PATIENTS’ AND NURSES’ PERCEPTIONS OF PALLIATIVE CARE OUTCOMES: A COMPARATIVE STUDY
PDF

Keywords

palliative care outcome scale
patients
nurses
advanced cancer
Indonesia

How to Cite

Dewiyuliana, D., Warsini, S., & Effendy, C. (2019). PATIENTS’ AND NURSES’ PERCEPTIONS OF PALLIATIVE CARE OUTCOMES: A COMPARATIVE STUDY. Belitung Nursing Journal, 5(2), 92–101. https://doi.org/10.33546/bnj.650
Crossref
Scopus
Google Scholar

Link to Google Scholar

Accepted for publication: 2019-02-18
Peer reviewed: Yes

Related articles in


Search Relations - Article by Author(s)

Share this article on:

Abstract

Background: Patients with advanced cancer require treatment and the fulfillment of their needs, based on the results of assessments regarding their physical symptoms, psychological and spiritual needs. Palliative care should be delivered with a person-centered care approach. It is important to consider the patients’ reports of their carings’ outcomes.  Comparisons between the patients’ and nurses’ perceptions of palliative care outcomes can be used to improve the quality of palliative care.

Objective: The purpose of this study is to compare the patients’ and nurses’ perceptions of palliative care outcomes during the patients’ hospitalization.

Methods: This is a comparative descriptive study with a cross-sectional design. Data were collected from May to June 2018 from a total of 106 patients with advanced cancer, and 61 nurses. The versions of the Palliative care Outcome Scale (POS) for patients and nurses were used to measure the palliative care outcomes of the patients’ and nurses’ perceptions.

Result: The study found a significant difference between the perceptions of the patients and nurses for the palliative care outcomes, particularly in the information availability domain (p = 0.001), the other symptoms domain (p = 0.029), and the anxiety feelings domain (p = 0.030), while the other seven domains had no significant differences between both groups (p > 0.05).

Conclusion: The anxiety feelings, other symptoms and information availability domains are the aspects of palliative care which need more attention from health care providers, especially nurses, when caring for patients with advanced cancer.

https://doi.org/10.33546/bnj.650
PDF

Supporting Agencies

BUDI LPDP

Copyright

Copyright (c) 2019 Dewiyuliana, Sri Warsini, Christantie Effendy

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article Metrics

Total views 1914 [Abstract: 1249 | PDF: 665 ]

Downloads

Download data is not yet available.

PlumX Metrics


References

Akin, S., & Durna, Z. (2013). A comparative descriptive study examining the perceptions of cancer patients, family caregivers, and nurses on patient symptom severity in Turkey. European Journal of Oncology Nursing, 17(1), 30-37. https://doi.org/10.1016/j.ejon.2012.02.002

American Cancer Society. (2017). Signs and symptoms of cancer. Retrieved from https://www.cancer.org/cancer/ cancer-basics/signs-and-symptoms-of-cancer.html

Bahrami, M. (2010). Do nurses provide holistic care to cancer patients? Iranian Journal of Nursing and Midwifery Research, 15(4), 245.

Bhatnagar, S., & Patel, A. (2018). Effectiveness of the certificate course in essentials of palliative care program on the knowledge in palliative care among the participants: A cross-sectional interventional study. Indian Journal of Palliative Care, 24(1), 86.

Borneman, T., Koczywas, M., Sun, V. C.-Y., Piper, B. F., Uman, G., & Ferrell, B. (2010). Reducing patient barriers to pain and fatigue management. Journal of Pain and Symptom Management, 39(3), 486-501. https://doi.org /10.1016/j.jpainsymman.2009.08.007

Cancer Research United Kingdom. (2017). Type of cancer. Retrieved from http://www.cancerresearchuk.org/what-is-cancer/how-cancer-starts/types-of-cancer

Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering education: A new model for in-service training of nursing staff. Journal of Advances in Medical Education & Professionalism, 5(1), 26.

Cirillo, M., Venturini, M., Ciccarelli, L., Coati, F., Bortolami, O., & Verlato, G. (2009). Clinician versus nurse symptom reporting using the National Cancer Institute—Common Terminology Criteria for Adverse Events during chemotherapy: results of a comparison based on patient's self-reported questionnaire. Annals of Oncology, 20(12), 1929-1935. https://doi.org/10.1093/ annonc/mdp287

Dequeker, S., Van Lancker, A., & Van Hecke, A. (2018). Hospitalized patients’ vs. nurses’ assessments of pain intensity and barriers to pain management. Journal of Advanced Nursing, 74(1), 160-171. https://doi.org/10. 1111/jan.13395

