THE LEVEL OF PREPAREDNESS OF NURSES IN PRIMARY HEALTH CARE ORGANIZATIONS TO PROVIDE PALLIATIVE CARE: A CROSS-SECTIONAL STUDY
The growing shortage of palliative care staff is becoming increasingly noticeable. Although nurses constitute the largest group of health care professionals, little is known about their role in palliative care at all levels of care. It is necessary to note the important role of nurses in ensuring universal access to palliative care, especially at the primary care stage. Lack of professional training and low awareness of palliative care among healthcare professionals represents a major barrier to improving palliative care. Because nurses in all health care settings are actively involved in the provision of health care services to patients suffering from serious illness, they must have sufficient knowledge and experience in palliative care. It is especially important that professionals actively involved in palliative care have a thorough understanding of the philosophy of palliative care.
Thus, the purpose of our study is to determine the level of knowledge in the field of palliative care among nurses working in primary health care organizations.
Alexandra V. Masharipova1, https://orcid.org/0000-0003-2152-2564
Nassikhat K. Nurgaliyeva1, https://orcid.org/0000-0003-2244-1053,
Gulmira A. Derbissalina1, https://orcid.org/0000-0003-3704-5061
1 NJSC «Astana Medical University», Astana, Republic of Kazakhstan.
1. ВОЗ. Экспресс-информация. Ноябрь 2019. Новые поступления в документационный Центр ВОЗ // Социальные аспекты здоровья населения. 2019. Т.65, № 6. 13с.
2. Машарипова А.В., Нургалиева Н.К., Дербисалина Г.А. Актуальные проблемы и перспективы подготовки сестринских кадров для системы оказания паллиативной медицинской помощи // Профилактическая медицина. 2023, Т. 26, №2, С.24-30. https://doi.org/10.17116/profmed20232602124
3. Машарипова А.В., Нургалиева Н.К., Дербисалина Г.А. Знания и навыки медицинских сестер при оказании паллиативной помощи пациентам на этапе ПМСП в зарубежных странах [обзор литературы) // Биология и интегративная медицина. 2021. №6 [53). С.176-182.
4. Achora S., Labrague L.J. An Integrative Review on Knowledge and Attitudes of Nurses Toward Palliative Care: Implications for Practice // J Hosp Palliat Nurs. 2019;21[1):29-37. doi:10.1097/NJH.0000000000000481
5. Abuhammad S., Muflih S., Alazzam S., Gharaibeh H., Abuismael L.. Knowledge of pediatric palliative care among medical students in Jordan: A cross-sectional study // Ann Med Surg [Lond). 2021;64:102246. doi:10.1016/j.amsu.2021.102246
6. Abu-Odah H., Molassiotis A., Liu J.Y.W. Assessment of the Educational and Health Care System–Related Issues from Physicians’ and Nurses’ Perspectives Before Developing a Palliative Care Program Within the Palestinian Health Care System: A Cross-sectional Study // J. Hosp. Palliat. Nurs. 2022;24:E59–E75. doi: 10.1097/NJH.0000000000000840.
