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
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
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 is
approach 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 of
services offered and the readiness of the nurse to provide palliative care. Knowledge and
competences of optimal pain assessment and management at the end – of life enhances nurse’s
practical knowledge. Knowledge of palliative care is essential for nurses, especially in
pediatrics’, where palliative care is less common than with adults.
Objectives: Assessment of nurses’ knowledge practice and associated factors towards pediatrics
palliative care of nurses working at selected Hospitals in Addis Ababa, Ethiopia.
Material and methods: A cross sectional quantitative study design was carried out on 252
nurses working in selected hospitals of Addis Ababa. For qualitative study FGD was conducted
in three groups, one group contains 6-8members. The study was conducted from November to
June 2014. Five governmental and two nongovernmental hospitals was selected. These hospitals
selected because they admit children of different age for care and treatment. Palliative Care Quiz
for 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 package
were applied for data entry and analysis .P-value less than 0.05 were considered as statistically
significant
Result: The response rate was 252 (98.8%) of the total 249 respondents. Out of total study
participants only 37(14.8%) had good knowledge toward pediatric palliative care. Bachelor and
Master level of education were significantly associated with knowledge of pediatric palliative
care. Training on palliative was significantly associated with knowledge of nurses towards
palliative care. Concerning their knowledge aspect practice more than half 243(97.5 %) of the
respondent had poor knowledge aspect of practice towards pediatric palliative care and
190(76.3%)
initiate
pediatric
palliative
care
discussion
to
the
family
during
diagnosis.148(59.4%), inform to the family their child’s terminal stage illness. Age, sex year of
working experience pediatric ward had significant association with knowledge aspect practice of
pediatric palliative care.
Conclusion and Recommendation
The finding of this study show nurses participated in this study had poor knowledge (85.2 %) and
knowledge aspect practice (97.5%) had poor towards pediatric palliative care. Therefore pediatric
palliative should be integrated in to the national health policy and incorporate in nursing
curriculum .Training should also be delivered in this field to nurses in hospital.
Key words: Addis Ababa, knowledge, nurse, palliative care, pediatrics and pract
Description
Keywords
Addis Ababa, Knowledge, Nurses, Palliative care, Pediatrics and practice