A Nurses' Palliative Care Knowledge and Attitudes: Psychosocial and Spiritual as Aspects That Need to Be Improved
DOI:
https://doi.org/10.36590/jika.v8i1.1333Keywords:
attitude, knowledge, palliative nursingAbstract
Palliative care is a healthcare service that emphasizes addressing the holistic needs of patients, including physical, psychological, psychosocial, and spiritual aspects, particularly for those with chronic illnesses or life-threatening conditions. Nevertheless, its implementation in healthcare facilities continued to face challenges, especially regarding the limited availability of palliative services and the insufficient knowledge among nurses, who play a pivotal role in delivering care. This study aimed to examine the relationship between nurses’ knowledge and attitudes toward palliative care in inpatient wards. The study employed a quantitative approach with a descriptive-analytical cross-sectional design. All nurses meeting the inclusion criteria were recruited as subjects through total sampling, resulting in a sample of 54 participants at Purwokerto Islamic Hospital. Data were collected using the Palliative Care Quiz for Nursing (PCQN-I) to assess knowledge and the Frommelt Attitudes Toward Care of the Dying (FATCOD-B)scale to evaluate attitudes. Data analysis was conducted using Spearman’s rank correlation test, yielding a p-value of 0.001 (p < 0.05) and a correlation coefficient of 0.610, indicating a moderately strong positive relationship, which demonstrates that nurses’ knowledge is associated with their attitudes toward palliative care. These findings suggested that enhancing nurses’ knowledge contributes to the development of more positive attitudes. Therefore, it remained essential to strengthen nurses’ competencies, particularly in the psychosocial and spiritual domains.
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References
A’la, M.Z., 2016. the Frommelt Attitudes Toward Care of the Dying Care Form B (Fatcod-B) Indonesia Version: Measurement Validity Using Factor Analysis in Nursing Students. NurseLine Journal 1(1), 73–82. https://media.neliti.com/media/publications/197121-ID-the-frommelt-attitudes-toward-care-of-th.pdf
Alhalabi, M.N., Khalaf, I.A., Zeilani, R.S., Bawadi, H.A., Musa, A.S., Nashwan, A.J., 2023. Palliative Care Needs of Jordanian Women’s Experience of Living with Stroke: A Descriptive Phenomenological Study. BMC Palliative Care 22(106), 1-22. https://doi.org/10.1186/s12904-023-01216-2
Ariyanto, H., Rosa, E.M., 2024. Telehealth improves quality of life of COPD patients: systematic review and meta-analysis. KONTAKT 26, 252–59.
[BPS] Badan Pusat Statistik., 2024. Jumlah Kasus Penyakit Menurut Jenis Penyakit Menurut Kabupaten/Kota di Provinsi Jawa Tengah, 2018-2023. Badan Pusat Statistik, Jawa Tengah.
Candrasari, K.M., Sutrisno, S., Widiyono, W., 2023. Hubungan Pengetahuan dengan Sikap Perawat terhadap Perawatan Menjelang Ajal pada Pasien Paliatif di Ruang ICU. Jurnal Perawat Indonesia 7(3), 1588–1595. https://doi.org/10.32584/jpi.v7i3.2050
Chang, K.K.P., Chan, E.A., Chung, B.P.M., 2022. A New Pedagogical Approach to Enhance Palliative Care and Communication Learning: A Mixed Method Study. Nurse Education Today 119, 1055–1068. https://doi.org/10.1016/j.nedt.2022.105568
Christianingsih, N., Kurniawan, M.H., Huda, M.H., Wahyuni, E., 2022. Caring Perawat Memengaruhi Kepuasan Pasien di Instalasi Rawat Inap. Jurnal Ilmiah Keperawatan Altruistik 5(2), 34–40. https://www.jurnal.institutkesehatanhermina.ac.id/JIKA/article/view/92
Diawati, N., Dewi, N.R., Inayati, A., 2023. Implementation of Spiritual Therapy (Murotal Al-Qur’an) on Sleep Quality of Chronic Kidney Failure Patients with Hemodialization at Jendral Ahmad Yani Metro Hospital. Jurnal Cendikia Muda 3(4), 486–494. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/496
Djamdin, V., Masi, G., Meo, M.L.N., 2023. Gambaran Pengetahuan Perawat tentang Perawatan Paliatif di Siloam Hospitals Manado. Mapalus Nursing Science Journal 1(1), 23–31. https://ejournal.unsrat.ac.id/v3/index.php/caring/article/view/44982
