Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Hemşirelik Öğrencilerinin Palyatif Bakım Bilgi Düzeyi ve Uygulamalarının Palyatif Bakım Zorluklarını Yordama Gücü: Tanımlayıcı Araştırma
The Predict of Palliative Care Knowledge and Practice in the Palliative Care Difficulties of Nursing Students: Descriptive Research
Aslı AKDENİZ KUDUBEŞa, Murat BEKTAŞa
aDokuz Eylül Üniversitesi Hemşirelik Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, İzmir, TÜRKİYE
J Tradit Complem Med. 2021;4(3):385-93
doi: 10.5336/jtracom.2020-80776
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, hemşirelik öğrencilerinin palyatif bakım bilgi düzeyi ve öz bildirime dayalı uygulamalarının palyatif bakım zorluklarını yordama düzeyini belirlemek amacıyla tanımlayıcı, korelasyonel ve kesitsel bir çalışma olarak yürütülmüştür. Gereç ve Yöntemler: Araştırma, Dokuz Eylül Üniversitesi Hemşirelik Fakültesi'nde öğrenim gören toplam 530 hemşirelik öğrencisi ile yürütülmüştür. Araştırma verilerinin toplanmasında; Hemşirelik Öğrencisi Bilgi Formu, Palyatif Bakım Bilgi Düzeyi Anketi, Öz Bildirime Dayalı Palyatif Bakım Uygulamaları Ölçeği ve Palyatif Bakım Zorlukları Ölçeği kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, korelasyon analizi ve regresyon analizi kullanılmıştır. Bulgular: Araştırmaya katılan öğrencilerin %66'sının kadın, %38,7'sinin 3. sınıf öğrencisi, %34,5'inin palyatif bakıma yönelik eğitim aldığı ve %32,8'inin aldığı palyatif bakım eğitiminden memnun olduğu saptanmıştır. Hemşirelik öğrencilerinin; cinsiyet, sınıf, palyatif bakım eğitimi alma durumu, palyatif bakım eğitimini yeterli bulma durumuna göre palyatif bakım bilgi düzeyi, öz bildirime dayalı palyatif bakım uygulamaları ve palyatif bakım zorlukları puan ortalamaları arasında istatistiksel olarak ileri düzeyde anlamlı fark saptanmıştır. Çoklu regresyon analizi ile oluşturulan modele göre, hemşirelik öğrencilerin palyatif bakım bilgi düzeyinin ve uygulamalarının artması, yaşadıkları palyatif bakım zorluklarını azaltmaktadır. Modelde hemşirelik öğrencilerinin palyatif bakım bilgi düzeyi ve öz bildirime dayalı palyatif bakım uygulamaları palyatif bakım zorluğu düzeylerinin %84,4'ünü açıklamaktadır. Sonuç: Bu araştırmanın bulguları, öğrencilerin palyatif bakım bilgi düzeyi ve uygulamalarının palyatif bakımda yaşanan zorlukların azaltılmasını anlamlı şekilde etkilediğini göstermiştir. Araştırma sonuçlarının genellenebilirliğinin artırılması için araştırmanın Türkiye'nin farklı bölgelerindeki hemşirelik fakültelerinde tekrarlanması önerilir.

Anahtar Kelimeler: Palyatif bakım; hemşirelik; hemşirelik öğrencisi
ABSTRACT
 Objective: It was conducted as a descriptive, correlational and cross-sectional study in order to determine the predictive level of nursing students' palliative care knowledge and self-report-based practices on palliative care difficulties. Material and Methods: The study was conducted with a total of 530 nursing students studying at the Nursing Faculty of Dokuz Eylül University. In collecting research data; Nursing Student Information Form, Palliative Care Knowledge Level Questionnaire, Self-Report-Based Palliative Care Practices Scale and Palliative Care Difficulties Scale were used. Descriptive statistics, correlation analysis and regression analysis were used to evaluate the data. Results: It was determined that 66% of the students participating in the study were women, 38.7% were 3rd grade students, 34.5% received for palliative care education and 32.8% were satisfied with the palliative care education they received. A statistically significant difference was found between the mean scores of the nursing students for palliative care knowledge, self-reported based palliative care practices and palliative care difficulties according to their gender, class, palliative care education status, and their status of palliative care education sufficient. According to the model created with the multiple regression analysis, the increase in the knowledge and practices of nursing students in palliative care reduces their palliative care difficulties. In the model, the palliative care knowledge level of nursing students and self-reported palliative care practices explain 84.4% of their palliative care difficulty levels. Conclusion: This study showed that students' level of palliative care knowledge and practices significantly affected the reduction of palliative care difficulties. Repeating the nursing faculty working in different regions of Turkey in order to increase the generalizability of the results is recommended.

