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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.