Yanping Hao1, Lixuan Zhan1, Meiling Huang2, Xianying Cui3, Ying Zhou4, En Xu5. 1. College of Nursing and Department of Neurology of the Second Affiliated Hospital of Guangzhou Medical University, 250 Changgang Dong RD, Guangzhou, 510260, People's Republic of China. 2. Nursing Department of the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510150, People's Republic of China. 3. Nursing Department of Hospital of Traditional Chinese Medicine in Yuexiu District, Guangzhou, 510030, People's Republic of China. 4. College of Nursing and Department of Neurology of the Second Affiliated Hospital of Guangzhou Medical University, 250 Changgang Dong RD, Guangzhou, 510260, People's Republic of China. zhouying0610@163.com. 5. College of Nursing and Department of Neurology of the Second Affiliated Hospital of Guangzhou Medical University, 250 Changgang Dong RD, Guangzhou, 510260, People's Republic of China. enxu@163.net.
Abstract
BACKGROUND: In many countries, nurses are ill-prepared to provide care to patients with terminal illnesses. Limited education and training affect their ability to deliver proper palliative care. Only a few studies have explored appropriate and effective training methods of palliative care in China. Therefore, we aimed to provide evidence for a palliative care training system by appraising the effects of a mixed-method intervention on participants' knowledge of palliative care and attitudes towards dying patients and death. METHODS: An e-learning intervention approach was adopted for 97 nurses from oncology departments across five hospitals, using a mobile terminal combined with a virtual forum and face-to-face interactions. We conducted a pre- and post-training evaluation through the Palliative Care Quiz of Nursing (PCQN), Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B), and Death Attitude Profile-Revised (DAP-R). RESULTS: After a three-week intervention, there was a significant increase in the PCQN and FATCOD-B scores as compared to the baseline. For PCQN, the total score increased from 10.3 ± 1.9 to 11.1 ± 2.2 (p = .011) and the score for management of pain and other symptoms increased from 7.7 ± 1.7 to 8.4 ± 1.7 (p = .003). FATCOD-B scores increased noticeably from 100.6 ± 7.9 to 102.9 ± 8.9 (p = .019). The DAP-R scores showed no obvious difference between pre- and post-intervention results. CONCLUSIONS: The mixed-method intervention was effective in improving participants' knowledge and attitudes about palliative care. The implementation of training for nurses at appropriate intervals during both education and professional life is required, especially regarding the improvement in participants' attitudes towards death. Therefore, palliative care training in China should receive more attention.
BACKGROUND: In many countries, nurses are ill-prepared to provide care to patients with terminal illnesses. Limited education and training affect their ability to deliver proper palliative care. Only a few studies have explored appropriate and effective training methods of palliative care in China. Therefore, we aimed to provide evidence for a palliative care training system by appraising the effects of a mixed-method intervention on participants' knowledge of palliative care and attitudes towards dying patients and death. METHODS: An e-learning intervention approach was adopted for 97 nurses from oncology departments across five hospitals, using a mobile terminal combined with a virtual forum and face-to-face interactions. We conducted a pre- and post-training evaluation through the Palliative Care Quiz of Nursing (PCQN), Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B), and Death Attitude Profile-Revised (DAP-R). RESULTS: After a three-week intervention, there was a significant increase in the PCQN and FATCOD-B scores as compared to the baseline. For PCQN, the total score increased from 10.3 ± 1.9 to 11.1 ± 2.2 (p = .011) and the score for management of pain and other symptoms increased from 7.7 ± 1.7 to 8.4 ± 1.7 (p = .003). FATCOD-B scores increased noticeably from 100.6 ± 7.9 to 102.9 ± 8.9 (p = .019). The DAP-R scores showed no obvious difference between pre- and post-intervention results. CONCLUSIONS: The mixed-method intervention was effective in improving participants' knowledge and attitudes about palliative care. The implementation of training for nurses at appropriate intervals during both education and professional life is required, especially regarding the improvement in participants' attitudes towards death. Therefore, palliative care training in China should receive more attention.
Entities:
Keywords:
Attitude; Internet-based intervention; Knowledge; Nursing; Palliative care
Authors: Maha Subih; Rasmieh Al-Amer; Malakeh Z Malak; Duncan C Randall; Rima Darwish; Domam Alomari; Sultan Mosleh Journal: Inquiry Date: 2022 Jan-Dec Impact factor: 1.730