Resident Knowledge, Attitudes, Practices, and Related Factors on Palliative Care at Tikur Anbesa Specialised Hospital
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Date
2024-10-19
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Addis Ababa University
Abstract
Back ground: Knowledge of palliative care among health care provider is an important factor in giving quality palliative care for all cancer and non-cancer patients who are illegible for the service. The study aims to evaluate residents' knowledge, attitudes, practices, and related aspects on palliative care in TASH, 2023.
Methods: This study was conducted at Tikur Anbesa Specialized Hospital/TASH/. An institution based cross-sectional quantitative study was employed among 172 residents who have attachments in TASH. A self-administered questionnaire was employed to gather data, and statistical software (SPSS 26 version) was utilized for data clearing and analysis in addition to Epi Info (7.2.5.0) for data entering. For components that were statistically significant, descriptive statistics, bivariate analysis, and ANOVA statistical analysis were used. Data presented with frequency, percentage, and tables.
Result: Out of the 176 potential participants, 172 (97.7%) fully answered the questions. Out of them, 55.2%, 48.3% and 41.9% of residents had inadequate knowledge, attitude and Practice on palliative care correspondingly. There was a notable disparity in the fields of family medicine, internal medicine, Pediatrics & child health, and dermatology regarding their respective levels of expertise regarding palliative care. P = 0.000, F (7,164) = 4.122. A significant difference in attitude was found in the study (F=2.476, P-value=0.046). Family medicine residents' attitudes are on average better than those of surgery and pediatric & child health residents by 0.00958 and 0.0.01271, respectively, at the 5% significant level (mean score diff. = 0.00958; CI (-0.0254, 0.0446) and (mean score diff. = 0.01271; CI (0.0225, 0.0472)).
Conclusion: Palliative care is not well understood by the majority of TASH residents. It is better understood, approached, and practiced by internal medicine and family medicine residents. Medical professionals must be ready to provide standardized palliative care in light of the ageing population, the rising incidence of non-communicable diseases, and the rising morbidity associated with cancer.
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Knowledge, Attitude, Practice, Palliative care, Residents