A Japanese region-wide survey of the knowledge, difficulties and self-reported palliative care practices among nurses

Kazuki Sato, Yoko Inoue, Megumi Umeda, Ichie Ishigamori, Ayumi Igarashi, Sei Togashi, Kumiko Harada, Masako Miyashita, Yumi Sakuma, Junko Oki, Ritsuko Yoshihara, Kenji Eguchi

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22 Citations (Scopus)

Abstract

Objective: We investigated palliative care knowledge, difficulty and self-reported practice among a region-wide sample of nurses who cared for cancer patients in Japan. Methods: A cross-sectional questionnaire survey was distributed to 9 designated cancer centers, 17 community hospitals and 73 district nurse services across 4 regions in 2008. We used the Palliative Care Knowledge Test, the Palliative Care Difficulty Scale (fivepoint Likert scale) and the Palliative Care Self-Reported Practices Scale (five-point Likert scale). Results: In total, 2378 out of 3008 nurses (79%) responded. The knowledge, difficulty and self-reported practice scores were 51±20%, 3.2±0.7 and 3.7±0.6, respectively. In the knowledge test, philosophy scored highest (88±26%) and psychiatric problems scored lowest (37±29%). In the difficulty test, alleviating symptoms scored most difficult (3.5±0.8) and providing expert support scored least difficult (2.9±1.3). In the self-reported practice questionnaire, pain and delirium relief were most frequently (4.0±0.8) and least frequently (3.1±0.9) provided, respectively. Knowledge was significantly poorer in community hospitals (P = 0.035); difficulty scores were significantly higher in community hospitals (P<0.001) and district nurse services (P = 0.013); and self-reported practice scores were significantly poorer in community hospitals (P < 0.001) but superior in district nurse services (P < 0.001) than in designated cancer centers. Conclusions: Knowledge, difficulty and self-reported practice for symptom management, particularly psychological symptoms, were insufficient, particularly in community hospitals. Education, expert support and adequate clinical experiences would help provide quality palliative care.

Original languageEnglish
Article numberhyu075
Pages (from-to)718-728
Number of pages11
JournalJapanese journal of clinical oncology
Volume44
Issue number8
DOIs
Publication statusPublished - 2014 Aug

Keywords

  • Attitude
  • Neoplasm
  • Nurse
  • Palliative care
  • Practice
  • Terminal care
  • health knowledge

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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    Sato, K., Inoue, Y., Umeda, M., Ishigamori, I., Igarashi, A., Togashi, S., Harada, K., Miyashita, M., Sakuma, Y., Oki, J., Yoshihara, R., & Eguchi, K. (2014). A Japanese region-wide survey of the knowledge, difficulties and self-reported palliative care practices among nurses. Japanese journal of clinical oncology, 44(8), 718-728. [hyu075]. https://doi.org/10.1093/jjco/hyu075