Factors Related to Palliative Care Practices of Nurses in Neonatal Intensive Care Unit
Keywords:
Palliative care practices, Nurses, Neonatal intensive care unit, Experience, Training, Attitude, Self-efficacyAbstract
This descriptive correlational research aimed to investigate the relationship among experience of palliative care, palliative care training, attitude toward palliative care, self-efficacy in palliative care, and palliative care practices in neonatal intensive care unit (NICU) of nurses. The samples were 97 registered nurses working in NICUs at five tertiary hospitals in Northern Thailand. The research instruments consisted of a demographic questionnaire, an attitude toward palliative care in NICU assessment form with a reliability of .81, a self-efficacy in palliative care in NICU assessment form with a reliability of .93, and a palliative care practices in NICU questionnaire with a reliability of .92. Data were collected from January to April 2022. Statistics used for data analysis included frequency, percentage, mean, standard deviation, Eta correlation, Spearman rank correlation, and Pearson’s product moment correlation.
The research results revealed that 88.70% of nurses had palliative care practices in NICU at a high level. Experience of palliative care was positively statistically significantly related to palliative care practices of nurses (η = .200, p < .05). Attitude toward palliative care was positively statistically significantly related to palliative care practices of nurses (rs = .450, p < .001). In addition, self-efficacy in palliative care was positively statistically significantly related to palliative care practices of nurses (r = .550, p < .001).
This research suggests that nurse executives should promote palliative care practices to nurses as well as provide palliative care training. This will help nurses enhance their competency in palliative care practices in NICU.
References
กองยุทธศาสตร์และแผนงาน สำนักงานปลัดกระทรวงสาธารณสุข. (2566). สถิติสาธารณสุข พ.ศ. 2565. สืบค้นจาก https://spd.moph.go.th/wp-content/uploads/2023/11/Hstatistic65.pdf
ณิศาพิชญาภัค มีสมศักดิ์, จุฑารัตน์ มีสุขโข, และศรีมนา นิยมค้า. (2564). ปัจจัยที่มีความสัมพันธ์กับการปฏิบัติการพยาบาลเพื่อการตายดีในผู้ป่วยเด็กระยะสุดท้าย. พยาบาลสาร, 48(2), 220–231.
พุทธวรรณ ชูเชิด, เฟื่องสุข ไพศาลกอบฤทธิ์, และนิสาพร สลางสิงห์. (2562). บทบาทของพยาบาลในการดูแลทารกแรกเกิดที่อยู่ในระยะสุดท้ายของชีวิต. วารสารโรงพยาบาลเจริญกรุงประชารักษ์, 15(2), 69–81.
Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. doi:10.1016/0749-5978(91)90020-T
Almeida, F. de A., Moraes, M. S., & Cunha, M. L. (2016). Taking care of the newborn dying and their families: Nurses’ experiences of neonatal intensive care. Revista da Escola de Enfermagem da U S P, 50, 122–129. doi:10.1590/S0080-623420160000300018
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman and Company.
Benner, P. (1984). From novice to expert, excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
British Association of Perinatal Medicine. (2010). Palliative care (supportive and end of life care): A framework for clinical practice in perinatal medicine. Retrieved from https://hubble-live-assets.s3.eu-west-1.amazonaws.com/bapm/file_asset/file/72/Palliative_care_final_version__Aug10.pdf
Carter, B. S. (2018). Pediatric palliative care in infants and neonates. Children, 5(2), 21. doi:10.3390/children5020021
Cordeiro, F. R., Oliveira, S. G., Giudice, J. Z., Fernandes, V. P., & Oliveira, A. T. (2020). Definitions for “palliative care”, “end-of-life” and “terminally ill” in oncology: A scoping review. Enfermería: Cuidados Humanizados, 9(2), 205–228. doi:10.22235/ech.v9i2.2317
Dehghani, F., Barkhordari-Sharifabad, M., Sedaghati-Kasbakhi, M., & Fallahzadeh, H. (2020). Effect of palliative care training on perceived self-efficacy of the nurses. BMC Palliative Care, 19(1), 63. doi:10.1186/s12904-020-00567-4
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley.
