Education nursing students' in Palliative Care and Pain Therapy: an observational study
Keywords:
End-of-life care, palliative care, undergraduate students, attitudes, nursing education, clinical simulation, FATCOD.Abstract
Background and aim: University education plays an important role in the preparation of future nurses, especially in the care of dying patients, which is one of the most emotionally engaging aspects. The objectives of the study were to describe the attitudes of students in end-of-life care and to analyze the possible relationship with some socio-demographic variables, through an observational study.
Methods: Preliminarily, an analysis of the educational context of the Nursing Course of the University of Parma was started, through a comparison of the university course with the recommendations of the MIUR concerning the teaching and learning of Palliative Care and Pain Therapy. Subsequently, a questionnaire containing the Frommelt Attitude Toward Care of the Dying Scale Form B and some socio-demographic context variables was administered to a sample of 109 students belonging to the CoS of Nursing in Parma.
Results: From the data collected, it emerged that university planning partly reflects the recommendations of the MIUR and how, on average, nursing students have described positive attitudes in all the dimensions investigated. Interesting is the presence of a positive relationship between the personal experiences of bereavement and the attitudes of the students.
Conclusions: Nurses are essential in ensuring the quality of care provided to patients at the end of life; Nursing training in Palliative Care and Pain Therapy should include a complete and varied program (frontal activity, simulation, internship paths...) in order to develop positive student attitudes associated with high levels of satisfaction and improvement of the quality of care provided.
References
Peruselli C, Manfredini L, Piccione T, Moroni L, Orsi L. Il bisogno di cure palliative; Rivista italiana di cure palliative, 2019, 21:67-74.
Tait V, Higgs M, Magann L, Dixon J, Davis J M, Fernandez R. Attitudes of Non palliative Care Nurses towards Palliative Care, International Journal of Palliative Care, 2015.
Dimoula M, Kotronoulas G, Katsaragakis S, Christou M, Sgourou S, Patiraki E. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of- life care: A three-cohort, cross-sectional survey; Nurse Education Today, 2019, 7-14.
Fristedt S, Grynne A, Melin-Johansson C, Henoch I, Lundh Hagelin C, Browall M. Registered nurses and undergraduate nursing students' attitudes to performing end-of-life care; Nurse Education Today, 2021.
Henoch I, Melin-Johansson C, Bergh I, Strang S, Ek K, Hammarlund K, Browall M. Undergraduate nursing students' attitudes and preparedness toward caring for dying persons - A longitudinal study; Nurse Education in Practice,2017, 12-20.
Laporte P, Juvet T, Desbiens J F, Tapp D, Pasquier J, Bornet M A. Factors affecting attitudes toward caring for terminally ill patients among nursing students in Switzerland: a cross-sectional study; BMJ Open, 2020.
Garrino L, Contratto C, Massariello P, Dimonte V. Caring for Dying Patient and Their Families: The Lived Experiences of Nursing Students in Italy; Journal of Palliative Care, 2017,127-133.
Abelsson A, Willman A. Caring for patients in the end-of-life from the perspective of undergraduate nursing students; Nursing Forum An Indipendent Voice for Nursing, 2020, 433-438.
Li J, Smothers A, Fang W, Borland M. Undergaduate Nursing Students' Perception of End- of-Life Care Education Placement in the Nursing Curriculum; Journal of Hospice & Palliative Nursing, 2020, E12-E18.
Chover-Sierra E, Martinez-Sabater A. Analysis of Spanish nursing students' knowledge in palliative care. An online survey in five colleges; Nurse Education in Practice, 2020.
Mastroianni C, D'Angelo D, Ramon Codina M, Petitti T, Latina R, Casale G, De Marinis M. Palliative Care Education in Undergraduate Nursing Curriculum in Italy; Journal of Hospice & Palliative Nursing, 2019, 96-103.
Ministero dell'Istruzione. Tratto da Ministero dell'Istruzione: https://www.miur.gov.it/web/guest/lauree-e-lauree-magistrali, 2020.
