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Context: Studies have documented that nurses and other health care professionals are inadequately prepared to care for patients in palliative care. Several reasons have been identified including inadequacies in nursing education, absence of curriculum content related to pain management, and knowledge related to pain and palliative care.
Aims: The objective of this paper was to assess the knowledge about palliative care amongst nursing professionals using the palliative care knowledge test (PCKT).
Settings And Design: Cross-sectional survey of 363 nurses in a multispecialty hospital.
Materials And Methods: The study utilized a self-report questionnaire- PCKT developed by Nakazawa et al., which had 20 items (statements about palliative care) for each of which the person had to indicate 'correct', 'incorrect', or 'unsure.' The PCKT had 5 subscales (philosophy- 2 items, pain- 6 items, dyspnea- 4 items, psychiatric problems- 4 items, and gastro-intestinal problems- 4 items).
Statistical Analysis Used: Comparison across individual and professional variables for both dimensions were done using one-way ANOVA, and correlations were done using Karl-Pearson's co-efficient using SPSS version 16.0 for Windows.
Results: The overall total score of PCKT was 7.16 ± 2.69 (35.8%). The philosophy score was 73 ± .65 (36.5%), pain score was 2.09 ± 1.19 (34.83%), dyspnea score was 1.13 ± .95 (28.25%), psychiatric problems score was 1.83 ± 1.02 (45.75%), and gastro-intestinal problems score was 1.36 ± .97 (34%). (P = .00). The female nurses scored higher than their male counterparts, but the difference was not significant (P > .05).
Conclusions: Overall level of knowledge about palliative care was poor, and nurses had a greater knowledge about psychiatric problems and philosophy than the other aspects indicated in PCKT.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3477365 | PMC |
http://dx.doi.org/10.4103/0973-1075.100832 | DOI Listing |
Omega (Westport)
September 2025
Departamento de Bienestar y Salud, Universidad Católica del Uruguay, Uruguay.
A qualitative study using in-depth interviews was conducted to identify the level of knowledge, beliefs, and perceptions of family members and healthcare workers regarding the use of morphine as a pain treatment for individuals at the end of life. The study included healthcare professionals and caregivers of individuals who had died from serious illnesses affiliated with a rural health center in an inland city in the western region of Uruguay between August 2021 and June 2022. The findings may contribute to understanding the determinants that influence opioid use in healthcare centers lacking access to specialized palliative care.
View Article and Find Full Text PDFDementia (London)
September 2025
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
As a life-limiting illness, dementia requires a holistic approach to care, where spiritual support plays a crucial role in helping individuals and their caregivers find meaning and solace. Our aim was to systematically map the research conducted on psychosocial interventions developed to provide spiritual support for people living with dementia and their caregivers from diagnosis and across the disease trajectory. A scoping review was conducted to explore the breadth of research on 'spiritual support' in dementia care, encompassing interventions, service delivery models, programs, toolkits, approaches, and activities.
View Article and Find Full Text PDFAm J Hosp Palliat Care
September 2025
Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine/New York-Presbyterian Hospital, New York, NY, USA.
Palliative Care (PC) is a rapidly expanding field, with a more recent shift toward outpatient services to enhance patient care. Palliative Care educators can provide fulfilling outpatient PC experiences to trainees across various disciplines, including medical students, physician fellows, nurse practitioner students, and social work interns. We present five strategies for optimizing training in the outpatient PC setting.
View Article and Find Full Text PDFInt J Nurs Stud
August 2025
End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Belgium; Vrije Universiteit Brussel (VUB), Department of Family Medicine and Chronic Care, Belgium.
Background: Advanced cancer impacts the lives of both patients and their family caregivers. They often experience substantial declines in quality of life and physical, emotional, and spiritual distress that generate significant unmet psychosocial care needs. These effects are interrelated.
View Article and Find Full Text PDFInt J Nurs Stud
August 2025
Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, Bessemer Road, London SE5 9PJ, UK; Sussex Community NHS Foundation Trust, Brighton General Hospital, Elm Grove, Brighton, East Sussex
Background: People with advanced illness at home, and their families, rely on 'out-of-hours' services provided by community, primary and specialist palliative care services. Home is commonly expressed as the preferred place to be cared for and die, and an increasing proportion of people are dying at home, but what constitutes 'good' care is poorly understood from the combined perspectives of healthcare professionals and patients and family caregivers.
Objective: To understand the convergence and divergence of the perspectives of healthcare professionals with those of patients and family caregivers, on priorities for home-based palliative care in the 'out-of-hours' period in the UK.