Original Article

Comprehensive Hospitals Nurses’ Cognition on Palliative Care in Shandong Province, China: A Cross-Sectional Study

Abstract

Background: Palliative care is an essential part of medical practice, however, it has developed slowly in China. We aimed to analyze the current situations of the cognition on palliative care among the nurses in Shandong Province, China.

Methods: This was a cross sectional study. Investigation of 1050 nurses came from 5 third-class hospitals and 5 second-class hospitals in Shandong Province, China from Jul to Oct in 2018. The questionnaire included 4 parts: general information of the subject, the questionnaire of palliative nursing knowledge, attitude, and the behavior. Data were collected by the APP. Overall, after eliminating the invalid questionnaires, 1026 questionnaires were included in the final analyses. The software Stata 14.2 was used for all statistical analyses.

Results: The score of knowledge and attitude was low, the practice was higher. Multivariate analysis results: the significant independent variables of univariate analysis were included in the multivariate non-conditional logistic regression model for analysis. Some departments had statistical significance in knowledge multivariate Logistic regression analysis. The multivariate logistic regression analysis of practice was significant for physical health and religious beliefs. The statistical variables of the total score of cognition were gender, age of care, health status and religious beliefs.

Conclusion: Nursing knowledge is lacking and attitude remains to be improved as soon as possible. It is vital to improve the cognition of palliative care of nurses in Shandong general hospitals by developing relevant rules and regulations, strengthening the supervision of relevant ant departments, and enhancing training for nurses.

1. Pinto E, Marcos G, Walters C, et al (2020). PC in Mozambique: Physicians’ knowledge, attitudes and practices. PLoS One, 15(8): e0238023.
2. The Economist Intelligence Unit. The 2015 Quality of Death Index—Ranking PC across the world. https://eiuperspectives.economist.com/healthcare/2015-qualitydeath-index
3. Lu Y, Gu Y, Yu W (2018). Hospice and Pal-liative Care in China: Development and Challenges. Asia Pac J Oncol Nurs, 5(1): 26–32.
4. Li J, Davis MP, Gamier P (2011). Palliative medicine: barriers and developments in mainland China. Curr Oncol Rep, 13(4): 290-294.
5. Yin Z, Li J, Ma K, et al (2017). Development of PC in China: A Tale of Three Cities. Oncologist, 22(11): 1362-1367.
6. Zou M (2007). Investigation and Analysis on Status Quo of Grasping Knowledge and Attitude about Palliative Nursing of Nurses in Shanghai. Shanghai. Second Mili-tary Medical University.
7. Yan Y, Zhang H, Gao W, et al(2020). Cur-rent awareness of palliative care in China. Lancet Glob Health, 8(3): e333-e335.
8. Ross MM, McDonald B, McGuinness J (1996). The PC quiz for nursing(PCQN) the development of an instrument to measure nurses’ knowledge of PC. J Adv Nurs, 23(1): 126-137.
9. Adriaansen MJM, Achterberg T (2004). A test instrument for PC. Int J Nurs Stud, 41: 107-117.
10. Carroll G, Brisson DP, Ross MM, et al (2005). The French version of the PC quiz for nursing (PCQN-F) development and evaluation. J Palliat Care, 21: 27-34.
11. Susan E, Cheang RM (2005). Evaluation of Eduation in PC: Determining the Effecrs on Nurses’ Knowledge and Attitudes. J Palliat Care, 21(1): 44-48.
12. Callahan MF, Breakwell S, Suhayda R (2011). Knowledge of Palliative and End-of-Life Care by Student Registered Nurse Anes-thetists. AANA J, 79(4 Suppl): S15-20.
13. Morrison LJ, Thompson BM, Gill AC (2012). A required third-year medical stu-dent PC curriculum impacts knowledge and attitudes. J Palliat Med, 15(7): 784-789.
14. Zhang H, Chen J, Wu X, Yao L, Xu B (2014). Survey of pain nursing manage-ment status in 40 hospitals of China. Chi-nese Nursing Management, 11: 1121-1124.
15. Peereboom K, Coyle N (2012). Faciliating goals-of-care discussions for patients with life-limiting disease: communication strategies for nurses. Hosp Palliat Nurs, 14: 251-258.
16. Wittenberg-Lyles E, Gold Smith J, Ferrell B, et al (2013). Communication in Palliative nurs-ing, New York, NY, Oxford University Press, 1-21.
17. Usta E, A.D.S.E. (2016). Knowledge and opinions of nursing students on PC. Int J Hum Sci, 3: 4405.
18. Proctor M, Grealish L, Coates M, Sears P (2000). Nurses’ knowledge of PC in the Australian Capital Territory. Int J Palliat Nurs, 9(6): 421-428.
19. Ferrell BR, Temel JS, Temin S, et al (2017). Integration of Palliative Care Into Stand-ard Oncology Care: American Society of Clinical Oncology Clinical Practice Guide-line Update. J Clin Oncol, 35(1): 96-112.
20. Liu G, Yuan C (2017). Research on PC Knowledge among Nursing Graduates. J Nurs Sci, 2017: 100-102.
21. Hao Y, Zhan L, Huang M, Cui X, Zhou Y, Xu E (2021). Nurses' knowledge and atti-tudes towards palliative care and death: a learning intervention. BMC Palliat Care, 20(1): 50.
22. Hu K, Feng D (2016). Barriers in palliative care in China. Lancet, 387(10025), 1272.
23. hou Y, Li Q, Zhang W (2021). Undergradu-ate nursing students' knowledge, attitudes and self-efficacy regarding palliative care in China: A descriptive correlational study. Nurs Open, 8(1): 343-353.
24. Suñol R (2000). Avedis Donabedian, 7 Janu-ary 1919-9 November 2000. Int J Qual Health Care, 12(6): 451-453
25. Li Y, Xu Y, Yuan C (2009). Discussion on the Role of Social Workers in PC Team. Chinese Nursing Research, 23: 1136-1137.
26. National Health Commission of PRC (2017). Notice of the Office of National Health and Family Planning Commission on Printing and Distributing the Practice Guidelines for Hospice Care (Trial), 2017-01-25. [In Chinese]. http://www.nhc.gov.cn/yzygj/s3593/201702/83797c0261a94781b158dbd76666b717.shtml
27. Xiang YR, Ning XH (2018). Recognition of Palliative Care in Chinese Clinicians: How They Feel and What They Know. Chin Med Sci J, 33(4): 221-227.
28. National Health Commission of PRC (2017). Notice of the Office of National Health and Family Planning Commission on Basic Standard Management Standard of Hospice Care Center (Trial), 2017-01-25.
Files
IssueVol 50 No 7 (2021) QRcode
SectionOriginal Article(s)
Published2021-07-01
DOI https://doi.org/10.18502/ijph.v50i7.6623
Keywords
Palliative care Knowledge Cross-sectional study Nurses China

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Yang H, Shang M, Sun C, Li L, Wang C. Comprehensive Hospitals Nurses’ Cognition on Palliative Care in Shandong Province, China: A Cross-Sectional Study. Iran J Public Health. 50(7):1343-1351.