Dewiyuliana. (2018). Perbandingan hasil pengkajian Palliative care Outcome Scale (POS) antara pasien kanker stadium lanjut dan perawat. (Thesis), Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Yogyakarta, Indonesia. Retrieved from http://lib.ugm. ac.id/ind/?page_id=248

Effendy, C., Vissers, K., Tejawinata, S., Vernooij‐Dassen, M., & Engels, Y. (2015). Dealing with symptoms and issues of hospitalized patients with cancer in Indonesia: the role of families, nurses, and physicians. Pain Practice, 15(5), 441-446. https://doi.org/10.1111/papr.12203

El-Nagar, S., & Lawend, J. (2013). Impact of palliative care education on nurses’ knowledge, attitude and experience regarding care of chronically ill children. Journal of Natural Sciences Research, 3, 94-103.

Fabbian, F., De Giorgi, A., Pala, M., Mallozzi Menegatti, A., Gallerani, M., & Manfredini, R. (2014). Pain prevalence and management in an internal medicine setting in Italy. Pain Research and Treatment, 2014. https://doi.org/10. 1155/2014/628284

Garcia, S. (2014). The effects of education on anxiety levels in patients receiving chemotherapy for the first time: an integrative review. Clinical Journal of Oncology Nursing, 18(5), 516-521. https://doi.org/10.1188/14.cjon. 18-05ap

Gouveia, L., Lelorain, S., Brédart, A., Dolbeault, S., Bonnaud-Antignac, A., Cousson-Gélie, F., & Sultan, S. (2015). Oncologists’ perception of depressive symptoms in patients with advanced cancer: accuracy and relational correlates. BMC Psychology, 3(1), 6. https://doi.org/10. 1186/s40359-015-0063-6

Hearn, J., & Higginson, I. J. (1997). Outcome measures in palliative care for advanced cancer patients: A review. Journal of Public Health, 19(2), 193-199. https://doi.org/ 10.1093/oxfordjournals.pubmed.a024608

Higginson, I. J., Harding, R., Murtagh, F., Bausewein, C., Benalia, H., Ramsenthaler, C., . . . Guo, P. (2018). What is POS. Retrieved from https://pos-pal.org/maix/what-is-pos.php

Hökkä, M., Kaakinen, P., & Pölkki, T. (2014). A systematic review: non‐pharmacological interventions in treating pain in patients with advanced cancer. Journal of Advanced Nursing, 70(9), 1954-1969. https://doi.org/ 10.1111/jan.12424

Horton, R. (2002). Differences in assessment of symptoms and quality of life between patients with advanced cancer and their specialist palliative care nurses in a home care setting. Palliative Medicine, 16(6), 488-494. https://doi.org/10.1191/0269216302pm588oa

Kumar, C. S., & Parashar, N. (2015). Death anxiety, coping and spirituality among cancer patients. Indian Journal of Positive Psychology, 6(3), 291.

Landeiro, M. J. L., Martins, T. V., & Peres, H. H. C. (2016). Nurses' perception on the difficulties and information needs of family members caring for a dependent person. Texto & Contexto-Enfermagem, 25(1). https://doi.org/10. 1590/0104-070720160000430015

Leite, M. A. C., Nogueira, D. A., & Terra, F. d. S. (2015). Evaluation of self-esteem in cancer patients undergoing chemotherapy treatment. Revista Latino-Americana de Enfermagem, 23(6), 1082-1089. https://doi.org/10.1590/ 0104-1169.0575.2652

Malfait, S., Eeckloo, K., & Hecke, A. (2017). The influence of nurses' demographics on patient participation in hospitals: A cross‐sectional study. Worldviews on Evidence‐Based Nursing, 14(6), 455-462. https://doi.org/10.1111/wvn. 12254

McCracken, L. M., & Velleman, S. C. (2010). Psychological flexibility in adults with chronic pain: a study of acceptance, mindfulness, and values-based action in primary care. Pain, 148(1), 141-147. https://doi.org/10. 1016/j.pain.2009.10.034

Michiels, E., Deschepper, R., Bilsen, J., Mortier, F., & Deliens, L. (2009). Information disclosure to terminally ill patients and their relatives: self-reported practice of Belgian clinical specialists and general practitioners. Palliative Medicine, 23(4), 345-353. https://doi.org/10.1177/ 0269216308102043

Ministry of Health. (2007). Palliative care policy: Decree of the Ministry of Health of the Republic of Indonesia No: 812/Menkes/SK/VII/2007. Jakarta: Ministry of Health of the Republic of Indonesia.

Modanloo, M., Sayed Fatemi, N., Bastani, F., Peyrovi, H., Behnampour, N., & Hesam, M. (2010). Comparison of pain assessment by patients and triage nurses. Iranian Journal of Critical Care Nursing, 4(1), 23-28.

