Effect of Palliative Care Education on Nurses’ Knowledge of Palliative Care among Hospital-Based Nurses in Tertiary Hospital, Rivers State
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Keywords

Palliative care education
Hospital-based nurses
Nigeria

How to Cite

Jack, E., Ingwu, J. A. ., Onorikpori, T., Ezekiel, R., Amachree, D., & Pius, V. (2023). Effect of Palliative Care Education on Nurses’ Knowledge of Palliative Care among Hospital-Based Nurses in Tertiary Hospital, Rivers State. African Journal of Biomedical Research, 26(3), 363–368. https://doi.org/10.4314/ajbr.v26i3.9

Abstract

Hospital-based nurses need to be equipped with palliative care knowledge to provide optimal care for patients and their families to improve quality of life of the terminally ill patients. The aim of this study was to evaluate the effect of palliative care education on nurses’ knowledge of palliative care among hospital-based nurses in Rivers State University Teaching Hospital (RSUTH), Port-Harcourt, River State.  A quasi-experimental design with pretest and post-test measure was adopted. A convenience sampling was used to select 137 nurses from medical-surgical (n=45), gynaecology (n=22), and paediatrics (n=34) units/wards of RSUTH. A palliative care education modules adopted from Palliative Care e-modules served as an intervention for the study. Changes in knowledge were measured using Palliative Care Quiz for Nursing (PCQN),  Data were analysed using paired t-test to compare pretest and post-test scores. The results revealed that post-test PCQN knowledge of the nurses on palliative care increased from 12.1 to 83.7 post-intervention (t = 4.116, p = 0.001 at p < 0.05), hospital-based nurses were lacking palliative care knowledge pre-intervention by answering 8/20 questions correctly and 18/20 questions correctly post-intervention. There was no significant association between socio-demographic characteristics and the knowledge toward palliative care pre-intervention (p > 0.05). Nurses knowledge increased after the palliative care education. It was recommended that palliative care education should be included in the nursing curriculum to train nurses and policy makers should build the capacity of their staff by exposing them to workshops, seminars and in-service training on palliative care

https://doi.org/10.4314/ajbr.v26i3.9
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References

African Palliative Care Association (2019). www.africanpalliativecare.org. By Articulate® Storyline www.articulate.com

American Association of Colleges of Nursing (AACN), (2019). About ELNEC. Retrieved from https://www.aacnnursing.org/ELNEC/About.

American Nurses Association and Hospice and Palliative Nurses Association (2013). Palliative Nursing: Scope and Standards of Practice-An Essential Resource for Hospice and Palliative Nurses. 5th ed., Silver Spring, MD.

Balicas, M. R. (2018). The Effect of Palliative Care Nursing Education to Improve Knowledge in Palliative Care of Hospital-Based Nurses Caring for Patients with Chronic, Serious Illness. Retrieved from https://hsrc.himmelfarb. Gwu.edu/sondnp/33.

Coyle, N. (2015). Introduction to palliative nursing care. In Ferrell BR, Coyle N, Paice J (eds.), Oxford Textbook of Palliative Nursing. (4thed.). New York, NY: Oxford University Press, 3-10.

De Lima, L. (2015). Palliative care and pain treatment in the global health agenda. Pain 156 (Suppl 1):S115.

Eke, G. K., Ndukwu, G. U., Chukwuma, N. S. &Diepiri, B. B. (2017). Knowledge and perception of healthcare providers towards palliative care in Rivers State. Port Harcourt Med J [serial online] [cited 2020 May 11]; 11: 156-60 Available from: http//www.phmj.org/text.as?2017/11/3/156/237882

Eleke, C., Azuonwu, G., Agu, I. S., Nnorom, R. M., Ogini, A. N., Eleke-Bempong, E., & Uzuma, R. A. (2020). Knowledge of palliative care among professional nurses in south east Nigeria: a needs assessment for continuing education, International Journal of Africa Nursing Sciences, doi: https://doi.org/10.1016/j.ijans.2020.100237.

