A research synthesis of quasi and experimental studies about palliative care nursing in Thailand
Keywords:palliative care, quasi-experimental research, experimental research, research synthesis
Objectives The objective of the study was to synthesize existing quantitative evidence on palliative care intervention among patients with various types of illness in Thailand.
Methods A synthesis of quasi and experimental studies published between 2010-2020 was conducted. The sample included theses and research articles that focused on nursing therapeutic therapeutic nursing. programs and which utilized a quasi or experimental study design. The main research instrument was a coding sheet developed by the researchers to record characteristics of the studies that met the inclusion criteria. Data were analyzed by frequency and percentage
Results The study found seven studies that were included in literature reviews. Of the seven studies, one was classified as level 2.B and other six were classified as level 2.C. The outcomes of these existing nursing therapeutic programs specific focuses of the therapeutic nursing studies were quality of life (2 studies, 28.5%), symptom management in patients with advanced cancer (1 study, 14.3%), measurement of palliative care behavior (1 study, 14.3%), measurement of self-adaptation (1 study, 14.3%), measurement of quality of nursing care (1 study, 14.3%), and perceived symptom distress and quality of care (1 study, 14.3%). There were four types of interventions for caring patients and families during periods of palliative care: structured information programs, concrete nursing care programs, teaching and counseling programs, and family participation programs.
Conclusion The findings of this study could be utilized as empirical evidence in developing clinical practice guidelines for patients in need of palliative care related to the patients’ health problems, symptoms, and needs.
2. Al-Mahrezi A, Al-Mandhari Z. Palliative care: time for action. Oman Med J. 2016;31:161-3.
3. Van Mechelen W, Aertgeerts B, De Ceulaer K, Thoonsen B, Vermandere M, Warmenhoven F, et al. Defining the palliative care patient: A systematic review. Palliat Med. 2013;27:197-208.
4. Nuekwe P, Hanprasitkam K, Junda T. Nurses’ perceptions and practice on palliative care. Thai J Cardio-Thoracic Nurs. 2016;27:128-41.
5. Singdong P, Jitpunya C. Nursing therapeutics for families of critically illpatients in Intensive Care Unit: a systematic review. Thai J Cardio-Thoracic Nurs. 2011;22:43-57.
6. Visser C, Hadley G, Wee B. Reality of evidence-based practice in palliative care. Cancer Biol Med. 2015;12:193-200.
7. Munn Z, Moola S, Lisy K, Riitano D. The Joanna Briggs institute reviewers’ manual 2014. The systematic review of prevalence and incidence data Adelaide: Stamford, Conn: The Joanna Briggs Institute. 2014.
8. Sotiluk. U, Wisesrith W. Effects of case management combined with palliative care model in patients with metastatic cancer on length of stay and quality of nursing care. The Journal of the Royal Thai Army Nurses. 2017;18:68-75. (in Thai)
9. Artsanthia J, Tillaput J. The effect of Pallia-tive care to quality of life of people who living with end stage renal disease in community. The Journal of the Royal Thai Army Nurses. 2019;20:226-35. (in Thai)
10. Jodjum C, Pongthavornkamol K, Na-Ayuthaya SK. The effect of psycho-education program on quality of life in women with cervical cancer undergoing radiation therapy. J Nurs Sci. 2016; 34:143-55.
11. Molek R, Binhosen V, Pakdevong N-o Symptom intensity in persons with advanced cancer receiving palliative nursing care protocol and caregivers’ satisfaction. Journal of Nursing and Health Care. 2015;33: 102-9. (in Thai)
12. Morrakot P, Nilmanat K, Matchim Y. Impacts of an Adaptation-promoting programme on the caregiving relatives of terminal chronic disease patients. Thai Journal of Nursing Council. 2015;30:33-45. (in Thai)
13. Nilmanat K, Sae-chit K. Effects of a case-based management nursing programme for terminally ill patients on their perception of symptom-induced suffering and terminal care quality. Thai Journal of Nursing Council. 2018;33:51-66. (in Thai)
14. Sanjune S, Yunak R, Tangkawanich T. The effect of village health volunteers’s potentiality development program to provide patients palliative. Journal of Nursing and Health Sciences. 2015;9:68-77. (in Thai)
15. Stuifbergen AK, Seraphine A, Harrison T, Adachi E. An explanatory model of health promotion and quality of life for persons with post-polio syndrome. Soc Sci Med. 2005;60: 383-93.
16. Ferrans C, Powers M. Quality of life index: development and psychometric properties. Adv Nurs Sci. 1998;8:15-24.
17. Chasen M, Bhargava R, Dalzell C, Pereira JL. Attitudes of oncologists towards palliative care and the Edmonton Symptom Assessment System (ESAS) at an Ontario cancer center in Canada. Support Care Cancer. 2015; 23:769-78.
18. Department of Health Western Australia. Palliative Cre Model of Care. Western Australia, Perth: WA Cancer & Palliative Care Netwok, Department of Health; 2008.
19. Powell SK, Tahan HM. Case management: a practical guide for education and practice. Philadelphie, Penn: Wolters Kluwer Health; 2018.
20. Roy C, Andrews HA. The Roy Adaptation Model. Stamford, Conn: Appleton & Lange; 1999.
21. Nantachaipan P. Case management in the care for patients at the end of life. Nursing Journal. 2015;42:153-8.
22. Chu C, White N, Stone P. Prognostication in palliative care. Clin Med (Lond). 2019;19:306-10.
23. Malivan A, Sripunyavuttsuk Y, Attakamon S. Effectiveness of information management program on anxiety and satisfaction for family members at patients in intensive care unit. Journal of Nursing and Education. 2014;7:65-108. (in Thai)
24. Gardiner C, Harrison M, Ryan T, Jones A. Provision of palliative and end-of-life care in stroke units: a qualitative study. Palliat Med. 2013;27:855-60.
25. Thongcharoen V, Viripiromgool S, Praditsuwan R, Peachpansri S, Sukkapathanasrikul S. Palliative and end of life care model for older adults. Journal of Public Health and Development. 2017;15:38-59. (in Thai)
26. Payne S, Burton C, Addington-Hall J, Jones A. End-of-life issues in acute stroke care: a qualitative study of the experiences and preferences of patients and families. Palliat Med. 2010;24:146-53.
27. Cowey E, Smith LN, Stott DJ, McAlpine CH, Mead GE, Barber M, et al. Impact of a clinical pathway on end-of-life care following stroke: a mixed methods study. Palliat Med. 2015;29:249-59.
28. Chaleoykitti S, Keskomon T. Health counseling: development of quality of care. Journal of the Police Nurse. 2015;7:253-65. (in Thai)
29. Arblaster G, Brooks D, Hudson R, Petty M. Terminally ill patients’ expectations of nurses. Aust J Adv Nurs. 1990;7:34-43.
30. Phengjard J. Nurse’s role in palliative care. Journal of Boromarajonani College of Nursing. 2014;30:100-9. (in Thai)