Keywords: Palliative care; nursing; nursing student
REFERENCES:
  1. Ferrell B, Malloy P, Mazanec P, Virani R. CARES: AACN's new competencies and recommendations for educating undergraduate nursing students to improve palliative care. J Prof Nurs. 2016;32(5):327-33. [Crossref]  [PubMed] 
  2. Pesut B, Greig M. Resources for educating, training, and mentoring nurses and unregulated nursing care providers in palliative care: A review and expert consultation. J Palliat Med. 2018;21(S1):S50-S56. [Crossref]  [PubMed]  [PMC] 
  3. Valles Martínez P, García Salvador I. Medicina paliativa. Med Paliat. 2013;20(3):111-114. [Crossref] 
  4. Şahan Uslu F, Terzioğlu F. Dünyada ve Türkiye'de palyatif bakım eğitimi ve örgütlenmesi [Palliative Care education and organization in the World and Turkey]. Cumhur Nurs J. 2015;4(2):81-90. [Link] 
  5. Ozcelik H, Fadiloglu C, Karabulut B, Uyar M. Palliative care activity in the field of oncology in Turkey. J Palliat Care. 2010;26(4):305-10. [Crossref]  [PubMed] 
  6. Phungrassami T, Thongkhamcharoen R, Atthakul N. Palliative care personnel and services: a national survey in Thailand 2012. J Palliat Care. 2013;29(3):133-9. [Crossref]  [PubMed] 
  7. Hagell P, Edfors E, Hedin G, Westergren A, Hammarlund CS. Group concept mapping for evaluation and development in nursing education. Nurse Educ Pract. 2016;20:147-53. [Crossref]  [PubMed] 
  8. Özveren H, Kirca K, Gülnar E, Bora Güneş N. Palyatif Bakım dersinin öğrencilerin palyatif bakıma ilişkin bilgisine etkisi [The ımpact of pallative care course on nursing students' knowledge on palliative care]. J Acad Res Nurs. 2018;4(2):100-7. [Link] 
  9. Henderson A, Rowe J, Watson K, Hitchen-Holmes D. Graduating nurses' self-efficacy in palliative care practice: An exploratory study. Nurse Educ Today. 2016;39:141-6. [Crossref]  [PubMed] 
  10. Kirkpatrick AJ, Cantrell MA, Smeltzer SC. Relationships among nursing student palliative care knowledge, experience, self-awareness, and performance: An end-of-life simulation study. Nurse Educ Today. 2019;73:23-30. [Crossref]  [PubMed] 
  11. Canbolat Ö, Özkal F. Palyatif bakım dersi alan ve almayan hemşirelik öğrencilerinin palyatif bakıma yönelik düşünceleri [Opinions about palliative care of nursing students who took and did not take palliative care course]. Necmettin Erbakan Üniversitesi Genel Sağlık Bilim Derg. 2019;1(1):27-39. [Link] 
  12. Akın E, Yıldırım D, Özçiftçi S, Tokem Y. Hemşirelik birinci sınıf öğrencilerinin palyatif bakımda ilk klinik uygulama deneyimleri [First clinical practice experiences of nursing first class students in palliative care]. Kocaeli Üniversitesi Sağlık Bilim Derg. 2020;6(1):1-6. [Crossref] 
  13. Akdeniz Kudubes A, Bektas M. The effect of web-based pediatric palliative care education on the palliative care knowledge level and practices of nursing students. Perspect Psychiatr Care. 2020;56(3):533-40. [PubMed] 
  14. Nakazawa Y, Miyashita M, Morita T, Umeda M, Oyagi Y, Ogasawara T. The palliative care self-reported practices scale and the palliative care difficulties scale: reliability and validity of two scales evaluating self-reported practices and difficulties experienced in palliative care by health professionals. J Palliat Med. 2010; 13(4):427-37. [Crossref]  [PubMed] 
