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
doi: 10.1371/journal.pone.0223754

Souhrn

Background

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.

Methods

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.

Results

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.

Conclusions

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


Zdroje

1. World Health Organization. WHO definition of palliative care. 3 May 2019. Available from: https://www.who.int/cancer/palliative/definition/en/.

2. Anderson WG, Puntillo K, Cimino J, et al. Palliative care professional development for Critical Care Nurses: A Multicenter Program. Am J Crit Care. 2017; 26(5):361–371. doi: 10.4037/ajcc2017336 28864431

3. Ministry of Health and Welfare. 2017 Statistics of causes of death. 23 July 2018. Available from: https://dep.mohw.gov.tw/DOS/cp-3960-41756-113.html Cited 17 January 2019.

4. Laws & Regulations Database of the Republic of China. Hospice Palliative Care Act. 09 January 2013. Available from: https://law.moj.gov.tw/ENG/LawClass/LawAll.aspx?pcode=L0020066 Cited 19 September 2019

5. Wu L-F, Chu C-M, Chen Y-G, Ho C-L, Pan H-H. Relationship between palliative care consultation service and end-of-life outcomes. Supportive Care In Cancer. 2016;24(1):53–60. doi: 10.1007/s00520-015-2741-6 25913172

6. Lin WY, Chiu TY, Ho CT, Davidson LE, Hsu HS, Liu CS, et al. Hospice shared-care saved medical expenditure and reduced the likelihood of intensive medical utilization among advanced cancer patients in Taiwan: a nationwide survey. Support Care Cancer. 2014;22(7):1907–1914. doi: 10.1007/s00520-014-2168-5 24570105

7. Yang CH, Chiu YW, Huang CT, Haung YW, Chuang HY. A comprehensive approach in hospice shared care in Taiwan: nonelderly patients have more physical, psychosocial and spiritual suffering. Kaohsiung J Med Sci. 2013;29(8):444–450. doi: 10.1016/j.kjms.2012.12.005 23906235

8. Chand P, Gabriel T, Wallace CL, Nelson CM. Inpatient palliative care consultation: describing patient satisfaction. Perm J. 2013;17(1):53–55. doi: 10.7812/TPP/12-092 23596370

9. Enguidanos S, Housen P, Penido M, Mejia B, Miller JA. Family members’ perceptions of inpatient palliative care consult services: a qualitative study. Palliat Med. 2014;28(1):42–48. doi: 10.1177/0269216313491620 23744841

10. May P, Normand C, Morrison RS. Economic impact of hospital inpatient palliative care consultation: review of current evidence and directions for future research. J Palliat Med. 2014;7(9):1054–1063. doi: 10.1089/jpm.2013.0594 24984168

11. Brinkman-Stoppelenburg A, Witkamp FE, van Zuylen L, van der Rijt CCD, van der Heide A. Palliative care team consultation and quality of death and dying in a university hospital: A secondary analysis of a prospective study. PLoS ONE. 2018;13(8):e0201191. doi: 10.1371/journal.pone.0201191 30138316

12. World Health Organization. Planning and implementing palliative care services: a guide for programme managers. 20 January 2019. Available from: http://apps.who.int/iris/bitstream/handle/10665/250584/9789241565417-eng.pdf;jsessionid=38111D144B0921C69768D1AEED0CA2F2?sequence=1=38111D144B0921C69768D1AEED0CA2F2?sequence=1

13. Huang K-S, Wang S-H, Chuah S-K, Rau K-M, Lin Y-H, Hsieh M-C, et al. The effects of hospice-shared care for gastric cancer patients. PLoS ONE. 2017;12(2): e0171365. doi: 10.1371/journal.pone.0171365 28158232

14. Enguidanos S, Housen P, Goldstein R, Vesper E, Allen J, Braun W. Physician and nurse perceptions of a new inpatient palliative care consultation project: Implications for education and training. J Palliat Med. 2009;12(2):1137–1142. doi: 10.1089/jpm.2009.0131 19708839

15. Pan HH, Shih HL, Wu LF, Hung YC, Chu CM, Wang KY. Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: a cross-sectional study. BMC Palliat Care. 2017;16(1):42. doi: 10.1186/s12904-017-0228-6 28818069

16. Kassa H, Murugan R, Zewdu F, Hailu M, Woldeyohannes D. Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. BMC Palliative Care. 2014;13(1):6. doi: 10.1186/1472-684X-13-6 24593779

17. Abudari G, Zahreddine H, Hazeim H, Assi MA, Emara S. Knowledge of and attitudes towards palliative care among multinational nurses in Saudi Arabia. Int J Palliat Nurs. 2014;20(9):435–441. doi: 10.12968/ijpn.2014.20.9.435 25250548

