Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: a cross-sectional study

BMC Palliative Care

Research Article

Hsiu-Ling Shih¹  Kwua-Yun Wang²  Li-Fen Wu³  Hsueh-Hsing Pan³  Yu-Chun Hung³  Chi-Ming Chu⁴ 

[1] Department of Nursing, Tri-Service General Hospital, Taipei City, Taiwan;School of Nursing, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist., 114, Taipei City, Taiwan;Department of Nursing, Taipei Veterans General Hospital, Taipei City, Taiwan;School of Nursing, Yang-Ming University, Taipei, Taiwan;School of Nursing, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist., 114, Taipei City, Taiwan;Department of Nursing, Tri-Service General Hospital, Taipei City, Taiwan;School of Public Health, National Defense Medical Center, Taipei City, Taiwan;

关键词: Palliative care consultation service;    Knowledge;    Attitude;    Practice;    Path modeling;   

DOI  :  10.1186/s12904-017-0228-6

 received in 2016-11-15, accepted in 2017-08-11,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe Taiwanese government has promoted palliative care consultation services (PCCS) to support terminally ill patients in acute ward settings to receive palliative care since 2005. Such an intervention can enhance the quality of life and dignity of terminally ill patients. However, research focusing on the relationship between the knowledge, attitude and practice of a PCCS using path modelling in nursing staff is limited. Therefore, the aim of this study was to elucidate the effect of path modeling on the knowledge, attitude and practice toward PCCS in Taiwanese nursing staff.MethodsThis was a cross-sectional, descriptive study design using convenience sampling. Data collected included demographics, knowledge, attitude and practice as measured by the PCCS inventory (KAP-PCCSI). Two hundred and eighty-four nursing staff from a medical center in northern Taiwan participated in the study in 2013. We performed descriptive statistics, regression analysis, and path modeling using SPSS 19.0 and set p < 0.05 as the statistical significance threshold.ResultsThe results showed that the identical factor significantly associated with knowledge, attitude, and practice toward PCCS among nurses was the frequency of contact with PCCS. In addition, higher level of knowledge toward PCCS was associated with working in haematology and oncology wards, and participation in education related to palliative care. A more positive attitude toward PCCS was associated with working in a haematology and oncology ward, and experience of friends or relatives dying. Higher level of practice toward PCCS was associated with nurses who participated in education related to palliative care. In the path modeling, we found that holders of a master’s degree indirectly positive affected practice toward PCCS. Possession of a bachelor degree or above, being single, working within a haematology and oncology ward, and frequency of contact with PCCS positively affected practice toward PCCS.ConclusionsBased on this study, it is proposed that consultation with PCCS has a positive impact on the care of terminally ill patients. Encouragement of staff to undertake further education can improve the practice of ward staff providing palliative care.

【 授权许可】

CC BY   
© The Author(s). 2017