Self-reported Practice,Confidence,and Knowledge About Palliative Care of Nurses in a Japanese Regional Cancer Center: Longitudinal Study After 1-Year Activity of Palliative Care Team
Restricted accessResearch articleFirst published online October, 2006
Self-reported Practice,Confidence,and Knowledge About Palliative Care of Nurses in a Japanese Regional Cancer Center: Longitudinal Study After 1-Year Activity of Palliative Care Team
Knowledge and skill deficits about palliative care in medical professionals are among the most common barriers to quality palliative care. This study in a Japanese regional cancer center was conducted to clarify nurses’ self-reported practices, confidence, and knowledge, and the changes in these parameters after the 1-year educational and clinical activity of a palliative care team. Questionnaires were distributed to 134 nurses before and after a palliative care team conducted 6-topic educational programs and clinical consultation activity throughout the year. The nurses were asked to report their practices, confidence, and knowledge about palliative care in 5 fields (pain, dyspnea, delirium, communication, and dying-phase). In some areas of palliative care, hospital nurses did not adhere to recommended practices, had knowledge deficits, and were not generally confident with palliative care practices. However, daily palliative care team activities, including educational programs and clinical consultation service, could improve their practice and knowledge levels.
Proctor M, Grealish L, Coates M, Sears P.Nurses’ knowledge of palliative care in the Australian capital territory. Int J Palliat Nurs.2000;6: 421-428.
2.
Ross MM, McDonald B, McGuinness J.The palliative care quiz for nursing (PCQN): the development of an instrument to measure nurses’ knowledge of palliative care. J Advanced Nurs.1996;23: 126-137.
3.
Clarke EB, French B, Bilodeau ML, et al.Pain management knowledge, attitudes and clinical practice: the impact of nurses’ characteristics and education. J Pain Symptom Manage. 1996;11: 18-31.
4.
Hamilton J, Edgar L.A survey examining nurses’ knowledge of pain control. J Pain Symptom Manage. 1992;7: 18-26.
5.
Hollen CJ, Hollen CW, Stolte K.Hospice and hospital oncology unit nurses: a comparative survey of knowledge and attitudes about cancer pain. Oncol Nurs Forum.2000; 27: 1593-1599.
6.
Gibbs G.Nurses in private nursing homes: a study of their knowledge and attitudes to pain management in palliative care. Palliat Med.1995;9: 245-253.
7.
Glajchen M, Bookbinder M.Knowledge and perceived competence of home care nurses in pain management: a national survey. J Pain Symptom Manage. 2001;21: 307-316.
8.
McCaffery M, Ferrell BR.Nurses’ knowledge about cancer pain: a survey of five countries. J Pain Symptom Manage. 1995;10: 356-367.
9.
Camp-Sorrell D, O’Sullivan P.Effects of continuing education. Pain assessment and documentation. Cancer Nurs.1991;14: 49-54.
10.
Copp G.Palliative care nursing education: a review of research findings. J Advanced Nurs.1994;19: 552-557.
11.
Dalton JA, Blau W, Carlson J, et al.Changing in the relationship among nurses’ knowledge, self-reported behavior, and documented behavior in pain management: does education make a difference? J Pain Symptom Manage. 1996;12: 308-319.
12.
Francke AL, Luiken JB, de Schepper AME, Abu-Saad HH, Grypdonck M.Effects of a continuing education program on nurses’ pain assessment practices. J Pain Symptom Manage. 1997;13: 90-97.
13.
Ger LP, Chang CY, Ho ST, et al.Effects of a continuing education program on nurses’ practices of cancer pain assessment and their acceptance of patients’ pain reports. J Pain Symptom Manage. 2004;27: 61-71.
14.
McCaffery M, Ferrell BR.Nurses’ knowledge of pain assessment and management: how much progress have we made? J Pain Symptom Manage. 1997;14: 175-188.
15.
Morita T, Fujimoto K, Tei Y.Palliative care team: the first year audit in Japan. J Pain Symptom Manage. 2005; 29: 458-465.
16.
Breitbart W, Marotta R, Platt MM, et al.A double blind trial of haloperidol, chlorpromazine, and lorazepam in the treatment of delirium in hospitalized AIDS patients. Am J Psychiatry. 1996;153: 231-237.
17.
Cole MG, Primeau FJ, Bailey RF, et al.Systematic intervention for elderly inpatients with delirium: a randomized trial. Can Med Assoc J.1994;151: 965-970.
18.
Gysels M, Richardson A, Higginson IJ.Communication training for health professionals who care for patients with cancer: a systematic review of effectiveness. Support Care Cancer. 2004;12: 692-700.
19.
Inouye SK, Bogardus ST, Williams CS, Leo-Summers L, Agostini JV.The role of adherence on the effectiveness of nonpharmacologic interventions. Arch Intern Med.2003;163: 958-964.
20.
Lawlor PG, Ganon B, Mancini IL, et al.Occurrences, causes, and outcome of delirium in patients with advanced cancer. A prospective study. Arch Intern Med.2000;160: 786-794.
21.
Morita T, Ichiki T, Tsunoda J, Inoue S.Chihara: A prospective study on dying process in terminally ill cancer patients. Am J Hospice Palliat Care. 1998;15: 217-222.
22.
Morita T, Bito S, Kurihara Y, Uchitomi Y.Development of a clinical guideline for palliative sedation therapy using the Delphi method. J Palliat Med.2005;8: 716-729.
23.
Rapp CG, Onega LL, Tripp-Reimer T, et al.Training of acute confusion resource nurses. Knowledge, perceived confidence, and role. J Gerontol Nurs.2001;27: 34-40.
24.
Steinhauser KE, Christakis NA, Clipp EC, McNeilly M, McIntyre L, Tulsky JA.Factors considered important at the end of life by patients, family, physicians, and other care providers. JAMA.2000;284: 2476-2482.
25.
Uchitomi Y.Truth-telling in cancer care: the Japanese perspective. Top Palliat Care. 2001;5: 95-105.
26.
World Health Organization. National Cancer Control Programmes. Policies and Managerial Guidelines, 2nd edition. Geneva: WHO; 2002.
27.
Morita T, Fujimoto K, Imura C.Trends toward earlier referrals to a palliative care team. J Pain Symptom Manage. 2005;30: 204-205.