18. Prem V, Karvannan H, Kumar SP, Karthikbabu S, Syed N, Sisodia V, http://www.ncbi.nlm.nih.gov/pubmed?term=Sisodia%20V%5BAuthor%5D&cauthor=true&cauthor_uid=23093828 Jaykumar S. Study of nurses' knowledge about palliative care: a quantitative cross-sectional survey. Indian J Palliat Care. 2012;18(2):122–127. doi: 10.4103/0973-1075.100832 23093828

19. Buckley de Meritens A, Margolis B, Blinderman C, Prigerson HG, Maciejewski PK, Shen MJ, et al. Practice patterns, attitudes, and barriers to palliative care consultation by gynecologic oncologists. J Oncol Pract. 2017;13(9):e703–e711. doi: 10.1200/JOP.2017.021048 28783424

20. Firn J, Preston N, Walshe C. What are the views of hospital-based generalist palliative care professionals on what facilitates or hinders collaboration with in-patient specialist palliative care teams? A systematically constructed narrative synthesis. Palliat Med. 2016;30(3):240–256. doi: 10.1177/0269216315615483 26873984

21. McDarby M, Carpenter BD. Barriers and facilitators to effective inpatient palliative care consultations: a qualitative analysis of interviews with palliative care and nonpalliative care providers. Am J Hosp Palliat Care. 2018. 1049909118793635

22. Smith TJ, Coyne PJ, Cassel JB. Practical guidelines for developing new palliative care services: resource management. Ann Oncol. 2012;23 Suppl 3:70–75. doi: 10.1093/annonc/mds092 22628420

23. Iranmanesh S, Razban F, Tirgari B, Zahra G. Nurses' knowledge about palliative care in Southeast Iran. Palliat Support Care. 2014;12(3):203–210. doi: 10.1017/S1478951512001058 23905678

24. Kim S, Hwang WJ. Palliative care for those with heart failure: nurses' knowledge, attitude, and preparedness to practice. Eur J Cardiovasc Nurs. 2014;13(2):124–133. doi: 10.1177/1474515113519521 24399844

25. Boyd D, Merkh K, Rutledge DN, Randall V. Nurses’ perceptions and experiences with end-of-life communication and care. Oncol Nurs Forum. 2011;38(2):229–238. doi: 10.1188/11.ONF.E229-E239

26. El-Jawahri A, Greer JA, Temel JS. Does palliative care improve outcomes for patients with incurable illness? A review of the evidence. J Support Oncol. 2011; 9(3):87–94. 21702398

27. Liu OY, Malmstrom T, Burhanna P, Rodin MB. The evolution of an inpatient palliative care consultation service in an urban teaching hospital. Am J Hosp Palliat Care. 2017;34(1): 47–52. doi: 10.1177/1049909115610077 26543069

28. White KR, Coyne PJ. Nurses' perceptions of educational gaps in delivering end-of-life care. Oncol Nurs Forum. 2011;38(6):11–717. https://doi.org/10.1188/11.ONF.711-717

29. Abu-Saad Huijer H, Abboud S, Dimassi H. Palliative care in Lebanon: knowledge, attitudes and practices. Int J Palliat Nurs. 2009;15(7):346–353. doi: 10.12968/ijpn.2009.15.7.43425 19648850

30. Lange M, Thom B, Kline NE. Assessing nurses' attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncol Nurs Forum. 2008;35(6):955–959. doi: 10.1188/08.ONF.955-959 18980927

31. Nelson C, Chand P, Sortais J, Oloimooja J, Rembert G. Inpatient palliative care consults and the probability of hospital readmission. Perm J. 2011;15(2):48–51. doi: 10.7812/tpp/10-142 21841925

32. Park KS, Yeom HA. Factors influencing Korean nurses' attitudes towards hospice care. Int Nurs Rev. 2014;61(4):563–569. doi: 10.1111/inr.12135 25329230

33. Brody AA, Ciemins E, Newman J, Harrington C. The effects of an inpatient palliative care team on discharge disposition. J Palliat Med. 2010;13(5):541–548. doi: 10.1089/jpm.2009.0300 20210658

34. Fromme EK, Bascom PB, Smith MD, Tolle SW, Hanson L, Hickam D H, Osborne ML. Survival, mortality, and location of death for patients seen by a hospital-based palliative care team. J Palliat Med. 2006;9(4):903–911. doi: 10.1089/jpm.2006.9.903 16910805

35. Morrison RS, Dietrich J, Ladwig S, Quill T, Sacco J, Tangeman J, Meier DE. Palliative care consultation teams cut hospital costs for Medicaid beneficiaries. Health Aff (Millwood). 2011;30(3):454–463. doi: 10.1377/hlthaff.2010.0929 21383364


Článek vyšel v časopise

PLOS One


2019 Číslo 10

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