7. Dehghannezhad J., Hassankhani H., Taleghani F., Rahmani A., SattarPour S., Sanaat Z. Home Care Nurses' Attitude Towards and Knowledge of Home Palliative Care in Iran: A Cross-Sectional Study // Iran J Nurs Midwifery Res. 2021;26[3):272-278. doi:10.4103/ijnmr.IJNMR_249_19
8. Dimoula M., Kotronoulas G., Katsaragakis S., Christou M., Sgourou S., Patiraki E. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey // Nurse Educ Today. 2019;74:7-14. doi:10.1016/j.nedt.2018.11.025
9. Etafa W., Wakuma B., Fetensa G. et al. 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. 2020;15[10):e0238357. Published 2020 Oct 7. doi:10.1371/journal.pone.0238357
10. Gelegjamts D., Yong Yoo J., Kim J., Sun Kim J. Undergraduate nursing students' palliative care knowledge and attitudes towards end-of-life care: a cross-sectional descriptive study // Contemp Nurse. 2020;56[5-6):477-490. doi:10.1080/10376178.2021.1890165
11. Gomes B., Calanzani N., Curiale V., McCrone P., Higginson I.J. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers // Cochrane Database Syst Rev. 2013;2013[6):CD007760. Published 2013 Jun 6. doi:10.1002/14651858.CD007760.pub2
12. Gupta M., Pruthi G., Gupta P., Singh K., Kanwat J., Tiwari A. Impact of End-of-Life Nursing Education Consortium on Palliative Care Knowledge and Attitudes Towards Care of Dying of Nurses in India: A Quasi-Experimental Pre-post Study // Am J Hosp Palliat Care. 2023;40[5):529-538. doi:10.1177/10499091221108342
13. Hertanti N.S., Wicaksana A.L., Effendy C., Kao C.Y. Palliative Care Quiz for Nurses-Indonesian Version [PCQN-I): A Cross-cultural Adaptation, Validity, and Reliability Study // Indian J Palliat Care. 2021;27[1):35-42. doi:10.4103/IJPC.IJPC_76_20
14. Hosseinnejad A., Rassouli M., Jahani S., Elahi N., and Molavynejad S. Requirements for Creating a Position for Community Health Nursing Within the Iranian Primary Health Care System: A SWOT Analysis // Front Public Health, vol. 9, Jan. 2022, doi: 10.3389/fpubh.2021.793973.
15. 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
16. Kim S., Lee K., Kim S. Knowledge, attitude, confidence, and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional, descriptive study // BMC Palliat Care. 2020;19[1):105. Published 2020 Jul 11. doi:10.1186/s12904-020-00581-6
17. Kreuter M., Bendstrup E., Russell A.M. et al. Palliative care in interstitial lung disease: living well // Lancet Respir Med. 2017;5[12):968-980. doi:10.1016/S2213-2600[17)30383-1
18. Kunirova G., Shakenova A. Palliative Care in Kazakhstan // J Pain Symptom Manage. 2018;55[2S):S36-S40. doi:10.1016/j.jpainsymman.2017.03.028
19. Masharipova A., Nurgaliyeva N., Derbissalina G. The problem of preparedness of nursing staff to provide palliative nursing care [a literature review) // Georgian Med News. 2022;[325):27-32.
20. McDarby M., Carpenter B.D. 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, vol. 36, no. 3, pp. 191–199, Mar. 2019, doi: 10.1177/1049909118793635.
21. Mitchell G., McGreevy J., Preshaw D.H., Agnelli J., Diamond M. Care home managers' knowledge of palliative care: a Northern Irish study // Int J Palliat Nurs. 2016;22[5):230-235. doi:10.12968/ijpn.2016.22.5.230
22. Mohamed R.F., Ibrahim R.A. Effect of palliative care guideline on nurses’ knowledge, attitude, and practice at intensive care unit. Egypt // J. Nurs. Health Sci. 2021;2:81–109. doi: 10.21608/ejnhs.2021.196022.
23. Open resources for nursing [Open RN), 17.4 Palliative Care Management // AJN, American Journal of Nursing, vol. 118, no. 3, p. 17, Mar. 2018, doi: 10.1097/01.NAJ.0000530929.65995.42.
24. Palliative care in primary care - Pavilion Health Today. [https://www.pavilionhealthtoday.com/gm/palliative-care-in-primary-care/) [accessed: Mar. 05, 2023).
25. Raudonis BM, Kyba FC, Kinsey TA. Long-term care nurses' knowledge of end-of-life care. Geriatr Nurs. 2002;23[6):296-301. doi:10.1067/mgn.2002.130270
26. Rosa W.E. Integrating Palliative Care into Global Health Initiatives: Opportunities and Challenges // Journal of Hospice and Palliative Nursing. 2018. №20[2). Р.195–200. doi: 10.1097/NJH.0000000000000415
27. Rosa W.E., Krakauer E.L., Farmer P.E. et al. The global nursing workforce: realising universal palliative care // Lancet Glob Health. 2020;8[3):e327-e328. doi:10.1016/S2214-109X[19)30554-6
28. Ross M.M., McDonald B., McGuinness J. The palliative care quiz for nursing [PCQN): the development of an instrument to measure nurses' knowledge of palliative care // J Adv Nurs. 1996. №23[1). P.126-137. doi:10.1111/j.1365-2648.1996.tb03106.x
29. Rotar Pavlič D., Aarendonk D., Wens J., Rodrigues Simões J.A., Lynch M., Murray S. Palliative care in primary care: European Forum for Primary Care position paper // Prim Health Care Res Dev. 2019;20:e133. Published 2019 Sep 18. doi:10.1017/S1463423619000641
30. Schroeder K., Lorenz K. Nursing and the Future of Palliative Care // Asia Pac J Oncol Nurs. 2018. №5[1). Р.4. doi: 10.4103/APJON.APJON_43_17.
