Psychological Training of Nurses for Providing Palliative and Hospice Care as a Factor of their Professionalization
Abstract
The purpose of the work is to generalize the level of psychological preparation of nurses for providing palliative and hospice care as a determining factor in the acquisition of professional readiness, starting from the undergraduate period of study in institutions of higher education; and also to generalize the level of psychological preparation of nurses of general practice students of medical education, nurses of medical departments of general and palliative profiles for the analysis of this component among nurses with work experience in the relevant field. Methods. Questionnaire, subjective assessment method, “Bookshelf” method. The research results were analyzed using descriptive statistics, the Kruskal–Wallis test for three or more independent samples, Spearman’s correlation, as well as Multiple Linear Regression analysis using the method of stepwise selection technique. Results. Indicators of the level of readiness of nurses of the medical palliative care service and general medical nurses are higher than those of students of higher medical education – p≤.000001 (Kruskal–Wallis test). The results of the survey: 66.0% of general medical nurses and 54.0% of palliative care nurses show a high level of professional readiness to work with incurable patients, and 70.0% of students of higher medical education have an average with a tendency to a high general level of professional readiness to work with incurable patients. It was established that, according to Spearman’s rank correlation criterion, the level of professional readiness of nurses to provide palliative care increases with age – rs= .42 at р≤ .004. Deficient motivations prevail in 61.0% of students of higher medical education, 50.0% of palliative care nurses and 76.0% of general medical nurses. At the same time, the metamotives of righteousness and holiness, spiritual self-improvement, service and wisdom are significant only for 7.0% of higher education graduates, 16% of general medical nurses and 25.0% of palliative care nurses. The motive of serving in palliative care nurses is more pronounced (р≤.020). Multiple regression analysis indicated the importance of work experience (р≤ .003), the level of education (р≤.001), decreased focus on one’s own safety and confidence as meaningful motives (р≤.030). Discussion and conclusions. An overwhelming majority of respondents at all stages of professional training express a desire to help incurable patients. With age, the importance of this care is becoming more and more realized. For the nurses of medical palliative departments, the motive of service is more important than for others. Work experience and level of education are determining factors among other researched variables for determining professional readiness to work in the field of palliative care. At the level of undergraduate education, it is extremely necessary to include topics that help to reveal special metamotives in the initial program blocks.
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References
Chernyshenko, T. (2015). Pidhotovka medychnykh sester z paliatyvnoi dopomohy v Ukraini [Training of nurses in palliative care in Ukraine]. Reabilitatsiia ta paliatyvna medytsyna – Rehabilitation and palliative medicine], 2(2), 78–83. http://surl.li/jtlaa
Crimmins, R. M., Elliott, L., & Absher, D. T. (2020). Palliative care in a death-denying culture: Exploring barriers to timely palliative efforts for heart failure patients in the primary care setting. American Journal of Hospice and Palliative Medicine, 38(1), 77–83. https://doi.org/10.1177/1049909120920545
Marchuk, O. (2021). Eastern patristic tradition of interpretation “νοῦς-λόγος”: the sanogenical-therapeutic potential of communicativeness (Part II. Prospects of the practical implementation). Osvitnii dyskurs: zbirnyk naukovykh prats – Educational discourse: a collection of scientific works], 35(7), 86–97. https://doi.org/10.33930/ed.2019.5007.35(7)-8