National Comprehensive Cancer Network. (2018). Patient and caregiver resource. Retrieved from https://www.nccn. org/patients/

Neef, K. D., & Knox, M. (2017). Self-Compassion. In V. Zeigler-Hill & T. Shackelford (Eds.), Encylopedia of personality and Individual Differences. New York: Springer.

Nugroho, B. A. (2005). Strategi jitu memilih metode statistik penelitian dengan SPSS [The exact strategy to chose the statistical research method with SPSS]. Yogyakarta: Andi Offset.

Opiyo, E. (2012). Nurses perception of their knowledge and expertise in breast cancer care. (Thesis), Central Ostrobothnia University of Applied Sciences, Finland.

Osse, B. H., Vernooij-Dassen, M. J., Schadé, E., & Grol, R. P. (2005). The problems experienced by patients with cancer and their needs for palliative care. Supportive Care in Cancer, 13(9), 722-732. https://doi.org/10.1007/ s00520-004-0771-6

Page, A. E., & Adler, N. E. (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington DC: National Academies Press.

Religioni, U., Czerw, A., & DEPTAŁA, A. (2015). Acceptance of cancer in patients diagnosed with lung, breast, colorectal and prostate carcinoma. Iranian Journal of Public Health, 44(8), 1135.

Russell, B. J., & Ward, A. M. (2011). Deciding what information is necessary: do patients with advanced cancer want to know all the details? Cancer management and research, 3, 191. https://doi.org/10.2147/cmr.s12998

Shin, D. W., Cho, J., Roter, D. L., Kim, S. Y., Sohn, S. K., Yoon, M. S., . . . Park, J. H. (2013). Preferences for and experiences of family involvement in cancer treatment decision‐making: patient–caregiver dyads study. Psycho‐Oncology, 22(11), 2624-2631. https://doi.org/10.1002/ pon.3339

Strömgren, A., Grønvold, M., Sorensen, A., & Andersen, L. (2001). Symptom recognition in advanced cancer. A comparison of nursing records against patient self‐rating. Acta Anaesthesiologica Scandinavica, 45(9), 1080-1085. https://doi.org/10.1034/j.1399-6576.2001.450905.x

Swarm, R., Anghelescu, D. L., Benedetti, C., Boston, B., Cleeland, C., Coyle, N., . . . Ferrell, B. (2007). Adult cancer pain: Clinical Practice Guidelines in Oncologyâ„¢. JNCCN Journal of the National Comprehensive Cancer Network, 5(8), 726-751.

Thomas, D. M., Albritton, K. H., & Ferrari, A. (2010). Adolescent and young adult oncology: an emerging field. Journal of Clinical Oncology, 28(32), 4781-4782.

Unroe, K. T., Cagle, J. G., Lane, K. A., Callahan, C. M., & Miller, S. C. (2015). Nursing home staff palliative care knowledge and practices: results of a large survey of frontline workers. Journal of Pain and Symptom Management, 50(5), 622-629. https://doi.org/10.1016/j. jpainsymman.2015.06.006

Wang, S.-Y., Tsai, C.-M., Chen, B.-C., Lin, C.-H., & Lin, C.-C. (2008). Symptom clusters and relationships to symptom interference with daily life in Taiwanese lung cancer patients. Journal of Pain and Symptom Management, 35(3), 258-266. https://doi.org/10.1016/ j.jpainsymman.2007.03.017

Wiechula, R., Conroy, T., Kitson, A. L., Marshall, R. J., Whitaker, N., & Rasmussen, P. (2016). Umbrella review of the evidence: what factors influence the caring relationship between a nurse and patient? Journal of Advanced Nursing, 72(4), 723-734. https://doi.org/10. 1111/jan.12862

World Health Organization. (2017). Cancer key facts. Retrieved from http://www.who.int/mediacentre/fact sheets/fs297/en/

Woźniak, K., & Iżycki, D. (2014). Cancer: a family at risk. Przeglad menopauzalny= Menopause review, 13(4), 253.

Yi, T.-w., Deng, Y.-t., Chen, H.-p., Zhang, J., Liu, J., Huang, B.-y., . . . Jiang, Y. (2016). The discordance of information needs between cancer patients and their families in China. Patient Education and Counseling, 99(5), 863-869.

Zheng, R.-S., Guo, Q.-H., Dong, F.-Q., & Owens, R. G. (2015). Chinese oncology nurses’ experience on caring for dying patients who are on their final days: A qualitative study. International Journal of Nursing Studies, 52(1), 288-296. https://doi.org/10.1016/ j.ijnurstu.2014.09.009


Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system