Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study

Nada Hamad Almutairi; Rana Abdullah Alsubhi; Lama Hikmat Ghurab; Shahad Atyan Almalki; Dhuha Youssef Wazqar

doi:doi:10.11648/j.ajns.20231204.11

| Peer-Reviewed

Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study

Nada Hamad Almutairi, Rana Abdullah Alsubhi, Lama Hikmat Ghurab, Shahad Atyan Almalki, Dhuha Youssef Wazqar

Published in American Journal of Nursing Science (Volume 12, Issue 4)

Received: 17 May 2023 Accepted: 28 July 2023 Published: 4 August 2023

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: Palliative care can improve terminally ill patients’ quality of life. Despite the rising interest in palliative care for patients with cancer, the palliative care skills, and levels of confidence of oncology nurses who care for those patients have rarely been studied in developing countries, such as Saudi Arabia. Aim: To assess the confidence and educational needs of palliative care in oncology nurses who are caring for patients with advanced cancer in a teaching hospital in Jeddah, Saudi Arabia. Method: A quantitative, descriptive cross-sectional design was carried out on 108 oncology nurses who were working in oncology, medical, and daycare units in a teaching hospital. Palliative Care Self-Efficacy Scale and socio-demographic survey were used to collect data. Data were analyzed using IBM SPSS version 25.0. Results: The results showed that the confidence level of palliative care is moderate (M=30.36, SD=2.53). Nurses were less confident and needed education in discussing patients' wishes after death. There were significant differences in the levels of confidence in palliative care according to marital status, country, and period of working in oncology units or with cancer patients (p<.005). Conclusion and Recommendations: The current study contributes to the empirical literature on oncology and palliative care nursing in Saudi Arabia and sheds light on the impotence of palliative care educational programs. Adequate guidance should be available to support the establishment of effective palliative care education programs to improve the level of confidence and cover the educational needs of oncology nurses.

Published in	American Journal of Nursing Science (Volume 12, Issue 4)
DOI	10.11648/j.ajns.20231204.11
Page(s)	69-79
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Confidence, Cross-Sectional, Educational Needs, Palliative Care, Patients with Advanced Cancer, Saudi Arabia

