Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-Barriers

Despite the notable benefits of palliative care (PC) for patients with chronic diseases, its delivery to people with cardiac problems, particularly in the Middle East region (EMR), remains a critical issue. There is a scarcity of research assessing nursing staff’s needs and knowledge in providing PC...

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Main Authors: Baraa Abu-Aziz, Areefa S. M. Alkasseh, Jonathan Bayuo, Hammoda Abu-Odah
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/12/1781
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author Baraa Abu-Aziz
Areefa S. M. Alkasseh
Jonathan Bayuo
Hammoda Abu-Odah
author_facet Baraa Abu-Aziz
Areefa S. M. Alkasseh
Jonathan Bayuo
Hammoda Abu-Odah
author_sort Baraa Abu-Aziz
collection DOAJ
description Despite the notable benefits of palliative care (PC) for patients with chronic diseases, its delivery to people with cardiac problems, particularly in the Middle East region (EMR), remains a critical issue. There is a scarcity of research assessing nursing staff’s needs and knowledge in providing PC to cardiac patients in the EMR. This study aimed to assess the level of knowledge and needs of PC among nurses towards the provision of PC in intensive coronary care units (ICCUs) in the Gaza Strip, Palestine. It also identified the barriers to the provision of PC services in ICCUs in the Gaza Strip. A hospital-based descriptive quantitative cross-sectional design was adopted to collect data from 85 nurses working in ICCUs at four main hospitals in the Gaza Strip. Knowledge about PC was collected using a developed questionnaire based on the Palliative Care Quiz Nursing Scale (PCQN) and Palliative Care Knowledge Test (PCKT). PC training needs and barriers were assessed using the PC Needs Assessment instrument. Approximately two-thirds of nurses did not receive any PC educational or training programs, which contributed to their lack of PC knowledge. Most nurses would like to enroll in PC training programs, such as family support and communications skills courses. Nurses reported that there was a high demand for PC guidelines and discharge planning for patients with chronic illnesses. Insufficient healthcare professionals’ knowledge about PC and a staff shortage were the main barriers to integrating PC into the Gaza healthcare system. This study suggests incorporating PC into nursing curricula and in-service training, and it covers both basic and advanced PC principles. Intensive coronary care unit nurses need knowledge and training about PC, guidance, and support to provide appropriate care to patients with cardiovascular issues.
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spelling doaj.art-74a70c1742f2451fb4d27f855ca293832023-11-18T10:39:02ZengMDPI AGHealthcare2227-90322023-06-011112178110.3390/healthcare11121781Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-BarriersBaraa Abu-Aziz0Areefa S. M. Alkasseh1Jonathan Bayuo2Hammoda Abu-Odah3Nasser Medical Complex Hospital, Ministry of Health, Gaza P.O. Box P860, PalestineDepartment of Midwifery, Nursing College, Islamic University of Gaza, Gaza P.O. Box P108, PalestineSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, ChinaSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, ChinaDespite the notable benefits of palliative care (PC) for patients with chronic diseases, its delivery to people with cardiac problems, particularly in the Middle East region (EMR), remains a critical issue. There is a scarcity of research assessing nursing staff’s needs and knowledge in providing PC to cardiac patients in the EMR. This study aimed to assess the level of knowledge and needs of PC among nurses towards the provision of PC in intensive coronary care units (ICCUs) in the Gaza Strip, Palestine. It also identified the barriers to the provision of PC services in ICCUs in the Gaza Strip. A hospital-based descriptive quantitative cross-sectional design was adopted to collect data from 85 nurses working in ICCUs at four main hospitals in the Gaza Strip. Knowledge about PC was collected using a developed questionnaire based on the Palliative Care Quiz Nursing Scale (PCQN) and Palliative Care Knowledge Test (PCKT). PC training needs and barriers were assessed using the PC Needs Assessment instrument. Approximately two-thirds of nurses did not receive any PC educational or training programs, which contributed to their lack of PC knowledge. Most nurses would like to enroll in PC training programs, such as family support and communications skills courses. Nurses reported that there was a high demand for PC guidelines and discharge planning for patients with chronic illnesses. Insufficient healthcare professionals’ knowledge about PC and a staff shortage were the main barriers to integrating PC into the Gaza healthcare system. This study suggests incorporating PC into nursing curricula and in-service training, and it covers both basic and advanced PC principles. Intensive coronary care unit nurses need knowledge and training about PC, guidance, and support to provide appropriate care to patients with cardiovascular issues.https://www.mdpi.com/2227-9032/11/12/1781cross-sectional studycoronary diseasesintensive careknowledgePalestinepalliative care
spellingShingle Baraa Abu-Aziz
Areefa S. M. Alkasseh
Jonathan Bayuo
Hammoda Abu-Odah
Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-Barriers
Healthcare
cross-sectional study
coronary diseases
intensive care
knowledge
Palestine
palliative care
title Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-Barriers
title_full Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-Barriers
title_fullStr Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-Barriers
title_full_unstemmed Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-Barriers
title_short Towards the Provision of Palliative Care Services in the Intensive Coronary Care Units: Nurses’ Knowledge, Training Needs, and Related-Barriers
title_sort towards the provision of palliative care services in the intensive coronary care units nurses knowledge training needs and related barriers
topic cross-sectional study
coronary diseases
intensive care
knowledge
Palestine
palliative care
url https://www.mdpi.com/2227-9032/11/12/1781
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