Foster, J., Kain, V., & Patterson, T. (2016). Parents’ and families’ experiences of palliative and end-of-life neonatal care in neonatal settings: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 14(11), 99–105. doi:10.11124/JBISRIR-2016-003175
Gilmour, D., Davies, M. W., & Herbert, A. R. (2017). Adequacy of palliative care in a single tertiary neonatal unit. Journal of Paediatrics and Child Health, 53(2), 136–144. doi:10.1111/jpc.13353
Kain, V., Gardner, G., & Yates, P. (2009). Neonatal palliative care attitude scale: Development of an instrument to measure the barriers to and facilitators of palliative care in neonatal nursing. Pediatrics, 123(2), e207–e213. doi:10.1542/peds.2008-2774
Kenner, C., Press, J., & Ryan, D. (2015). Recommendations for palliative and bereavement care in the NICU: A family-centered integrative approach. Journal of Perinatology, 35(Suppl. 1), S19–S23. doi:10.1038/jp.2015.145
Kilcullen, M., & Ireland, S. (2017). Palliative care in the neonatal unit: Neonatal nursing staff perceptions of facilitators and barriers in a regional tertiary nursery. BMC Palliative Care, 16(1), 32. doi:10.1186/s12904-017-0202-3
Kim, J. S., Kim, J., & Gelegjamts, D. (2020). Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study. PLoS One, 15(7), e0236390. doi:10.1371/journal.pone.0236390
Kim, S., Savage, T. A., Song, M. K., Vincent, C., Park, C. G., Ferrans, C. E., & Kavanaugh, K. (2019). Nurses’ roles and challenges in providing end-of-life care in neonatal intensive care units in South Korea. Applied Nursing Research, 50, 151204. doi:10.1016/j.apnr.2019.151204
Kurnia, T. A., Trisyani, Y., & Prawesti, A. (2019). The relationship between nurses’ perceptions and self-efficacy in implementing palliative care in the intensive care unit. Belitung Nursing Journal, 5(1), 41–46. doi:10.33546/bnj.607
Mills, M., & Cortezzo, D. E. (2020). Moral distress in the neonatal intensive care unit: What is it, why it happens, and how we can address it. Frontiers in Pediatrics, 8, 581. doi:10.3389/fped.2020.00581
National Consensus Project for Quality Palliative Care. (2018). Clinical practice guidelines for quality palliative care. Retrieved from https://www.nationalcoalitionhpc.org/wp-content/uploads/2020/07/NCHPC-NCPGuidelines_4thED_web_FINAL.pdf
Parravicini, E. (2017). Neonatal palliative care. Current Opinion in Pediatrics, 29(2), 135–140. doi:10.1097/MOP.0000000000000464
Petteys, A. R., Goebel, J. R., Wallace, J. D., & Singh-Carlson, S. (2015). Palliative care in neonatal intensive care, effects on parent stress and satisfaction: A feasibility study. American Journal of Hospice & Palliative Medicine, 32(8), 869–875. doi:10.1177/1049909114551014
Polit, D. F. (2010). Statistics and data analysis for nursing research (2nd ed.). Boston, MA: Pearson.
Quinn, M., & Gephart, S. (2016). Evidence for implementation strategies to provide palliative care in the neonatal intensive care unit. Advances in Neonatal Care, 16(6), 430–438. doi:10.1097/ANC.0000000000000354
Swanson, R. A. (2022). Foundations of human resource development (3rd ed.). San Francisco: Berrett-Koehler.
Triandis, H. C. (1971). Attitude and attitude change. New York: John Wiley & Sons.
World Health Organization. (2024). Neonatal mortality rate. Retrieved from https://www.who.int/data/gho/data/indicators/indicator-details/GHO/neonatal-mortality-rate-(per-1000-live-births)
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