Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: a cross-sectional study
Open Access
- 17 August 2017
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Palliative Care
- Vol. 16 (1), 1-9
- https://doi.org/10.1186/s12904-017-0228-6
Abstract
The 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. This 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. The 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. Based 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.Funding Information
- Taiwan Nurses Association (TWNA-1032041)
This publication has 23 references indexed in Scilit:
- Nurses' knowledge about palliative care in Southeast IranPalliative & Supportive Care, 2013
- Nurses' Perceptions of Educational Gaps in Delivering End-of-Life CareOncology Nursing Forum, 2011
- Nurses' Perceptions and Experiences With End-of-Life Communication and CareOncology Nursing Forum, 2011
- Knowledge use in nursing practice: The importance of practical understanding and personal involvementNurse Education Today, 2010
- A new hospice consulting system for terminal cancer patients in transferring to post-acute care options in TaiwanEuropean Journal of Cancer Care, 2010
- Assessing Nurses' Attitudes Toward Death and Caring for Dying Patients in a Comprehensive Cancer CenterOncology Nursing Forum, 2008
- Oncology End-of-Life Nursing Education Consortium Training Program: Improving Palliative Care in CancerOncology Nursing Forum, 2007
- Barriers to referral to inpatient palliative care units in Japan: a qualitative survey with content analysisSupportive Care in Cancer, 2007
- Use of physical restraints in rehabilitation settings: staff knowledge, attitudes and predictorsJournal of Advanced Nursing, 2006
- Path Analysis: An Introduction and Analysis of a Decade of ResearchThe Journal of Educational Research, 2004