A Japanese Region-wide Survey of the Knowledge, Difficulties and Self-reported Palliative Care Practices Among Nurses
| Autor: | Kazuki Sato, Ritsuko Yoshihara, Megumi Umeda, Kumiko Harada, Yoko Inoue, Sei Togashi, Ayumi Igarashi, Junko Oki, Yumi Sakuma, Ichie Ishigamori, Kenji Eguchi, Masako Miyashita |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male District nurse Health Knowledge Attitudes Practice Cancer Research medicine.medical_specialty Palliative care Nursing Service Hospital Nurses Hospitals Community Cancer Care Facilities Likert scale Japan Neoplasms Surveys and Questionnaires medicine Humans Pain Management Terminally Ill Radiology Nuclear Medicine and imaging Symptom management business.industry Palliative Care Delirium Questionnaire General Medicine Middle Aged Test (assessment) Cross-Sectional Studies Oncology Family medicine Female Self Report medicine.symptom business |
| Zdroj: | Japanese Journal of Clinical Oncology. 44:718-728 |
| ISSN: | 1465-3621 0368-2811 |
| Popis: | OBJECTIVE We investigated palliative care knowledge, difficulty and self-reported practice among a region-wide sample of nurses who cared for cancer patients in Japan. METHODS A cross-sectional questionnaire survey was distributed to 9 designated cancer centers, 17 community hospitals and 73 district nurse services across 4 regions in 2008. We used the Palliative Care Knowledge Test, the Palliative Care Difficulty Scale (five-point Likert scale) and the Palliative Care Self-Reported Practices Scale (five-point Likert scale). RESULTS In total, 2378 out of 3008 nurses (79%) responded. The knowledge, difficulty and self-reported practice scores were 51 ± 20%, 3.2 ± 0.7 and 3.7 ± 0.6, respectively. In the knowledge test, philosophy scored highest (88 ± 26%) and psychiatric problems scored lowest (37 ± 29%). In the difficulty test, alleviating symptoms scored most difficult (3.5 ± 0.8) and providing expert support scored least difficult (2.9 ± 1.3). In the self-reported practice questionnaire, pain and delirium relief were most frequently (4.0 ± 0.8) and least frequently (3.1 ± 0.9) provided, respectively. Knowledge was significantly poorer in community hospitals (P = 0.035); difficulty scores were significantly higher in community hospitals (P < 0.001) and district nurse services (P = 0.013); and self-reported practice scores were significantly poorer in community hospitals (P < 0.001) but superior in district nurse services (P < 0.001) than in designated cancer centers. CONCLUSIONS Knowledge, difficulty and self-reported practice for symptom management, particularly psychological symptoms, were insufficient, particularly in community hospitals. Education, expert support and adequate clinical experiences would help provide quality palliative care. |
| Databáze: | OpenAIRE |
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