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04.02.2020 | Care

Knowledge and Experiences of Final Year Medical and Nursing Students with Regard to Palliative Care at Government University in Oman: A Questionnaire Based Study

verfasst von: Mohammed Al-Azri, Saif AL-Saidi, Jawaher Al-Musilhi, Zahid Al-Mandhari, Sathiya Murthi Panchatcharam

Erschienen in: Journal of Cancer Education | Ausgabe 4/2021

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Abstract

Palliative care (PC) is an essential part of the healthcare system, aiming to improve the quality of life of terminally ill patients and their families through prevention, relief of suffering, and providing psychosocial and spiritual support. To achieve high-quality PC, medical education should encompass PC training, including knowledge of PC, and skills and attitudes towards PC, at the undergraduate level. The aim of this study is to identify PC knowledge and experience among undergraduate medical and nursing students at Sultan Qaboos University (SQU), a government university in Oman. A validated questionnaire that measures knowledge and experiences of PC was administered to all final year medical and nursing students (N = 196) at SQU. The majority of the students (93.4%) were aware of the term PC, but most of them (68.9%) did not have any experience of PC. Around half of the students (54.9%) had a vague notion of how to implement PC, and only 41.3% felt confident in providing PC for terminally ill patients. Less than half of the students (44.8%) were aware that the patient’s family should be included in PC, as well as the patient. The majority of students (71.3%) thought that PC should be included in the undergraduate teaching curriculum, though few students (17.9%) knew that PC is currently a specialized medical unit (sub-department) in Oman. Most of the students (73.0%) thought that terminally ill patients have the right to choose “do not resuscitate,” but few students agreed that patients should be able to request a lethal dose (24.0%) or consent to a physician-assisted suicide (35.7%). Most of the students (84.7%) believed that special psychological support should be provided for doctors and nurses working in PC. Bivariate analysis showed no significance in the knowledge of applied PC in relation to which of the colleges the students were from (p = 0.283) or gender of the students (p = 0.068). Despite the fact that SQU students had favorable attitudes towards PC, they have insufficient knowledge and lack of experience. As the number of geriatric and terminal cancer patients increases across Oman, there is a need for the healthcare system to provide high-quality and effective PC services. Thus, there is an urgent need to integrate PC teaching courses as part of the undergraduate medical education for medical and nursing students.
Literatur
3.
Zurück zum Zitat Spruyt O (2011) Team networking in palliative care. Indian J Palliat Care 17(4):17–19CrossRef Spruyt O (2011) Team networking in palliative care. Indian J Palliat Care 17(4):17–19CrossRef
4.
Zurück zum Zitat Rosser M, Walsh H (2014) Fundamentals of palliative care for student nurses. Sons, John Wiley & Rosser M, Walsh H (2014) Fundamentals of palliative care for student nurses. Sons, John Wiley &
5.
Zurück zum Zitat Cherny NI (2009) Stigma associated with “palliative care”: getting around it or getting over it. Cancer 115(9):1808–1812CrossRef Cherny NI (2009) Stigma associated with “palliative care”: getting around it or getting over it. Cancer 115(9):1808–1812CrossRef
6.
Zurück zum Zitat Pan CX, Carmody S, Leipzig RM, Granieri E, Sullivan A, Block SD, Arnold RM (2005) There is hope for the future: national survey results reveal that geriatric medicine fellows are well-educated in end-of-life care. J Am Geriatr Soc 53(4):705–710CrossRef Pan CX, Carmody S, Leipzig RM, Granieri E, Sullivan A, Block SD, Arnold RM (2005) There is hope for the future: national survey results reveal that geriatric medicine fellows are well-educated in end-of-life care. J Am Geriatr Soc 53(4):705–710CrossRef
7.
Zurück zum Zitat Field D, Wee B (2002) Preparation for palliative care: teaching about death, dying and bereavement in UK medical schools 2000-2001. Med Educ 36(6):561–567CrossRef Field D, Wee B (2002) Preparation for palliative care: teaching about death, dying and bereavement in UK medical schools 2000-2001. Med Educ 36(6):561–567CrossRef
8.
Zurück zum Zitat Kelley AS, Morrison RS (2015) Palliative care for the seriously ill. N Engl J Med 373(8):747–755CrossRef Kelley AS, Morrison RS (2015) Palliative care for the seriously ill. N Engl J Med 373(8):747–755CrossRef
9.