Etafa, W., Wakuma, B., Fetensa, A. G., Tsegaye, R., Abdisa, E., Oluma, A., et al (2020). Nurse Knowledge about Palliative Care and Attitude towards end-of-life care in Public hospitals in Wollega Zones: A Multicenter Cross-Sectional Study. PLoS ONE 15(10): e0238357. https://doi.org/10.1371/journal.pone.023857.

Fadare, J. O., Obimakinde, A. M., Afolayan, J. M., Popoola, S. O., Aduloju, T., Adegun, P. T., et al., (2014). Healthcare workers’ knowledge and attitude toward palliative care in an emerging tertiary center in South-West Nigeria. Indian J Palliative care; 20:1-5

Frommelt, K. (1991). The effects of death education on nurses’ attitudes toward caring for terminally ill persons and their families. The American Journal of Hospice and Palliative Care. 8(5), 37-43.

Hao, Y., Zhan, L., Huang, M., Cui, X. & Zhou, Y. (2020). Nurses’ Knowledge and Attitudes Towards Palliative Care and Death. A Learning Intervention. DOI: https://doi.org/10.21203/rs.3.rs-141816/v1.

Grant, M., Wiencek, C., Virani, R., Unam, G., Munevar, C., Malloy, P. & Ferrell, B. (2013). End-of-life care education in acute and critical care. American Association of Critical Care Nurses Advanced Critical Care, 24(2): 121-129.

Henoch, I., Melin-Johansson, C., Bergh, I. et al. (2017). Undergraduates nursing students’ attitudes and preparedness toward caring for dying persons – a longitudinal study. Nurse EducPract. 26:12-20. DOI: 10. 1016/j.nepr.2017.06.007.

Hinkle, J. L. & Cheever, K. H. (2018). BRUNNER & SUDDARTH’S TEXT BOOK OF Medical-Surgical Nursing. (14th ed.). Wolters Kluwer, Philadelphia.

Merriman, A. (2015). Palliative care in Africa. Aortic News 30:3-6.

National Consensus Project for Quality Palliative Care (2018). Clinical practice guidelines for quality palliative care (4th ed.). Richmond, VA: National Coalition for Hospice and Palliative Care. Retrieved from: https//www.nationalcoalitionhpc.org/ncp.

Oyebola, F. O. (2017). Palliative Care Trends and Challenges in Nigeria – The Journey So Far. J Emerg Intern Med. Vol.1 No 2:17.

O’Shea, E. R. &Mager, D. (2019). End- of-life education: Enhancing nurse knowledge and attitudes. Applied Research, https://doi.org/10.1016/j.apnr.2019.151197.

Reid, E. A., Kovalerchik, O., Jubanyik, K., Brown, S., Hersey, D. & Grant, L. (2018). Is palliative care cost-effective in low-income and middle-income countries? A mixed-methods systematic review. BMJ Support Palliat Care. Published online Oct 1. Doi:10.1136/bmjspcare-2018-001499

Ross, M. M., McDonald, B. & McGuinness, J. (1996). The palliative care quiz for nursing (PCQN): the development of an instrument to measure nurses' knowledge of palliative care. Journal of Advanced Nursing. 23: 126-37.

Tait, V., Higgs, M., Magann, L., Dixon, J., Davis, J. M. & Fernandez, R. (2015). Attitudes of Non-Palliative Care Nurses towards palliative care. Hindawi Publishing Cooperation Internaational Journal of Palliative Care. Article ID 469174; http://dx.doi.org/10.1155/469174.

World Health Organization [WHO] (2015). WHO definition of palliative care. Available from: http://www.who.int/mediacentre/factsheets/fs402/en/. Retrieved date: 13 August, 2016.

WHO (2018). Projections of mortality and causes of death, 2016-2060. https://www.who.int/healthinfo/global_burden_disease/projections/en/(accessed April 22,2019).

World Health Organization (2018). Palliative Care. http://www.who.int/newsroom/fact-sheets/detail/palliative-care

Zeru, T., Berihu, H., Gerensea, H., Teklay, G., Teklu, T., Gebrehiwot, H. &Wubay, T. (2020). Assessment of knowledge and attitude towards palliative care and associated factors among nurses working in selected Tigray hospitals, northern Ethiopia: a cross-sectional study. Pan African Medical Journal. 35:121doi:10.11604/pamj.2020.35.121.17820.

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