References

[1]	Schroeder, K., & Lorenz, K. (2018). Nursing and the future of palliative care. Asia-Pacific Journal of Oncology Nursing, 5 (1), 4–8. https://doi.org/10.4103/apjon.apjon_43_17.
[2]	World Health Organization (WHO). (2019). Palliative care. Retrieved from https://www.who.int/health-topics/palliative-care.
[3]	Parajuli, J., Hupcey, J., & Walsh, A. (2022). Validation of the Palliative Care Nursing Self-Competence Scale for oncology nurses in the United States. American Journal of Hospice and Palliative Medicine®, 104990912110690. https://doi.org/10.1177/10499091211069077.
[4]	Hassankhani, H., Rahmani, A., Taleghani, F., Sanaat, Z., & Dehghannezhad, J. (2019). Palliative Care Models for Cancer Patients: Learning for planning in nursing. Journal of Cancer Education, 35 (1), 3–13. https://doi.org/10.1007/s13187-019-01532-3.
[5]	Etkind, S. N., Bone, A. E., Gomes, B., Lovell, N., Evans, C. J., Higginson, I. J., & Murtagh, F. E. M. (2017). How many people will need palliative care in 2040? Past trends, future projections and implications for services. BMC Medicine, 15 (1). https://doi.org/10.1186/s12916-017-0860-2.
[6]	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 (1). https://doi.org/10.1186/s12904-020-00581-6.
[7]	Kimbell, B., Murray, S. A., Byrne, H., Baird, A., Hayes, P. C., MacGilchrist, A., Finucane, A., Brookes Young, P., O’Carroll, R. E., Weir, C. J., Kendall, M., & Boyd, K. (2018). Palliative care for people with advanced liver disease: A feasibility trial of a supportive care liver nurse specialist. Palliative Medicine, 32 (5), 919–929. https://doi.org/10.1177/0269216318760441.
[8]	Achora, S., & Labrague, L. J. (2019). An integrative review on knowledge and attitudes of nurses toward palliative care. Journal of Hospice & Palliative Nursing, 21 (1), 29–37. https://doi.org/10.1097/njh.0000000000000481.
[9]	Xia, L., & Kongsuwan, W. (2020). Factors Relating to Nurses’ End-of-Life Care. Journal of Biosciences and Medicines, 08 (06), 189–200. https://doi.org/10.4236/jbm.2020.86018.
[10]	Etafa, W., Wakuma, B., Fetensa, G., Tsegaye, R., Abdisa, E., Oluma, A., Tolossa, T., Mulisa, D., & Takele, T. (2020). Nurses’ knowledge about palliative care and attitude towards end- of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study. PLOS ONE, 15 (10), e0238357. https://doi.org/10.1371/journal.pone.0238357
[11]	Jung, M. Y., & Matthews, A. K. (2021). Understanding nurses’ experiences and perceptions of end-of-life care for cancer patients in Korea: A scoping review. Journal of Palliative Care, 36 (4), 255–264. https://doi.org/10.1177/08258597211027021
[12]	Reed, E., Todd, J., Lawton, S., Grant, R., Sadler, C., Berg, J., Lucas, C., & Watson, M. (2017). A multi-professional educational intervention to improve and sustain respondents’ confidence to deliver palliative care: A mixed-methods study. Palliative Medicine, 32 (2), 571–580. https://doi.org/10.1177/0269216317709973.
[13]	Wazqar, D., Kerr, M., Regan, S., & Carole Orchard, C. (2017). Overview of cancer care and oncology nursing in the Kingdom of Saudi Arabia. American Journal of Nursing Science, 6 (4), 324. https://doi.org/10.11648/j.ajns.20170604.17.
[14]	Polit, D., & Beck, C. (2018). Essentials of Nursing Research: Appraising Evidence for Nursing Practice (9th ed.). Lippincott. W & W, New York.
[15]	Al-Hibshi, A. (2021). Strategic Hospital University Abdulaziz King of 2021-2025 (S. AlBasri, Ed.). Reterived from https://shifaa.kau.edu.sa/HospitalWeb/MAB/hospital/Files/sp-21-25.pdf.
[16]	Phillips, J., Y. Salamonson, Y., & Davidson, P. M. (2011). An instrument to assess nurses’ and care assistants’ self-efficacy to provide a palliative approach to older people in residential aged care: A validation study. International Journal of Nursing Studies, 48 (9), 1096-1100.
[17]	IBM Crop (25.0). (2017). IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
[18]	Wazqar, D. Y. (2019) Evaluating Saudi nursing students’ knowledge and attitudes toward cancer pain management: Implications for nursing education. JKAU Medical Sciences, 26 (2), 61-70. doi: 10.4197/Med.26-2.7.
[19]	Kim, J. S., Kim, J., & Gelegjamts, D. (2020). Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study. PLOS ONE, 15 (7), e0236390. https://doi.org/10.1371/journal.pone.0236390
[20]	Parajuli, J., Hupcey, J. E., Kitko, L., & Birriel, B. (2021). Palliative care: Oncology nurses' confidence in provision to patients with cancer. Clinical Journal of Oncology Nursing, 25 (4), 449–455. https://doi.org/10.1188/21.CJON.449-455
[21]	Parajuli, J., & Hupcey, J. (2021). A Systematic review on oncology nurses' knowledge on palliative care. Cancer nursing, 44 (5), E311–E322. https://doi.org/10.1097/NCC.0000000000000817.
[22]	Rego, F., & Nunes, R. (2019). The interface between psychology and spirituality in palliative care. Journal of health psychology, 24 (3), 279–287. https://doi.org/10.1177/1359105316664138.
[23]	Testoni, I., Wieser, M. A., Kapelis, D., Pompele, S., Bonaventura, M., & Crupi, R. (2020). Lack of truth-telling in palliative care and its effects among nurses and nursing students. Behavioral Sciences, 10 (5), 88. https://doi.org/10.3390/bs10050088.
[24]	Carole L. Kimberlin, Almut G. Winterstein, (2008) Validity and reliability of measurement instruments used in research, American Journal of Health-System Pharmacy, Pages 2276–2284, https://doi.org/10.2146/ajhp070364
[25]	Pelz, P. B. (n.d.). Research methods for the Social Sciences. Chapter 7 Scale Reliability and Validity, Research Methods for the Social Sciences. https://courses.lumenlearning.com/suny-hccc-research-methods/chapter/chapter-7-scale-reliability-and-validity/
[26]	Dehghani, F., Barkhordari-Sharifabad, M., Sedaghati-kasbakhi, M. et al. (2020) Effect of palliative care training on perceived self-efficacy of the nurses. BMC Palliat Care 19, 63. https://doi.org/10.1186/s12904-020-00567-4

Cite This Article

Plain Text BibTeX RIS

APA Style

Nada Hamad Almutairi, Rana Abdullah Alsubhi, Lama Hikmat Ghurab, Shahad Atyan Almalki, Dhuha Youssef Wazqar. (2023). Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study. American Journal of Nursing Science, 12(4), 69-79. https://doi.org/10.11648/j.ajns.20231204.11