Zurück zum Zitat Morrison RS, Penrod JD, Cassel JB, Caust-Ellenbogen M, Litke A, Spragens L, Meier DE, Palliative Care Leadership Centers' Outcomes Group (2008) Cost savings associated with us hospital palliative care consultation programs. Arch Intern Med 168(16):1783–1790CrossRef Morrison RS, Penrod JD, Cassel JB, Caust-Ellenbogen M, Litke A, Spragens L, Meier DE, Palliative Care Leadership Centers' Outcomes Group (2008) Cost savings associated with us hospital palliative care consultation programs. Arch Intern Med 168(16):1783–1790CrossRef
11.
Zurück zum Zitat Woo JA, Maytal G, Stern TA (2006) Clinical challenges to the delivery of end-of-life care. Prim Care Companion J Clin Psychiatry 8(6):367–372CrossRef Woo JA, Maytal G, Stern TA (2006) Clinical challenges to the delivery of end-of-life care. Prim Care Companion J Clin Psychiatry 8(6):367–372CrossRef
12.
Zurück zum Zitat Lynch T, Connor S, Clark D (2013) Mapping levels of palliative care development: a global update. J Pain Symptom Manag 45(6):1094–1106CrossRef Lynch T, Connor S, Clark D (2013) Mapping levels of palliative care development: a global update. J Pain Symptom Manag 45(6):1094–1106CrossRef
13.
Zurück zum Zitat Al-Lawati JA, Mabry R, Mohammed AJ (2008) Addressing the threat of chronic diseases in Oman. Prev Chronic Dis 5(3):A99PubMedPubMedCentral Al-Lawati JA, Mabry R, Mohammed AJ (2008) Addressing the threat of chronic diseases in Oman. Prev Chronic Dis 5(3):A99PubMedPubMedCentral
14.
Zurück zum Zitat Al-Azri M, Al-Kindi J, Al-Harthi T, Al-Dahri M, Panchatcharam SM, Al-Maniri A (2017) Awareness of stomach and colorectal Cancer risk factors, symptoms and time taken to seek medical help among public attending primary care setting in Muscat governorate. Oman J Cancer Educ doi. https://doi.org/10.1007/s13187-017-1266-1268 Al-Azri M, Al-Kindi J, Al-Harthi T, Al-Dahri M, Panchatcharam SM, Al-Maniri A (2017) Awareness of stomach and colorectal Cancer risk factors, symptoms and time taken to seek medical help among public attending primary care setting in Muscat governorate. Oman J Cancer Educ doi. https://​doi.​org/​10.​1007/​s13187-017-1266-1268
15.
Zurück zum Zitat Lloyd-Williams M, Macleod RDM (2004) A systematic review of teaching and learning in palliative care within the medical undergraduate curriculum. Med Teach 26(8):683–690CrossRef Lloyd-Williams M, Macleod RDM (2004) A systematic review of teaching and learning in palliative care within the medical undergraduate curriculum. Med Teach 26(8):683–690CrossRef
16.
Zurück zum Zitat Sadhu S, Salins NS, Kamath A (2010) Palliative care awareness among Indian undergraduate health care students: a needs-assessment study to determine incorporation of palliative care education in undergraduate medical, nursing and allied health education. Indian J Palliat Care116 (3):154–159. https://doi.org/10.4103/0973-1075.73645 Sadhu S, Salins NS, Kamath A (2010) Palliative care awareness among Indian undergraduate health care students: a needs-assessment study to determine incorporation of palliative care education in undergraduate medical, nursing and allied health education. Indian J Palliat Care116 (3):154–159. https://​doi.​org/​10.​4103/​0973-1075.​73645
17.
Zurück zum Zitat Qatan RS, Shibli A, Sultan H, Jahan F (2013) Perception of undergraduate medical students in clinical years regarding palliative care. Middle East Journal of Age and Ageing 83(403):1–10 Qatan RS, Shibli A, Sultan H, Jahan F (2013) Perception of undergraduate medical students in clinical years regarding palliative care. Middle East Journal of Age and Ageing 83(403):1–10
18.
Zurück zum Zitat Fraser HC, Kutner JS, Pfeifer MP (2001) Senior medical students’ perceptions of the adequacy of education on end-of-life issues. J Palliat Med 4(3):337–343CrossRef Fraser HC, Kutner JS, Pfeifer MP (2001) Senior medical students’ perceptions of the adequacy of education on end-of-life issues. J Palliat Med 4(3):337–343CrossRef
19.
Zurück zum Zitat Abu-Saad Huijer H, Dimassi H (2007) Palliative care in Lebanon: knowledge, attitudes and practices of physicians and nurses. J Med Liban 55(3):121–128PubMed Abu-Saad Huijer H, Dimassi H (2007) Palliative care in Lebanon: knowledge, attitudes and practices of physicians and nurses. J Med Liban 55(3):121–128PubMed
20.
Zurück zum Zitat Gibbins J, McCoubrie R, Maher J, Wee B, Forbes K (2010) Recognizing that it is part and parcel of what they do: teaching palliative care to medical students in the UK. Palliat Med 24(3):299–305CrossRef Gibbins J, McCoubrie R, Maher J, Wee B, Forbes K (2010) Recognizing that it is part and parcel of what they do: teaching palliative care to medical students in the UK. Palliat Med 24(3):299–305CrossRef
21.
Zurück zum Zitat Mason S, Ellershaw J (2008) Preparing for palliative medicine; evaluation of an education programme for fourth year medical undergraduates. Palliat Med 22(6):687–692CrossRef Mason S, Ellershaw J (2008) Preparing for palliative medicine; evaluation of an education programme for fourth year medical undergraduates. Palliat Med 22(6):687–692CrossRef
