Abstract
BackgroundThe Taiwanese government has promoted palliative care consultation services (PCCS) to support terminally ill patients in acute ward settings to receive palliative care since 2005. Such an intervention can enhance the quality of life and dignity of terminally ill patients. However, research focusing on the relationship between the knowledge, attitude and practice of a PCCS using path modelling in nursing staff is limited. Therefore, the aim of this study was to elucidate the effect of path modeling on the knowledge, attitude and practice toward PCCS in Taiwanese nursing staff.MethodsThis was a cross-sectional, descriptive study design using convenience sampling. Data collected included demographics, knowledge, attitude and practice as measured by the PCCS inventory (KAP-PCCSI). Two hundred and eighty-four nursing staff from a medical center in northern Taiwan participated in the study in 2013. We performed descriptive statistics, regression analysis, and path modeling using SPSS 19.0 and set p < 0.05 as the statistical significance threshold.ResultsThe results showed that the identical factor significantly associated with knowledge, attitude, and practice toward PCCS among nurses was the frequency of contact with PCCS. In addition, higher level of knowledge toward PCCS was associated with working in haematology and oncology wards, and participation in education related to palliative care. A more positive attitude toward PCCS was associated with working in a haematology and oncology ward, and experience of friends or relatives dying. Higher level of practice toward PCCS was associated with nurses who participated in education related to palliative care. In the path modeling, we found that holders of a master’s degree indirectly positive affected practice toward PCCS. Possession of a bachelor degree or above, being single, working within a haematology and oncology ward, and frequency of contact with PCCS positively affected practice toward PCCS.ConclusionsBased on this study, it is proposed that consultation with PCCS has a positive impact on the care of terminally ill patients. Encouragement of staff to undertake further education can improve the practice of ward staff providing palliative care.
Highlights
The Taiwanese government has promoted palliative care consultation services (PCCS) to support terminally ill patients in acute ward settings to receive palliative care since 2005
Factors affecting the KAP-PCCS among nurses This study found that working within a haematology and oncology ward, participation in education related to palliative care and frequency of contact with PCCS were positive predictors of knowledge towards PCCS
As lack of knowledge has some influence on nursing staff attitude and practice toward PCCS, we suggest that education is especially important in changing these attitudes and practices
Summary
The Taiwanese government has promoted palliative care consultation services (PCCS) to support terminally ill patients in acute ward settings to receive palliative care since 2005. Such an intervention can enhance the quality of life and dignity of terminally ill patients. The palliative care consultation service (PCCS) is another model of palliative care that has provided holistic end-of-life care for terminally ill patients in acute ward settings since 2005. The PCCS team is made up of the following members: doctors, nurses, psychologists, social workers, pharmacists, and spiritual care workers They collaborated with primary health professionals to mainly provide advice, support, and guidance regarding palliative care [4, 5]. A study has confirmed the outcomes of PCCS, which revealed patients who received PCCS, received better symptom management, spiritual support and earlier development of resuscitation plans [6]
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