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan aff005
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article



The palliative care consultation service (PCCS) of the National Health Insurance payments has been promoted in Taiwan since 2011, although few studies have been conducted on healthcare staffs’ knowledge, attitudes, and practices regarding PCCS in Taiwan; consequently, the main objective of this study was to explore any correlations regarding the above by cross-sectional design using convenience sampling.


A total of 210 healthcare staff members were enrolled from a regional hospital from June 1, 2018, to September 30, 2018. Questionnaire items on the Palliative Care Consultation Service Inventory (KAP-PCCSI) were used to measure healthcare staff’s knowledge, attitudes, and practices of PCCS. The collected data were analyzed by using descriptive statistics, independent samples t-test, Pearson’s correlation coefficient analysis, and multiple linear regression analysis.


The results revealed that the mean scores for knowledge of and attitudes of KAP-PCCSI were 58.7 ± 8.9 (perfect score: 75) and 42.7 ± 4.7 (perfect score: 50) respectively, while the mean score for practices of KAP-PCCSI was 36.3 ± 8.1 (perfect score: 50); moreover, the healthcare staff’s knowledge and attitudes were positively correlated with their practices (p < 0.01). The results also showed that knowledge, attitudes, experience of having a family member(s) or friend(s) passing away, and being a medical personnel constituted the major predictors of practices (p < 0.001). These factors explained 43.2% of the overall variance for practices of KAP-PCCSI.


The findings can help healthcare staff understand factors influencing practices of KAP-PCCSI and can serve as a reference for the development of strategies for palliative care education and training while improving the care quality of patients undergoing such palliative care with terminal life considerations in the hospitals, thereby fulfilling the goal of achieving holistic care.

Klíčová slova:

Allied health care professionals – Medical personnel – Nurses – Palliative care – Physicians – Quality of life – Religion – Taiwan


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2019 Číslo 10
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