22.
Zurück zum Zitat Sepúlveda C, Marlin A, Yoshida T, Ullrich A (2002) Palliative care: the World Health Organization’s global perspective. J Pain Symptom Manag 24(2):91–96CrossRef Sepúlveda C, Marlin A, Yoshida T, Ullrich A (2002) Palliative care: the World Health Organization’s global perspective. J Pain Symptom Manag 24(2):91–96CrossRef
23.
Zurück zum Zitat Gomes B, Higginson IJ (2006) Factors influencing death at home in terminally ill patients with cancer: systematic review. BMJ 332(7540):515–521CrossRef Gomes B, Higginson IJ (2006) Factors influencing death at home in terminally ill patients with cancer: systematic review. BMJ 332(7540):515–521CrossRef
24.
Zurück zum Zitat Tayeb MA, Al-Zamel E, Fareed MM, Abouellail HA (2010) A “good death”: perspectives of Muslim patients and health care providers. Ann Saudi Med 30(3):215–221CrossRef Tayeb MA, Al-Zamel E, Fareed MM, Abouellail HA (2010) A “good death”: perspectives of Muslim patients and health care providers. Ann Saudi Med 30(3):215–221CrossRef
25.
Zurück zum Zitat Salman K, Zoucha R (2010) Considering faith within culture when caring for the terminally ill Muslim patient and family. J Hosp Palliat Nurs 12(3):156–163CrossRef Salman K, Zoucha R (2010) Considering faith within culture when caring for the terminally ill Muslim patient and family. J Hosp Palliat Nurs 12(3):156–163CrossRef
27.
Zurück zum Zitat Blinderman CD, Billings JA (2015) Comfort care for patients dying in the hospital. N Engl J Med 373(26):2549–2561CrossRef Blinderman CD, Billings JA (2015) Comfort care for patients dying in the hospital. N Engl J Med 373(26):2549–2561CrossRef
28.
Zurück zum Zitat Dunwoodie DA, Auret K (2007) Psychological morbidity and burnout in palliative care doctors in Western Australia. Intern Med 37(10):693–698 Dunwoodie DA, Auret K (2007) Psychological morbidity and burnout in palliative care doctors in Western Australia. Intern Med 37(10):693–698
29.
Zurück zum Zitat Martins Pereira S, Fonseca AM, Sofia Carvalho A (2011) Burnout in palliative care: a systematic review. Nurs Ethics 18(3):317–326CrossRef Martins Pereira S, Fonseca AM, Sofia Carvalho A (2011) Burnout in palliative care: a systematic review. Nurs Ethics 18(3):317–326CrossRef
30.
Zurück zum Zitat Sansó N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E (2015) Palliative care professionals’ inner life: exploring the relationships among awareness, self-care, and compassion satisfaction and fatigue, burnout, and coping with death. J Pain Symptom Manag 50(2):200–207CrossRef Sansó N, Galiana L, Oliver A, Pascual A, Sinclair S, Benito E (2015) Palliative care professionals’ inner life: exploring the relationships among awareness, self-care, and compassion satisfaction and fatigue, burnout, and coping with death. J Pain Symptom Manag 50(2):200–207CrossRef
32.
Zurück zum Zitat Isgandarova N (2015) Physician-assisted suicide and other forms of euthanasia in Islamic spiritual care. J Pastoral Care Counsel 69(4):215–221CrossRef Isgandarova N (2015) Physician-assisted suicide and other forms of euthanasia in Islamic spiritual care. J Pastoral Care Counsel 69(4):215–221CrossRef
33.
Zurück zum Zitat Shankaran V, LaFrance RJ, Ramsey SD (2017) Drug price inflation and the cost of assisted death for terminally ill patients-death with indignity. JAMA Oncol 3(1):15–16CrossRef Shankaran V, LaFrance RJ, Ramsey SD (2017) Drug price inflation and the cost of assisted death for terminally ill patients-death with indignity. JAMA Oncol 3(1):15–16CrossRef
34.
Zurück zum Zitat Cora A, Partinico M, Munafo M, Palomba D (2012) Health risk factors in caregivers of terminal cancer patients: a pilot study. Cancer Nurs 35(1):38–47CrossRef Cora A, Partinico M, Munafo M, Palomba D (2012) Health risk factors in caregivers of terminal cancer patients: a pilot study. Cancer Nurs 35(1):38–47CrossRef
36.
Zurück zum Zitat de Pentheny O’KC, Urch C, Brown EA (2011) The impact of culture and religion on truth telling at the end of life. Nephrol Dial Transplant 26(12):3838–3842CrossRef de Pentheny O’KC, Urch C, Brown EA (2011) The impact of culture and religion on truth telling at the end of life. Nephrol Dial Transplant 26(12):3838–3842CrossRef
Metadaten
Titel
Knowledge and Experiences of Final Year Medical and Nursing Students with Regard to Palliative Care at Government University in Oman: A Questionnaire Based Study
verfasst von
Mohammed Al-Azri
Saif AL-Saidi
Jawaher Al-Musilhi
Zahid Al-Mandhari
Sathiya Murthi Panchatcharam
Publikationsdatum
04.02.2020
Verlag
Springer US
Schlagwort
Care
Erschienen in
Journal of Cancer Education / Ausgabe 4/2021
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-020-01699-0

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