Assessment of Nurses Knowledge Practice and Associated Factors Towards Pediatrics Palliative Care of Nurses Working at Selected Hospitals in Addis Ababa, Ethiopia
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Date
2014-06
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Addis Ababa University
Abstract
To provide quality pediatric palliative care at the end of life or with life threatening illness,nurse must have good knowledge and practice about pediatric palliative care . Palliative care isapproach that improves the quality of life for children and their families facing the problem.Palliative care is new and specialized field for nurses, very little is known about the type ofservices offered and the readiness of the nurse to provide palliative care. Knowledge andcompetences of optimal pain assessment and management at the end – of life enhances nurse’spractical knowledge. Knowledge of palliative care is essential for nurses, especially inpediatrics’, where palliative care is less common than with adults.
Objectives: Assessment of nurses’ knowledge practice and associated factors towards pediatricspalliative care of nurses working at selected Hospitals in Addis Ababa, Ethiopia.
Material and methods: A cross sectional quantitative study design was carried out on 252nurses working in selected hospitals of Addis Ababa. For qualitative study FGD was conductedin three groups, one group contains 6-8members. The study was conducted from November toJune 2014. Five governmental and two nongovernmental hospitals was selected. These hospitalsselected because they admit children of different age for care and treatment. Palliative Care Quizfor Nursing (PCQN) and practical questions tools from African palliative care Association/palliative outcome scale for Africa was used. EPI-INFO and SPSS soft ware statistical packagewere applied for data entry and analysis .P-value less than 0.05 were considered as statisticallysignificant
Result: The response rate was 252 (98.8%) of the total 249 respondents. Out of total studyparticipants only 37(14.8%) had good knowledge toward pediatric palliative care. Bachelor andMaster level of education were significantly associated with knowledge of pediatric palliativecare. Training on palliative was significantly associated with knowledge of nurses towardspalliative care. Concerning their knowledge aspect practice more than half 243(97.5 %) of therespondent had poor knowledge aspect of practicetowardspediatricpalliative care and 190 (76.3%) initiatepediatricpalliativecarediscussiontothefamilyduringdiagnosis.148(59.4%), inform to the family their child’s terminal stage illness. Age, sex year ofworking experience pediatric ward had significant association with knowledge aspect practice ofpediatric palliative care.
Conclusion and RecommendationThe finding of this study show nurses participated in this study had poorknowledge (85.2 %) andknowledge aspect practice (97.5%) had poor towards pediatric palliative care. Therefore pediatricpalliative should be integrated in to the national health policy and incorporate in nursingcurriculum .Training should also be delivered in this field to nurses in hospital.
Key words: Addis Ababa, knowledge, nurse, palliative care, pediatrics and pract
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Addis Ababa Knowledge Nurses Palliative care Pediatrics and practice