31. Toqan D., Malak M.Z., Ayed A., Hamaideh S.H., Al-Amer R. Perception of Nurses' Knowledge about Palliative Care in West Bank / Palestine: Levels and Influencing Factors // J Palliat Care. 2023;38[3):336-344. doi:10.1177/08258597221133958
32. WHO, “Integrating Palliative Care and Sumptom Relief into Primary Health Care". 2018. №53[9). Р.1–88. [https://apps.who.int/iris/bitstream/handle/10665/274559/9789241514477-eng.pdf?sequence=1&isAllowed=y) [accessed: Mar. 28, 2023).
References: [1-3]
1. VOZ. Ekspress-informatsiya. Noyabr' 2019. Novye postupleniya v dokumentatsionnyi Tsentr VOZ [WHO. Express information. November 2019. New arrivals to the WHO Documentation Center]. Sotsial'nye aspekty zdorov'ya naseleniya [Social aspects of public health]. 2019. T.65, № 6. 13p. [in Russian]
2. Masharipova A.V., Nurgalieva N.K., Derbisalina G.A. Aktual'nye problemy i perspektivy podgotovki sestrinskikh kadrov dlya sistemy okazaniya palliativnoi meditsinskoi pomoshchi [Current problems and prospects for training nursing personnel for the system of palliative care]. Profilakticheskaya meditsina [Preventive Medicine]. 2023, T. 26, №2, pp.24-30. https://doi.org/10.17116/profmed20232602124 [in Russian]
3. Masharipova A.V., Nurgalieva N.K., Derbisalina G.A. Znaniya i navyki meditsinskikh sester pri okazanii palliativnoi pomoshchi patsientam na etape PMSP v zarubezhnykh stranakh [obzor literatury) [Knowledge and skills of nurses in providing palliative care to patients at the primary care stage in foreign countries (literature review)]. Biologiya i integrativnaya meditsina [Biology and Integrative Medicine]. 2021. №6 [53). pp.176-182. [in Russian]
Number of Views: 811
Category of articles:
Original articles
Bibliography link
Masharipova A.V., Nurgaliyeva N.K., Derbissalina G.A. The level of preparedness of nurses in primary health care organizations to provide palliative care: a cross-sectional study // Nauka i Zdravookhranenie [Science & Healthcare]. 2024, (Vol.26) 1, pp. 53-60. DOI 10.34689/SH.2024.26.1.007Related publications:
VALIDATION OF THE KAZAKH VERSION OF THE DEPRESSION ANXIETY STRESS SCALE (DASS-21) IN MEDICAL FACULTY STAFF SAMPLE: THE PILOT STUDY
PREDICTIVE VALUE OF PSYCHOMETRIC TESTING IN CONTEXT OF CREATING ADAPTIVE ENVIRONMENT FOR HIGHER MEDICAL EDUCATION
ASSESSMENT OF STUDENTS' AWARENESS ABOUT THE HARMS OF MICROPLASTICS ON THE HUMAN BODY
THE IMPACT OF COMPLAINTS ON QUALITY OF LIFE, PSYCHOLOGICAL WELL-BEING AND HEALTH OF MEDICAL WORKERS
DEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE FOR PATIENTS "STUDYING THE OPINION OF PATIENTS' SATISFACTION WITH NURSE INDEPENDENT APPOINTMENT AT THE LEVEL OF PRIMARY HEALTH CARE"