Copy | Download

ACS Style

Nada Hamad Almutairi; Rana Abdullah Alsubhi; Lama Hikmat Ghurab; Shahad Atyan Almalki; Dhuha Youssef Wazqar. Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study. Am. J. Nurs. Sci. 2023, 12(4), 69-79. doi: 10.11648/j.ajns.20231204.11

Copy | Download

AMA Style

Nada Hamad Almutairi, Rana Abdullah Alsubhi, Lama Hikmat Ghurab, Shahad Atyan Almalki, Dhuha Youssef Wazqar. Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study. Am J Nurs Sci. 2023;12(4):69-79. doi: 10.11648/j.ajns.20231204.11

Copy | Download

@article{10.11648/j.ajns.20231204.11,
  author = {Nada Hamad Almutairi and Rana Abdullah Alsubhi and Lama Hikmat Ghurab and Shahad Atyan Almalki and Dhuha Youssef Wazqar},
  title = {Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study},
  journal = {American Journal of Nursing Science},
  volume = {12},
  number = {4},
  pages = {69-79},
  doi = {10.11648/j.ajns.20231204.11},
  url = {https://doi.org/10.11648/j.ajns.20231204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231204.11},
  abstract = {Background: Palliative care can improve terminally ill patients’ quality of life. Despite the rising interest in palliative care for patients with cancer, the palliative care skills, and levels of confidence of oncology nurses who care for those patients have rarely been studied in developing countries, such as Saudi Arabia. Aim: To assess the confidence and educational needs of palliative care in oncology nurses who are caring for patients with advanced cancer in a teaching hospital in Jeddah, Saudi Arabia. Method: A quantitative, descriptive cross-sectional design was carried out on 108 oncology nurses who were working in oncology, medical, and daycare units in a teaching hospital. Palliative Care Self-Efficacy Scale and socio-demographic survey were used to collect data. Data were analyzed using IBM SPSS version 25.0. Results: The results showed that the confidence level of palliative care is moderate (M=30.36, SD=2.53). Nurses were less confident and needed education in discussing patients' wishes after death. There were significant differences in the levels of confidence in palliative care according to marital status, country, and period of working in oncology units or with cancer patients (pConclusion and Recommendations: The current study contributes to the empirical literature on oncology and palliative care nursing in Saudi Arabia and sheds light on the impotence of palliative care educational programs. Adequate guidance should be available to support the establishment of effective palliative care education programs to improve the level of confidence and cover the educational needs of oncology nurses.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study
AU  - Nada Hamad Almutairi
AU  - Rana Abdullah Alsubhi
AU  - Lama Hikmat Ghurab
AU  - Shahad Atyan Almalki
AU  - Dhuha Youssef Wazqar
Y1  - 2023/08/04
PY  - 2023
N1  - https://doi.org/10.11648/j.ajns.20231204.11
DO  - 10.11648/j.ajns.20231204.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 69
EP  - 79
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20231204.11
AB  - Background: Palliative care can improve terminally ill patients’ quality of life. Despite the rising interest in palliative care for patients with cancer, the palliative care skills, and levels of confidence of oncology nurses who care for those patients have rarely been studied in developing countries, such as Saudi Arabia. Aim: To assess the confidence and educational needs of palliative care in oncology nurses who are caring for patients with advanced cancer in a teaching hospital in Jeddah, Saudi Arabia. Method: A quantitative, descriptive cross-sectional design was carried out on 108 oncology nurses who were working in oncology, medical, and daycare units in a teaching hospital. Palliative Care Self-Efficacy Scale and socio-demographic survey were used to collect data. Data were analyzed using IBM SPSS version 25.0. Results: The results showed that the confidence level of palliative care is moderate (M=30.36, SD=2.53). Nurses were less confident and needed education in discussing patients' wishes after death. There were significant differences in the levels of confidence in palliative care according to marital status, country, and period of working in oncology units or with cancer patients (pConclusion and Recommendations: The current study contributes to the empirical literature on oncology and palliative care nursing in Saudi Arabia and sheds light on the impotence of palliative care educational programs. Adequate guidance should be available to support the establishment of effective palliative care education programs to improve the level of confidence and cover the educational needs of oncology nurses.
VL  - 12
IS  - 4
ER  -

Copy | Download

Author Information

Nada Hamad Almutairi

Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
Rana Abdullah Alsubhi

Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
Lama Hikmat Ghurab

Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
Shahad Atyan Almalki

Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia
Dhuha Youssef Wazqar

Medical Surgical Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah, Saudi Arabia