Eleke, C., Azuonwu, G., Agu, I.S., Nnorom, R.M., Ogini, A.N., Eleke-Bempong, E., Uzoma, R.A., 2020. Knowledge of Palliative Care Among Professional Nurses in South East Nigeria: A Needs Assessment for Continuing Education. International Journal of Africa Nursing Sciences 13, 1-12. https://doi.org/10.1016/j.ijans.2020.100237
Glajchen, M., Goehring, A., Johns, H., Portenoy, R.K., 2022. Family Meetings in Palliative Care: Benefits and Barriers. Current Treatment Options in Oncology 23, 658–667. https://doi.org/10.1007/s11864-022-00957-1
Hajerah, H., Irwan, I., Anwar, S., 2024. Peningkatan Pengetahuan Pelayanan Paliatif Kanker Tenaga Kesehatan Melalui Program Pelatihan Paliatif Kanker di BBPK Makasar. Andragogi Kesehatan 4(1), 47–52. https://garuda.kemdiktisaintek.go.id/documents/detail/4167460
Haryati, N.S., Susilowati, Y., Sartika, R., 2023. Hubungan Perilaku Caring Perawat dengan Kualitas Hidup Pasien Kanker Payudara di Rumah Sakit Kanker Dharmais. Journal of Social Science Research 3(6), 3931–3941. https://j-innovative.org/index.php/Innovative/article/view/6584
Hertanti, N.S., Wicaksana, A.L., Effendy, C., Kao, C.Y., 2021. Palliative Care Quiz for Nurses-Indonesian Version (PCQN-I): A Cross-Cultural Adaptation, Validity, and Reliability Study. Indian Journal of Palliative Care 27(1), 35–42. https://doi.org/10.4103/IJPC.IJPC_76_20
Huriani, E., Susanti, M., Sari, R.D., 2022. Kesehatan Pengetahuan dan Kepercayaan Diri tentang Perawatan Paliatif pada Perawat ICU: Kajian Ilmiah Problema Kesehatan. Jurnal Endurance 7(1), 74–84.
Ilham, R., Mohammad, S., Yusuf, M.N.S., 2019. Hubungan Tingkat Pengetahuan dengan Sikap Perawat tentang Perawatan Paliatif. Jambura Nursing Journal 1(2), 96–102. https://doi.org/10.37311/jnj.v1i2.2515
Indarwati, R., Fauziningtyas, R., Kuncahyo, G.D., Tristiana, R.D., Chan, C.M., Smith, G.D., 2020. Palliative and End-of-Life Care’s Barriers for Older Adults. Working with Older People 24(1), 72–80. https://doi.org/10.1108/WWOP-08-2019-0021
Isnaini, N., Sukma, R., Aprilina, H.D., 2021. The Influence of Family Support on Self Efficacy of Chronic Kidney Disease. Advances in Health Sciences Research 33, 484–487. https://doi.org/10.2991/ahsr.k.210115.095
[Kemenkes] Kementerian Kesehatan., 2019. Penyakit Kanker di Indonesia Urutan 8 di Asia Tenggara dan Urutan 23 di Asia. Kementerian Kesehatan RI, Jakarta.
Kim, S., Lee, K., Kim, S., 2020. Knowledge, Attitude, Confidence, and Educational Needs of Palliative Care in Nurses Caring for Non-Cancer Patients: A Cross-Sectional, Descriptive Study. BMC Palliative Care 19(105), 1-22. https://doi.org/10.1186/s12904-020-00581-6
Lin, H.Y., Chen, C.I., Lu, C.Y., Lin, S.C., Huang, C.Y., 2021. Nurses’ Knowledge, Attitude, and Competence Regarding Palliative and End-of-Life Care: A Path Analysis. PeerJ 9, 118–64. https://doi.org/10.7717/peerj.11864
Mendonça, A.B., Pereira, E.R., Magnago, C., Silva, R.M., Meira, K.C., Martins, A., 2020. Distress and The Religious and Spiritual Coping of Brazilians Living with Cancer: A Cross-Sectional Study. European Journal of Oncology Nursing 48, 1-12. https://doi.org/10.1016/j.ejon.2020.101825
Owusu, A.B., Adam, A.B., Setorglo, J., Anim, M.T., Bonsu, L., 2022. Palliative Care Practices Among Nurses at Cape Coast Teaching Hospital, Ghana: A cross-Sectional Study. International Journal of Africa Nursing Sciences 17, 1-10. https://doi.org/10.1016/j.ijans.2022.100454
[P2PTM] Pencegahan dan Pengendalian Penyakit Tidak Menular., 2018. Kurikulum: Pelatihan Paliatif Kanker Bagi Tenaga Kesehatan. P2PTM Kemenkes RI, Jakarta.
Putranto, R., Mudjaddid, E., Shatri, H., Adli, M., Martina, D., 2017. Development and Challenges of Palliative Care in Indonesia: Role of Psychosomatic Medicine. Biopsychosocial Media 11(29), 1–5. https://doi.org/10.1186/s13030-017-0114-8
Putri, A.A.N., Suryanto, S., 2020. Model Layanan Psikososial (Psychosocial Care) dalam Perawatan Paliatif pada Pasien Kanker Payudara. Prosiding Seminar Nasional 2020 Fakultas Psikologi UMBY.