Martins Pereira, S., Hernandez-Marrero, P., Pasman, H. R., Capelas, M. L., Larkin, P., & Francke, A. L. Nursing education on palliative care across Europe: Results and recommendations from the EAPC Taskforce on preparation for practice in palliative care nursing across the EU based on an online-survey and country reports. Palliative Medicine, 2021, 130-141.
Ferri P, Di Lorenzo R, Vagnini M, Morotti E, Stifani S, Jimenez Herrera M, Palese A. Nursing student attitudes toward dying patient care: A European multicenter cross-sectional study; Acta Biomedica for health professions, 2021.
Eltaybani S, Igarashi A, Yamamoto-Mitani N. Palliative and end-of-life care education in prelicensure nursing curricula: A nationwide survey in an Arab country; Nurse Education Today, 2021.
Thrane S E. Online Palliative and End-of-Life Care Education for Undergraduate Nurses; Journal of Professional Nursing, 2020, 42-46.
Pfitzinger Lippe M, Becker H. Improving Attitudes and Perceived Competence in Caring for Dying Patients: An End-of-Life Simulation; Nursing Education Perspectives, 2015.
Petrongolo M, Toothaker R. Nursing students perceptions of death and dying: A descriptive quantitative study; Nurse Education Today, 2021.
Lewis C, Reid J, McLernon Z, Ingham R, Traynor M. The impact of a simulated intervention on attitudes of undergraduate nursing and medical students towards end of life care provision; BMC Palliative Care, 2016.
Escribano S, Cabanero-Martinez M J, Fernandez-Alcantara M, Garcia-Sanjuan S, Montoya-Juarez R, Julia-Sanchis R. Efficacy of a Standardised Patient Simulation Programme for Chronicity and End-of-Life Care Training in Undergraduate Nursing Student; International Journal of Environmental Research and Public Health, 2021.
Spencer L M, Spencer S M. Competenza nel lavoro. Modelli per una performance superiore; Franco-Angeli. 2003, Vol.2.
Mastroianni C, Michela P, Taboga C, Mirabella F, Marfoli E, Casale G, De Marinis M G. Frommelt Attitudes Toward Care of the Dying Scale Form B: Psychometric Testing of the Italian Version for Students; OMEGA- Journal of Death and Dying, 2015, 227-250.
Jafari M, Rafiei H, Nassehi A, Soleimani F, Arab M, Noormohammadi M R. Caring for Dying Patients: Attitude of Nursing Students and Effects of Education; Indian Journal of Palliative Care, 2015, vol 21.
Zahran, Z., Hamdan, K. M., Hamdan-Mansour, A. M., Allari, R. S., Alzayyat, A. A., & Shaheen, A. M. Nursing students' attitudes toward death and caring for dying patients. NursingOpen, 2021, 614-623.
Guilford, J P. Psychometric methods. 2nd ed., New York: McGraw-Hill. 1956.
Nunnally, J C. Psychometric theory. 2nd ed., New York: McGraw-Hill. 1978.
Jiang Q, Lu Y, Ying Y, Zhao H. Attitudes and knowledge of undergraduate nursing students about palliative care: An analysis of influencing factors; Nurse Education Today, 2019, 15-21.
Hancer Tok H, Cerit B. The effect of creative drama education on first-year undergraduate nursing student attitudes toward caring for dying patients; Nurse Education Today, 2021.
Tamaki T, Inumaru A, Yokoi Y, Fujii M, Tomita M, Inoue Y, Tsujikawa M. The effectiveness of end-of-life care simulation in undergraduate nursing education: A randomized controlled trial; Nurse Education Today, 2019, 1-7.
Shaw P A, Abbott M A. High- fidelity simulation: Teaching end-of-life care; Nurse Education Today, 2017, 8-11.
Sponton A, Iadeluca A. La simulazione nell'infermieristica; Torino: Casa Editrice Ambrosiana, 2018.
La Sala R, Coppola D, Ruozi C, et al. Competence assessment of the clinical tutor: a multicentric observational study. Acta Biomed for Health Professions 2021; Vol. 92, Supplement 2.
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