Understanding Hospital Staff Needs and Perceptions in the Provision of Palliative Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/335529
Category:
Abstract
Type:
Presentation
Title:
Understanding Hospital Staff Needs and Perceptions in the Provision of Palliative Care
Author(s):
Ross-Adjie, Gail
Lead Author STTI Affiliation:
Non-member
Author Details:
Gail Ross-Adjie, RN, PhD, Gail.Ross-Adjie@sjog.org.au
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: The primary aim of this study was to investigate hospital staff perspectives and experiences regarding palliative care provision. Secondary aims were to assess staff views about death and dying, their awareness of common causes of death in Australia and their assessment of which patients most warrant a palliative care approach. Methods: All medical, nursing, allied health and pastoral care staff working in a large private hospital in Perth, Western Australia were invited to complete a combined quantitative and qualitative survey. The validated survey tool, previously used in other healthcare settings, used a combination of Likert-type scales and open ended questions. Descriptive statistics and intergroup comparisons were made for all quantifiable variables, while formal content analysis was used for text responses. In addition, four focus groups were held across different hospital areas allowing for more detailed discussion of the provision of palliative care. Results: We had a pleasing 51% response rate (N = 302) with most staff reporting only working knowledge of palliative care but clinical proficiency in symptom control. Confidence in palliative care provision was lower amongst nursing than medical staff but educational needs were similar. Cancer diagnoses were consistently overestimated, and dementia and chronic obstructive pulmonary disease underestimated, as the most common causes of death. Conclusion: Our study suggests that although clinical staff expressed confidence regarding symptom management in palliative care, they lacked understanding of the patients in whom a palliative approach could be applied and sought further education in areas such as end-of-life communication and ethical issues. Specific training and clinical interventions in palliative care provision would seem to be needed and justified.
Keywords:
death; dying; palliative care
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleUnderstanding Hospital Staff Needs and Perceptions in the Provision of Palliative Careen_GB
dc.contributor.authorRoss-Adjie, Gailen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsGail Ross-Adjie, RN, PhD, Gail.Ross-Adjie@sjog.org.auen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335529-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: The primary aim of this study was to investigate hospital staff perspectives and experiences regarding palliative care provision. Secondary aims were to assess staff views about death and dying, their awareness of common causes of death in Australia and their assessment of which patients most warrant a palliative care approach. Methods: All medical, nursing, allied health and pastoral care staff working in a large private hospital in Perth, Western Australia were invited to complete a combined quantitative and qualitative survey. The validated survey tool, previously used in other healthcare settings, used a combination of Likert-type scales and open ended questions. Descriptive statistics and intergroup comparisons were made for all quantifiable variables, while formal content analysis was used for text responses. In addition, four focus groups were held across different hospital areas allowing for more detailed discussion of the provision of palliative care. Results: We had a pleasing 51% response rate (N = 302) with most staff reporting only working knowledge of palliative care but clinical proficiency in symptom control. Confidence in palliative care provision was lower amongst nursing than medical staff but educational needs were similar. Cancer diagnoses were consistently overestimated, and dementia and chronic obstructive pulmonary disease underestimated, as the most common causes of death. Conclusion: Our study suggests that although clinical staff expressed confidence regarding symptom management in palliative care, they lacked understanding of the patients in whom a palliative approach could be applied and sought further education in areas such as end-of-life communication and ethical issues. Specific training and clinical interventions in palliative care provision would seem to be needed and justified.en_GB
dc.subjectdeathen_GB
dc.subjectdyingen_GB
dc.subjectpalliative careen_GB
dc.date.available2014-11-17T13:54:25Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:25Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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