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Nada Hamad Almutairi, Rana Abdullah Alsubhi, Lama Hikmat Ghurab, Shahad Atyan Almalki, Dhuha Youssef Wazqar. (2023). Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study. American Journal of Nursing Science, 12(4), 69-79. https://doi.org/10.11648/j.ajns.20231204.11

Copy | Download

ACS Style

Nada Hamad Almutairi; Rana Abdullah Alsubhi; Lama Hikmat Ghurab; Shahad Atyan Almalki; Dhuha Youssef Wazqar. Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study. Am. J. Nurs. Sci. 2023, 12(4), 69-79. doi: 10.11648/j.ajns.20231204.11

Copy | Download

AMA Style

Nada Hamad Almutairi, Rana Abdullah Alsubhi, Lama Hikmat Ghurab, Shahad Atyan Almalki, Dhuha Youssef Wazqar. Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study. Am J Nurs Sci. 2023;12(4):69-79. doi: 10.11648/j.ajns.20231204.11

Copy | Download

@article{10.11648/j.ajns.20231204.11,
  author = {Nada Hamad Almutairi and Rana Abdullah Alsubhi and Lama Hikmat Ghurab and Shahad Atyan Almalki and Dhuha Youssef Wazqar},
  title = {Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study},
  journal = {American Journal of Nursing Science},
  volume = {12},
  number = {4},
  pages = {69-79},
  doi = {10.11648/j.ajns.20231204.11},
  url = {https://doi.org/10.11648/j.ajns.20231204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20231204.11},
  abstract = {Background: Palliative care can improve terminally ill patients’ quality of life. Despite the rising interest in palliative care for patients with cancer, the palliative care skills, and levels of confidence of oncology nurses who care for those patients have rarely been studied in developing countries, such as Saudi Arabia. Aim: To assess the confidence and educational needs of palliative care in oncology nurses who are caring for patients with advanced cancer in a teaching hospital in Jeddah, Saudi Arabia. Method: A quantitative, descriptive cross-sectional design was carried out on 108 oncology nurses who were working in oncology, medical, and daycare units in a teaching hospital. Palliative Care Self-Efficacy Scale and socio-demographic survey were used to collect data. Data were analyzed using IBM SPSS version 25.0. Results: The results showed that the confidence level of palliative care is moderate (M=30.36, SD=2.53). Nurses were less confident and needed education in discussing patients' wishes after death. There were significant differences in the levels of confidence in palliative care according to marital status, country, and period of working in oncology units or with cancer patients (pConclusion and Recommendations: The current study contributes to the empirical literature on oncology and palliative care nursing in Saudi Arabia and sheds light on the impotence of palliative care educational programs. Adequate guidance should be available to support the establishment of effective palliative care education programs to improve the level of confidence and cover the educational needs of oncology nurses.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Confidence and Educational Needs of Palliative Care in Oncology Nurses Caring for Patients with Advanced Cancer in a Teaching Hospital: A Cross-Sectional Study
AU  - Nada Hamad Almutairi
AU  - Rana Abdullah Alsubhi
AU  - Lama Hikmat Ghurab
AU  - Shahad Atyan Almalki
AU  - Dhuha Youssef Wazqar
Y1  - 2023/08/04
PY  - 2023
N1  - https://doi.org/10.11648/j.ajns.20231204.11
DO  - 10.11648/j.ajns.20231204.11
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 69
EP  - 79
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20231204.11
AB  - Background: Palliative care can improve terminally ill patients’ quality of life. Despite the rising interest in palliative care for patients with cancer, the palliative care skills, and levels of confidence of oncology nurses who care for those patients have rarely been studied in developing countries, such as Saudi Arabia. Aim: To assess the confidence and educational needs of palliative care in oncology nurses who are caring for patients with advanced cancer in a teaching hospital in Jeddah, Saudi Arabia. Method: A quantitative, descriptive cross-sectional design was carried out on 108 oncology nurses who were working in oncology, medical, and daycare units in a teaching hospital. Palliative Care Self-Efficacy Scale and socio-demographic survey were used to collect data. Data were analyzed using IBM SPSS version 25.0. Results: The results showed that the confidence level of palliative care is moderate (M=30.36, SD=2.53). Nurses were less confident and needed education in discussing patients' wishes after death. There were significant differences in the levels of confidence in palliative care according to marital status, country, and period of working in oncology units or with cancer patients (pConclusion and Recommendations: The current study contributes to the empirical literature on oncology and palliative care nursing in Saudi Arabia and sheds light on the impotence of palliative care educational programs. Adequate guidance should be available to support the establishment of effective palliative care education programs to improve the level of confidence and cover the educational needs of oncology nurses.
VL  - 12
IS  - 4
ER  -

Copy | Download