ABSTRACT:
Background: End of life generally refers to the final phase of a patient’s illness when death is imminent. The holistic approach to caring for the terminally ill at the end of life is integral to the health care delivery system. Lack of knowledge and negative attitude among nurses is one of the common barriers to quality patient care. There is a need to prepare nurses to care for the dying, which has emerged as a priority. The study aims to assess the effectiveness of a structured teaching program regarding end-of-life care among staff nurses at selected hospitals in Bengaluru. Material and Methods: In this study, a pre-experimental design was used, and a non-probability convenient sampling technique was adopted. After obtaining the IEC clearance, a Pilot study was conducted, and the questionnaire was validated by experts for its content and relevance. Participation was voluntary, and they were asked to complete the questionnaire anonymously. Data was collected using a structured knowledge questionnaire, and Frommelt Attitude Towards Care of Dying (FATCOD) 5-point Likert scale was used to assess the attitude of respondents regarding end-of-life care. Data was analyzed using descriptive and inferential statistics. Results: The result of the study reveals that the significance of the difference between the mean pre-test (15.12) and mean post-test (22.56) knowledge scores with a standard deviation difference ±3.48, which was statistically tested using paired ‘t’ test 15.13 which was found to be highly significant at 0.05 level of significance. Similarly, there was a significant difference between the mean pre-test attitude scores, which is 68.80 with an SD of ±6.16, and the post-test score is 74.22 with an SD of ±9.95. The correlation coefficient of pre-test knowledge and attitude was S=0.197. The significance is P=0.169. There is No significant correlation was found between knowledge and attitude. Conclusion: Study findings reveal that 25 (50%) respondents had adequate knowledge, and 25(50%) had moderate knowledge regarding end-of-life care. In the Attitude level of respondents, the majority, 28(56%), had a moderately favourable attitude, and 22(44%) had a favourable attitude towards end-of-life care. Therefore, the study concluded that Nurses had adequate knowledge and moderately favorable attitudes regarding End-of-life care, and the administration of a structured teaching program was an effective method to improve the knowledge of staff nurses regarding end-of-life care.
Cite this article:
Maria Florance L., Narasinga Rao. The Effectiveness of Structured Teaching Programme regarding End-of-Life Care among Staff Nurses. Asian Journal of Nursing Education and Research. 2024; 14(2):123-8. doi: 10.52711/2349-2996.2024.00024
Cite(Electronic):
Maria Florance L., Narasinga Rao. The Effectiveness of Structured Teaching Programme regarding End-of-Life Care among Staff Nurses. Asian Journal of Nursing Education and Research. 2024; 14(2):123-8. doi: 10.52711/2349-2996.2024.00024 Available on: https://ajner.com/AbstractView.aspx?PID=2024-14-2-5
REFERENCE:
1. Lewis SM et al. Text Book of Medical Surgical Nursing, 6th ed. Mosby ; Canada. 2004. P 160.
2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1874514/
3. Vakkachan R, Varghese A, Bivin JB, Nagarajaiah Study on. knowledge and attitude towards end of life care among student nurses and staff nurses. Indian Journal of Psychiatric Nursing. 2013 Jan; 5: 18-21. Doi: 10.4103/2231-1505.261767. Available online https://journals.lww.com/iopn/fulltext/2013/05010/knowledge_and_attitude_towards_end_of_life_care.6.aspx.
4. https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/total-ncd-mortality .
5. Black JM, Howks JH. Medical Surgical Nursing Clinical management for positive outcomes. 8th ed., Vol.1, Pg.488
6. Robin B R, Hillary H L, Deborah A B et al. The role of palliative care at the end of life. Ochsner Journal. 2011; 11(4): 348-352. PMC3241069. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3241069.
7. Karen S Dunn, Cecilia Otten, Elizabeth Stephens. Study on Nursing Experience and the Care of Dying Patients Oncology Nursing Forum. 2005 Jan 19; 32(1): 97-104. Doi: 10.1188/05.ONF.97-104.Available online: https://pubmed.ncbi.nlm.nih.gov/15660148/
8. Sedigheh Iranmanesh, Helen Dargahi, Abbas Abbaszadeh. Study on Attitude of Iranian nurses towards caring for dying patients. 2008 Dec; 6(4): 363-9. Doi: 10.1017/S1478951508000588. Available online https://pubmed.ncbi.nlm.nih.gov/19006591.
9. Paul Michael Keenan, Ciara Mac Dermott. Prayer and religion Irish nurses caring for an intellectually disabled child. 2016; Jun 7(12): 148. Doi: 10.3390/re17120148. Available online: https://www.mdpi.com/2077-1444/7/12/148.