  15. Kudubes AA, Bektas M, Ayar D, Bektaş İ, Selekoğlu Y, Altan SS, et al. Palliative care difficulties and psychometric properties of the Turkish version of the Self-Esteem Based Palliative Care Practice Scale. Int J Caring Sci. 2019;12(1):162-75. [Link] 
  16. Benesty J, Chen J, Huang Y, Cohen I. Pearson correlation coefficient. Noise Reduction in Speech Processing. 1st. Berlin Heidelberg: Springer; 2009. p.1-4. [Crossref] 
  17. Chen Y. Spatial autocorrelation approaches to testing residuals from least squares regression. Schumann GJ-P, ed. PLoS One. 2016;11(1):e0146865. [Crossref]  [PubMed]  [PMC] 
  18. Vermylen JH, Szmuilowicz E, Kalhan R. Palliative care in COPD: an unmet area for quality improvement. Int J Chron Obstruct Pulmon Dis. 2015;10:1543-51. [Crossref]  [PubMed]  [PMC] 
  19. Hagan TL, Xu J, Lopez RP, Bressler T. Nursing's role in leading palliative care: A call to action. Nurse Educ Today. 2018;61:216-9. [Crossref]  [PubMed]  [PMC] 
  20. Prem V, Karvannan H, Kumar SP, Karthikbabu S, Syed N, Sisodia V, et al. Study of nurses' knowledge about palliative care: A quantitative cross-sectional survey. Indian J Palliat Care. 2012;18(2):122-7. [Crossref]  [PubMed]  [PMC] 
  21. Nakazawa Y, Miyashita M, Morita T, Umeda M, Oyagi Y, Ogasawara T. The palliative care knowledge test: reliability and validity of an instrument to measure palliative care knowledge among health professionals. Palliat Med. 2009;23(8):754-66. [Crossref]  [PubMed] 
  22. Polat Ü, Karataş T. Nursing students' knowledge of palliative care at a university in Turkey. Res Theory Nurs Pract. 2018;32(3):276-95. [Crossref]  [PubMed] 
  23. Gaur R, Kumar Mudgal S, Dharni IT, Sharma R, Suyal N. Barriers encountered during online classes among undergraduate nursing students during COVID-19 pandemic in India. Int J Res Med Sci. 2020;8(10):3687-3693. [Crossref] 
  24. Carolan C, Davies CL, Crookes P, McGhee S, Roxburgh M. COVID 19: Disruptive impacts and transformative opportunities in undergraduate nurse education. Nurse Educ Pract. 2020;46:102807. [Crossref]  [PubMed]  [PMC] 
  25. Chover-Sierra E, Martínez-Sabater A, Lape-a-Mo-ux Y. Conhecimentos em cuidados paliativos dos profissionais de enfermagem de um hospital Espanhol. Rev Lat Am Enfermagem. 2017;25:1-9. [Crossref]  [PubMed]  [PMC] 
  26. Usta E, Aygin D, Sağlam E. Knowledge and opinions of nursing students on palliative care: A university example. J Hum Sci. 2016; 13(3):4405-15. [Crossref] 
  27. Ng LK. The perceived importance of soft (service) skills in nursing care: A research study. Nurse Educ Today. 2020;85:104302. [Crossref]  [PubMed] 
  28. Pan HH, Shih HL, Wu LF, Hung YC, Chu CM, Wang KY. Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: a cross-sectional study. BMC Palliat Care. 2017;16(1):42. [Crossref]  [PubMed]  [PMC] 
  29. Huang LC, Tung HJ, Lin PC. Associations among knowledge, attitudes, and practices toward palliative care consultation service in healthcare staffs: A cross-sectional study. PLoS One. 2019;14(10):e0223754. [Crossref]  [PubMed]  [PMC] 

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