Knowledge of nursing undergraduate students about palliative care

Authors

DOI:

https://doi.org/10.15253/2175-6783.20242593678

Keywords:

Palliative Care; Nursing; Teaching; Students, Nursing.

Abstract

Objective: to understand the knowledge about palliative care of undergraduate nursing students. Methods: qualitative study carried out in a private higher education institution, with 16 undergraduate students from the 9th and 10th semesters of a nursing course. We carried out individual interviews, recorded in audio using a smartphone and later transcribed. Results: four main thematic categories emerged: knowledge of students about palliative care; the role of the nurse in the care to patients undergoing diseases that threaten their lives and the care for their family; approaches to palliative care in nursing graduation; emotional fragility when dealing with patients at the end of their life. Conclusion: participants have partial knowledge about palliative care, especially regarding comfort and the quality of life of terminal patients. Contributions to practice: nursing undergraduate students showed gaps in the knowledge about palliative care, highlighting the need to improve educational syllabuses. Emotional support and developing resilience also stood out, showing how necessary it is to improve academic education and professional training in palliative care.

References

Sánchez-Cárdenas AM, León-Delgado MX, Vargas-Escobar LM, Medina SEM, Florian PMB, Fonseca DA, et al. Palliative care national plan implementation through stakeholder analysis. BMC Palliat Care. 2024;23(1):163. doi: https://dx.doi.org/10.1186/s12904-024-01427-1

Castro MCF, Fuly PSC, Santos MLSC, Chagas MC. Total pain and comfort theory: implications in the care to patients in oncology palliative care. Rev Gaúcha Enferm. 2021;42:e20200311. doi: https://doi.org/10.1590/1983-1447.2021.20200311

Sanders JJ, Temin S, Ghoshal A, AlesiER, Ali ZV, Chauhan C, et al. Palliative care for patients with cancer: ASCO guideline update. J Clin Oncol. 2024;42(19):2336-57. doi: https://dx.doi.org/10.1200/JCO.24.00542

Tween S, Smith RW, Chamberlain C, Gibbins J. Hospice inpatient care models: cross-sectional inequality survey. BMJ Support Palliat Care. 2024;2:spcare-2024-005019. doi: https://dx.doi.org/10.1136/spcare-2024-005019

Camargo SCV, Makuch DMV, Ogradowski KRP, Osternack KT. Marcos de competência para a formação de enfermeiros no Brasil: revisão de escopo. Espaç Saúde. 2024;25:e1000. doi: https://doi.org/10.22421/1517-7130/es.2024v25.e1000

Carter SM, Shih P, Williams J, Degeling C, Mooney-Somers J. Conducting qualitative research online: challenges and solutions. Patient. 2021;14(6):711-18. doi: https://dx.doi.org/10.1007/s40271-021-00528-w

Wicke N. Content analysis in the research field of science communication. In: Oehmer-Pedrazzi F, Kessler SH, Humprecht E, Sommer K, Castro L. (eds) Standardisierte Inhaltsanalyse in der Kommunikationswissenschaft – standardized content analysis in communication research. Wiesbaden: Springer VS. 2023. doi: https://doi.org/10.1007/978-3-658-36179-2_35

Volpin MC, Ferreira EL, Eduardo AA, Bombarda TB. Teaching about palliative care in health courses: perceptions of professors at a federal university. Res Soc Develop. 2022;11(16):e83111637728. doi: https://doi.org/10.33448/rsd-v11i16.37728

Ryan S, Wong J, Chow R, Zimmermann C. Evolving definitions of palliative care: upstream migration or confusion? Curr Treat Options Oncol. 2020;21(3):20. doi: https://dx.doi.org/10.1007/s11864-020-0716-4

Temel JS, Jackson VA, El-Jawahri A, Rinaldi SP, Petrillo LA, Kumar P, et al. Stepped palliative care for patients with advanced lung cancer: a randomized clinical trial. JAMA. 2024; 332(6):471-81. doi: https://doi.org/10.1001/jama.2024.10398

Farrow KA, Neff DF. Bereavement care team: improving ICU Nurses’ professional bereavement and patient family experience. Nurs Adm Q. 2024;48(2):97-106. doi: http://doi.org/10.1097/NAQ.0000000000000634

Gerlach C, Mai SS, Schmidtmann I, Weber M. Palliative care in undergraduate medical education - consolidation of the learning contents of palliative care in the final academic year. GMS J Med Educ. 2021;38(6):103-6. doi: https://doi.org/10.3205/zma001499

