Nurses’ palliative care behaviors among patients with heart failure in the 4th Public Health Region
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Abstract
This descriptive research design aimed to investigate nurses' palliative care behaviors for heart failure patients. Participants included 203 registered nurses among the five hospitals in Health Region 4, Thailand. The inclusion criteria were 1) nurses who had been working for at least one year and 2) nurses who had experience caring for heart failure patients with New York Heart Association Functional Classification class III - IV at least three patients. Data was gathered by 1) demographic form and 2) nurses’ behavior palliative care for heart failure patient’s questionnaire (NBPC-HF) with Cronbach's alpha of 0.94. Data were analyzed by using descriptive statistics. The findings indicated that nurses' palliative care behaviors among patients with heart failure were moderate level ( = 88.08, S.D. = 19.89). When considered each aspect,it was observed that some aspects were found to be at a low level: 1) the assessment of disease progression (
= 5.24,
S.D. = 1.86), with the lowest score for the Palliative Performance Scale (PPS) ( = 1.94, S.D. = 0.66); and 2) advance care planning (
= 9.24, S.D. = 2.75), with the lowest score for seeking the last wishes and the needs of the patients and their families (
= 1.95, S.D. = 0.57). The findings can be used to enhance the quality of palliative care nursing services for heart failure patients. Especially in the assessment of disease progression and advance care planning for efficient care that fulfills the needs of patients and their families.
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