Marchuk, O. T., & Marchuk, I. V. (2022). Perspektyvy praktychnoi realizatsii kontseptiv neopatrystychnoho napriamu terapevtychnoho bohoslovia v ukrainskomu medychnomu kapelanstvi [Prospects of the Practical Implementation of the Concepts of the Neopatrist Direction of Therapeutic Theology in the Ukrainian Medical Chaplaincy]. Osvitnii dyskurs: zbirnyk naukovykh prats – Educational discourse: a collection of scientific works], 42(10–12), 98–110 https://doi.org/10.33930/ed.2019.5007.42(10-12)-10
Marciniak, K., Scherg, A., Paal, P., Mason, S., & Elsner, F. (2023). The outcomes of postgraduate palliative care education and training: Assessment and comparison of nurses and physicians. BMC Palliative Care, 22(1). https://doi.org/10.1186/s12904-023-01217-1
Marshall, A. P., Tobiano, G., Roberts, S., Isenring, E., Sanmugarajah, J., Kiefer, D., … Molassiotis, A. (2020). End-user perceptions of a patient- and family-centred intervention to improve nutrition intake among oncology patients: A descriptive qualitative analysis. BMC Nutrition, 6(1). https://doi.org/10.1186/s40795-020-00353-8
Paladino, J., Sanders, J. J., Fromme, E. K., Block, S., Jacobsen, J. C., Jackson, V. A., … Mitchell, S. (2023). Improving serious illness communication: A qualitative study of clinical culture. BMC Palliative Care, 22(1). https://doi.org/10.1186/s12904-023-01229-x
Pandya, S., & Muckaden, M. (2016). Motivation of volunteers to work in Palliative Care Setting: A qualitative study. Indian Journal of Palliative Care, 22(3), 348. https://doi.org/10.4103/0973-1075.185083
Pomytkin, E. O. (2013). Psykholohichna diahnostyka dukhovnoho potentsialu osobystosti [Psychological diagnosis of the spiritual potential of the individua]. Kirovohrad: Imeks-LTD, 100–103 URL: http://surl.li/klvzx
Pro udoskonalennia orhanizatsii nadannia paliatyvnoi dopomohy v Ukraini : nakaz Ministerstva okhorony zdorovia Ukrainy vid 01 lypnia 2020 roku № 609/34892 [On improving the organization of palliative care in Ukraine: order of the Ministry of Health of Ukraine dated July 1, 2020 № 609/34892]. URL: http://surl.li/jtkxj
Schroeder, K., & Lorenz, K. (2018). Nursing and the future of Palliative Care. Asia-Pacific Journal of Oncology Nursing, 5(1), 4–8. https://doi.org/10.4103/apjon.apjon_43_17
Sijabat, M., Dahlia, D., & Waluyo, A. (2019). Experiences of palliative care nurses in providing home-based care for patient with advanced cancer. Enfermería Clínica, 29, 413–417. https://doi.org/10.1016/j.enfcli.2019.04.060
Silva, T. C., Nietsche, E. A., & Cogo, S. B. (2022). Palliative care in primary health care: An integrative literature review. Revista Brasileira de Enfermagem, 75(1). https://doi.org/10.1590/0034-7167-2020-1335
Sorensen, A., Le, L. W., Swami, N., Hannon, B., Krzyzanowska, M. K., Wentlandt, K., Rodin, G., & Zimmermann, C. (2020). Readiness for delivering early palliative care: A survey of primary care and specialised physicians. Palliative Medicine, 34(1), 114–125. https://doi.org/10.1177/0269216319876915
Stenman, T., Näppä, U., Rönngren, Y., & Melin-Johansson, C. (2023). “Daring to deal with the difficult and unexpected” registered nurses confidential conversations with patients with palliative care needs: A qualitative interview study. BMC Palliative Care, 22(1). https://doi.org/10.1186/s12904-023-01228-y
Tymofiieva, M. P., Marchuk, I. V., & Marchuk, O. T. (2022). Spiritual and personal orientation of nurses’ practice in dealing with palliative patients. Insight: the psychological dimensions of society, 7, 118–130. https://doi.org/10.32999/2663-970X/2022-7-9
Yang, Y., Cui, M., Zhao, X., Wang, S., Wang, Y., & Wang, X. (2023). Association of Pain Management and positive expectations with psychological distress and spiritual well‑being among terminally ill cancer patients admitted to a Palliative Care Unit. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01259-z
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