Ekberg S, Parry R, Land V, Ekberg K, Pino M, Antaki C, et al. Communicating with patients and families about illness progression and end of life: a review of studies using direct observation of clinical practice. BMC Palliat Care. 2021;20(1):186. doi: https://doi.org/10.1186/s12904-021-00876-2

Alves Jr VD, Fonseca SR, Gutterres DB, Souza MCA. Cuidados paliativos: conhecimento de estudantes de graduação em enfermagem e em medicina. Rev Saúde. 2019;10(2):7-11. Available from: https://doi.org/10.21727/rs.v10i2.1744

Bueno AA, Evangelista RA, Potrich T, Figueredo LP, Silva CCR, Silva GTR, et al. Overview of nursing ethics teaching in Brazilian public higher education institutions. Rev Bras Enferm. 2023:76(suppl3):e20220808. doi: https://dx.doi.org/10.1590/0034-7167-2022-0808pt

Pointon S, Collins A, Philip J. Introducing palliative care in advanced cancer: a systematic review. BMJ Support Palliat Care. 2024;2:spcare-2023-004442. doi: https://doi.org/10.1136/spcare-2023-004442

Silva CO, Rufino CG, Souza P, Pinheiro PMRM, Rodrigues AO. Systematization of nursing care for cancer patients in palliative care: from a referential point of view on Callista Roy adaptation theory. Rev Recien. 2020:10(31):155-64. doi: https://doi.org/10.24276/rrecien2020.10.31.155-164

Yoong SQ, Wang W, Seah ACW, Kumar N, Gan JON, Schmidt LT, et al. Nursing students’ experiences with patient death and palliative and end-of-life care: a systematic review and meta-synthesis. Nurse Educ Pract. 2023;69:103625. doi: https://doi.org/10.1016/j.nepr.2023.103625

Boland JW, Brown MEL, Duenas A, Finn GM, Gibbins J. How effective is undergraduate palliative care teaching for medical students? A systematic literature review. BMJ Open. 2020;10(9):e036458. doi: https://doi.org/10.1136/bmjopen-2019-036458

Santos DJ, Souza AC, Villar JC, Barbosa LD, Vasconcelos TF, Bolela F. Final-year nursing students’ knowledge of palliative care. Rev Enferm Digit Cuid Promoç Saúde. 2022;7:1-6. doi: https://doi.org/10.5935/2446-5682.20220166

Dominguez RGS, Freire ASV, Lima, CFM, Campos NAS. Palliative care: challenges for teaching in the perception of nursing and medical students. Rev Baiana Enferm. 2021;35:e38750. doi: https://doi.org/10.18471/rbe.v35.38750

Hasegawa T, Ochi T, Yamagishi A, Akechi T, Urakubo A, Sugishita A, et al. Quality indicators for integrating oncology and home palliative care in Japan: modified Delphi study. Support Care Cancer. 2024;32(7):476. doi: http://dx.doi.org/10.1007/s00520-024-08684-z

Sánchez-Cárdenas MA, Tibaquirá CAN, Mantilla-Manosalva N, Fonseca DA, Morales AM, Delgado MXL. Palliative care education in undergraduate medical and nursing programs in Colombia: a cross-sectional analysis. BMC Palliat Care. 2024;23(1):149. doi: http://dx.doi.org/10.1186/s12904-024-01477-5

Akduran F, Karaca A, Eroglu SA. Effects of the supportive care needs of patients with cancer on their comfort levels. Int J Palliat Nurs. 2024;30(6):295-306.doi:https://dx.doi.org/10.12968/ijpn.2024.30.6.295

Zhu Y, Bai Y, Wang A, Liu Y, Gao Q, Zeng Z. Effects of a death education based on narrative pedagogy in a palliative care course among Chinese nursing students. Front Public Health. 2023;11:1194460. doi: https://doi.org/10.3389/fpubh.2023.1194460

Balboni TA. Spirituality in advanced cancer: implications for care in oncologic emergencies. Ann Palliat Med. 2024;13(3):568-74. doi: https://doi.org/10.21037/apm-23-40

Published

2024-10-23

How to Cite

Manso, J. C. F., Silva, A. M. L., Veras Filho, R. N., Moreira, D. P., Pontes, A. K. O. R., Pereira, A. de S., & Mourão, C. M. L. (2024). Knowledge of nursing undergraduate students about palliative care. Rev Rene, 25, e93678 . https://doi.org/10.15253/2175-6783.20242593678

Issue

Section

Research Article

Most read articles by the same author(s)