Qureshi, N.A., Khalil, A.A., Alsanad, S.M., 2020. Spiritual and Religious Healing Practices: Some Reflections from Saudi National Center for Complementary and Alternative Medicine, Riyadh. Journal of Religion and Health 59, 845–869. https://doi.org/10.1007/s10943-018-0677-0
Saputri, N.Q., Amirudin, I., 2024. Asuhan Keperawatan Penerapan Palliative Care pada Pasien Chronic Kidney Disease terhadap Kualitas Hidup Pasien Hemodialisa di RSUD Jendral Ahmad Yani Metro Tahun 2023. Health Research Journal of Indonesia 2(6), 347-350. https://wpcpublisher.com/jurnal/index.php/HRJI/article/view/328
Schultz, M., Baziliansky, S., Mitnik, I., Ulitzur, N., Illouz, S., Katra, D., Givoli, S., Campisi-Pinto, S., Bar-Sela, G., Zalman, D., 2023. Associations Between Psycho-Social-Spiritual Interventions, Fewer Aggressive End-of-Life Measures, and Increased Time after Final Oncologic Treatment. Oncologist 28, 287–94. https://doi.org/10.1093/oncolo/oyad037
Sesma-Mendaza, A., Aranguren-Sesma, M., Estraviz-Pardo, F., Lizarazu-Armendáriz, E., Goñi-Viguria, R., 2022. Nurses’ Knowledge About Palliative Care in A Critical Care Unit. Enfermeria Intensiva 33, 197–205. https://doi.org/10.1016/j.enfi.2021.10.003
Siagian, E., Perangin-angin, M., 2020. Pengetahuan dan Sikap Perawat tentang Perawatan Paliatif di Rumah Sakit. Jurnal Ilmiah Ilmu Keperawatan Indonesia 10(03), 52–58. https://doi.org/10.33221/jiiki.v10i02.587
Silalahi, K., Saragih, Y.S., Waruwu, P.K., Florence P.I., 2023. Hubungan Penerapan Paliatif Care pada Pasien Stroke dengan Kualitas Hidup. Jurnal Penelitian Perawat Profesional 5(3), 1145–1150. https://doi.org/10.37287/jppp.v5i3.1747
Sleeman, K.E., Brito, M., Etkind, S., Nkhoma, K., Guo, P., Higginson, I.J., Gomes, B., Harding, R., 2019. The Escalating Global Burden of Serious Health-Related Suffering: Projections to 2060 by World Regions, Age Groups, and Health Conditions. Lancet Global Health 7(7), 883–892. https://doi.org/10.1016/S2214-109X(19)30172-X
Tampubolon, N.R., Fatimah, W.D., Hidayati, A.U.N., 2021. Hambatan-Hambatan Implementasi Perawatan Paliatif di Indonesia: Systematic Review. Jurnal Kesehatan 14(1), 1–10. https://doi.org/10.23917/jk.v14i1.12815
Uliana, K.S.U., 2019. Adaptasi Kultural, Uji Validitas dan Reliabilitas Supportive and Palliative Care Indicators Tool (SPICT-4ALLTM) Versi Bahasa Indonesia pada Care Giver di RS Bethesda Yogyakarta. [Karya Tulis Ilmiah]. Universitas Kristen Duta Wacana, Yogyakarta.
Ullrich, A., Schulz, H., Goldbach, S., Hollburg, W., Rommel, A., Müller, M., Kirsch, D., Kopplin-Förtsch, K., Messerer, J., König, L., Schulz-Kindermann, F., Bokemeyer, C., Oechsle, K., 2021. Need for Additional Professional Psychosocial and Spiritual Support in Patients with Advanced Diseases in The Course of Specialist Palliative Care – A Longitudinal Observational Study. BMC Palliat. Care 20(182), 1-6. https://doi.org/10.1186/s12904-021-00880-6
WHO., 2020. Palliative Care. World Health Organization, Geneva.
Yıldırım, N., Güner, P., İnci, F., 2023. The Level of Psychosocial Skills of Nurses Caring for Cancer Patients and Affecting Factors: Results of a Multicenter Study. Psycho-Oncologie 8(13), 1–10. https://doi.org/10.32604/po.2023.045294
Zeru, T., Gerensea, H., Berihu, H., Zeru, M., Wubayehu, T., 2020. Nurses Practice towards Palliative Care in Shire Endasilasie Health Facilities, Northern Ethiopia: A Cross-sectional Study. Pan African Medical Journal 35(110), 1-12. https://doi.org/10.11604/pamj.2020.35.110.18648
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