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Item type Presentation
Format Text-based Document
Title Indonesian Palliative Care Nurses Knowledge
Authors Tarihoran, Dame Elysabeth
Downloaded 28-Jun-2018 07:11:26
Link to item http://hdl.handle.net/10755/304509
INDONESIAN PALLIATIVE CARE
NURSES KNOWLEDGE
Ns. Dame Elysabeth T.A Tarihoran, S.Kep., M.Kep. Sp.Kep.MB
Sandra Sembel, SE., Spd., MM Wilda Gunawan, S.Kp
UNIVERSITAS PELITA HARAPAN INDONESIA
OUTLINE
Background
Objectives
Methods
Result
Recommendation
INDONESIA
PALLIATIVE CARE IN INDONESIA
1967 1992
Background
Indonesia population around 251 million people 17.508 Islands,
700 languages, 300 Ethnicities, 6 Religions (CIA, 2013)
High Number of patients with palliative status (Riskesdas, 2007)
Support systems: Facilities, human resources, health care standards
insufficient (6 from 33 provinces)
Palliative care training and education are informally given in clinical
setting
OBJECTIVES
Therefore, there is an urgent call to analyze the
palliative care learning needs of nurses by
Identifying Nurses’ knowledge about palliative
care and also it is necessary to identify the
factors associated with palliative care
knowledge
Lacks of significance studies to evaluate palliative nursing
knowledge and skills
Nurses have not been received specific palliative care
education
Palliative care training and education for nurses are informally given only in
clinical setting
The limited resources in
palliative care
OBJECTIVES
Identify the level of Palliative care nurses knowledge in Indonesia
Identify the need of development of palliative care education in
Indonesia
METHODOLOGY
Quantitative descriptive study with cross-sectional design
Total respondent are 30 nurses from private hospitals June- July 2012
20 items Palliative Care quiz for Nursing (PCQN) (Ross et al, 1996 in
Andriaansen, 2007) With the characteristics: Age, Work experience,
Department, Culture
Chi-square analysis.
RESULT
VARIABLE FREQUENCY PERCENTAGE (%) GENDER
FEMALE MALE
28 2
93 7
WARD IN-PATIENT SPECIALIST WARD OUT-PATIENT
12 15 3
40 50 10
EXPERIENCE <15 YEARS >15 YEARS
18 12
60 40
ETHNICITY BATAKNESSE JAVANESSE SUNDANESSE OTHERS
10 16 1 3
33 53 4 10
AGE 25-35 YEARS 36-45 YEARS >45 YEARS
18 10 2
60 33 7
Table 1. Demographic characteristics (N=30) June- July 2012
Level of Palliative Care
knowledge
< mean (49.33%) >Mean (49.33%)
n % n %
16
54
14
46
Table 2. Palliative Care Knowledge (N=30) mean (49.33%) June- July 2012
Table 3. Palliative care knowledge based on Demographic characteristic
Variable Below mean (49.33%) Above mean (49.33%) P Value n % n %
Gender Female Male
15 1
53.6 50
13 1
46.4 50
0.724
Ward unit In-patient Specialist Out-patient
7 7 2
58.3 46.7 66.7
5 8 1
41.7 53.3 33.3
0.740
Experience <5 years >5 years
4 12
80 48
1 13
20 52
0.073
Ethnicity Bataknesse Javanesse Sundanesse Others
7 6 1 2
70
37.5 100 66.7
3 10 0 1
30
62.5 0
33.3
0.282
Age 25-35 years 36-45 years >45 years
11 4 1
61.1 40 50
7 6 1
38.9 60 50
0.560
CONCLUSION
That most of nurses have low level of Palliative care knowledge.
Most of them (53%) are above mean (49.33) out of 100%.
There is no correlation between level of knowledge and those
nurses characteristics (gender (p=0.724), work experience
(p=0.073), department (p=0.740), culture (p=0.282), and age
(p=0.560)
DISCUSSION
• This probably happened because there has been no formal palliative care
education and training in clinical setting, nursing curriculum about palliative
care in nursing education setting even though
• Palliative care nursing has been regulated in Ministry of Health decree No:
812/Menkes/SK/VII/2007 about palliative care policy (KEMENKES, 2007).
• If this phenomenon continues, the lack of knowledge of palliative care among
nurses will be one of the most common barriers to quality palliative care
(Nakazawa et al, 2009).
DISCUSSION
• Nurses, who are knowledgeable about palliative care in the form of symptom management, will be able to ensure optimal symptoms relief, promote patient-centered quality of life, help maintain physical functioning, reduce disease exacerbations and support a coordinated cost effective approach to the management of chronic disease (Pitta et al (2006).
DISCUSSION
• Till date, studies of palliative care educational programmes such as Palliative care training and course (Andriaansen, Achterberg, Borm, 2004), (End-of-life Nursing Education Consortium (ELNEC), in foreign countries have shown that knowledge and skills can be improved. A number of studies have supported the value of educational program in improving both knowledge and attitudes towards palliative care to develop competence and confidence in practice (knowing how) alongside skill-based learning (knowing that).
RECOMMENDATION
• A palliative care education provider needs to be established by Ministry of health in collaboration with higher nursing education to introduce palliative care from early on.
• Future studies can evaluate palliative care knowledge across a curriculum, comparison between nurses from different work settings or educational background and also may assess such relationship between knowledge, attitudes, beliefs, and behaviors of nurses in real life palliative care situations.
•
REFERENCES
Andriaansen, MM., Achterberg, TV., Borm, G. (2004). Effects of a postqualification course in palliative care. Journal of Advanced Nursing, 49(1), 96–10.
Adriaansen, MM. (2007). Nursing education in Palliative Care: Effects, contents, and implementation. Retrieved from http://repository.ubn.ru.nl/bitstream/2066/30922/1/30922_nursedinp.pdf
KEMENKES (Keputusan Menteri Kesehatan) No: 812/Menkes/SK/VII/2007 (2007). Kebijakan perawatan paliatif. Retrieved from http://spiritia.or.id/Dok/skmenkes812707.pdf
Kompas. (2012). Satu juta Jiwa idap Kanker. Retrieved from http://nasional.kompas.com/read/2012/02/06/03140118/1.Juta.Jiwa.Idap. Kanker on March 26, 2012
Pitta, F., Trooster, T., Probst, V., Spruit, M.,Decramer, M and Gosselink, R. (2006). Physical activity and hospitalization for exacerbation of COPD. Chest, 129,3, 536-555.
REFERENCES
Riset Kesehatan Dasar (RISKESDAS). (2007). Laporan Nasional 2007, Badan
Penelitian dan Pengembangan Kesehatan Departemen Kesehatan, Republik Indonesia. Retrieved on March 19, 2012, from Kemenkes RI website.
Ross, M., Mc Donald, B., Mc Guinnes, J. (1996). The palliative care quiz for nursing: The development of an instrument to measure nurse’s knowledge of palliative care. Journal of Advanced Nursing (23) 126-137.
Singer, PA., Bowman, KW. (2002). Quality care at the end of life; should be recognized as a global problem for public health and health system. BMJ 324:1291.
Tejawinata. (2010). Seri 1st seminar paliatif UGM: perawatan paliatif: penerapannya di indonesia, tantangan dan hambatannya. Retrieved from http://perawatpintar.web.id/2011/07/perawatan-paliatif-penerapannya-di-indonesia/ on March 26, 2012.
World Health Organization (2002) National cancer control programmes: policies and guidelines. Retrieved from http://whqlibdoc.who.int/hq/2002/9241545577.pdf on March 22, 13.