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- Publisher Website: 10.1093/intqhc/mzz003
- Scopus: eid_2-s2.0-85082455539
- PMID: 30855672
- WOS: WOS:000612214800010
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Article: Perceived quality of palliative care in intensive care units among doctors and nurses in Taiwan
Title | Perceived quality of palliative care in intensive care units among doctors and nurses in Taiwan |
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Authors | |
Keywords | quality of health care palliative care intensive care units attitude knowledge |
Issue Date | 2019 |
Publisher | Oxford University Press. The Journal's web site is located at http://intqhc.oxfordjournals.org/ |
Citation | International Journal for Quality in Health Care, 2019, v. 31 n. 10, p. 741–747 How to Cite? |
Abstract | Objective:
To compare perceptions of various aspects of palliative care for doctors and nurses; and examine factors contributing to perceived quality palliative care in intensive care units (ICUs).
Design:
A cross-sectional survey study conducted from November to December 2013. Questionnaires used were Knowledge, Attitudinal and Experiential Survey on Advance Directives (ADs), Clarke’s Quality of Palliative Care and Nurses’ Participation in the end-of-life (EOL) decision-making process.
Setting:
Seven adult medical and surgical ICUs at a medical center in Northern Taiwan.
Participants:
In total, 172 doctors and nurses who worked in adult ICU for more than 3 months.
Main outcome measures:
Nurses’ and doctors’ perception of quality palliative care.
Results:
Nurses provided better care than doctors in symptom management, comfort care and spiritual care; their participation in EOL decision-making was the sole modifiable contributor to perceived quality palliative care in ICUs (β = 0.24, P < 0.01). Both doctors and nurses had positive attitudes towards ADs (mean = 4.05/10; standard deviation [SD] = 1.38) while their knowledge of ADs was poor (mean = 29.72/40; SD = 3.00). More than half of nurses currently participated in EOL decision-making and over 80% of doctors and nurses agreed both parties should engage in EOL decision-making process. Majority of doctors (83.9%) reckoned nurses agreed with their EOL decisions while a significant percentage (40%) of nurses were uncertain about doctors’ decisions (χ2 = 12.07, P < 0.01).
Conclusions:
Nurses’ participation in EOL decision-making and strengthening spiritual care are imperative to rendering quality palliative care in ICUs. Potential disagreements arose during EOL decision-making between doctors and nurses; and insufficient knowledge of ADs should be addressed. |
Persistent Identifier | http://hdl.handle.net/10722/281915 |
ISSN | 2023 Impact Factor: 2.7 2023 SCImago Journal Rankings: 0.800 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Ke, Y-X | - |
dc.contributor.author | Hu, SH | - |
dc.contributor.author | Takemura, N | - |
dc.contributor.author | Lin, C-C | - |
dc.date.accessioned | 2020-04-03T07:23:35Z | - |
dc.date.available | 2020-04-03T07:23:35Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | International Journal for Quality in Health Care, 2019, v. 31 n. 10, p. 741–747 | - |
dc.identifier.issn | 1353-4505 | - |
dc.identifier.uri | http://hdl.handle.net/10722/281915 | - |
dc.description.abstract | Objective: To compare perceptions of various aspects of palliative care for doctors and nurses; and examine factors contributing to perceived quality palliative care in intensive care units (ICUs). Design: A cross-sectional survey study conducted from November to December 2013. Questionnaires used were Knowledge, Attitudinal and Experiential Survey on Advance Directives (ADs), Clarke’s Quality of Palliative Care and Nurses’ Participation in the end-of-life (EOL) decision-making process. Setting: Seven adult medical and surgical ICUs at a medical center in Northern Taiwan. Participants: In total, 172 doctors and nurses who worked in adult ICU for more than 3 months. Main outcome measures: Nurses’ and doctors’ perception of quality palliative care. Results: Nurses provided better care than doctors in symptom management, comfort care and spiritual care; their participation in EOL decision-making was the sole modifiable contributor to perceived quality palliative care in ICUs (β = 0.24, P < 0.01). Both doctors and nurses had positive attitudes towards ADs (mean = 4.05/10; standard deviation [SD] = 1.38) while their knowledge of ADs was poor (mean = 29.72/40; SD = 3.00). More than half of nurses currently participated in EOL decision-making and over 80% of doctors and nurses agreed both parties should engage in EOL decision-making process. Majority of doctors (83.9%) reckoned nurses agreed with their EOL decisions while a significant percentage (40%) of nurses were uncertain about doctors’ decisions (χ2 = 12.07, P < 0.01). Conclusions: Nurses’ participation in EOL decision-making and strengthening spiritual care are imperative to rendering quality palliative care in ICUs. Potential disagreements arose during EOL decision-making between doctors and nurses; and insufficient knowledge of ADs should be addressed. | - |
dc.language | eng | - |
dc.publisher | Oxford University Press. The Journal's web site is located at http://intqhc.oxfordjournals.org/ | - |
dc.relation.ispartof | International Journal for Quality in Health Care | - |
dc.rights | Pre-print: Journal Title] ©: [year] [owner as specified on the article] Published by Oxford University Press [on behalf of xxxxxx]. All rights reserved. Pre-print (Once an article is published, preprint notice should be amended to): This is an electronic version of an article published in [include the complete citation information for the final version of the Article as published in the print edition of the Journal.] Post-print: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in [insert journal title] following peer review. The definitive publisher-authenticated version [insert complete citation information here] is available online at: xxxxxxx [insert URL that the author will receive upon publication here]. | - |
dc.subject | quality of health care | - |
dc.subject | palliative care | - |
dc.subject | intensive care units | - |
dc.subject | attitude | - |
dc.subject | knowledge | - |
dc.title | Perceived quality of palliative care in intensive care units among doctors and nurses in Taiwan | - |
dc.type | Article | - |
dc.identifier.email | Lin, C-C: lincc@hku.hk | - |
dc.identifier.authority | Lin, C-C=rp02265 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1093/intqhc/mzz003 | - |
dc.identifier.pmid | 30855672 | - |
dc.identifier.scopus | eid_2-s2.0-85082455539 | - |
dc.identifier.hkuros | 309613 | - |
dc.identifier.volume | 31 | - |
dc.identifier.issue | 10 | - |
dc.identifier.spage | 741–747 | - |
dc.identifier.epage | 741–747 | - |
dc.identifier.isi | WOS:000612214800010 | - |
dc.publisher.place | United States | - |
dc.identifier.issnl | 1353-4505 | - |