ABSTRACT Death is one of the most intense emotional events experienced by anyone, including those in palliative conditions. There is an opinion that providing nursing care to patients who are at the end of life may be a challenge for nurses and nursing students, especially at their first encounter with a patient with palliative conditions. Students' knowledge and attitudes in handling palliative care are important to have. This study aims to identify the knowledge and attitudes of nursing students in managing palliative nursing care. The research method used is quantitative descriptive. The population of nursing students who carried out clinical learning practices using Proportionate stratified random sampling technique amounted to 61 respondents. The instrument used is the Frommelt Attitude Toward Care of Dying Patients Scale (FATCOD-C) to evaluate students' attitudes towards palliative care for patients and families and to evaluate knowledge of The Palliative Care Knowledge Questionnaire-Basic (PCKQ-B). The research results showed a sufficient level of knowledge (57.4%) and a positive attitude (50.8%). It is important for educational institutions to develop palliative nursing subjects in the core curriculum so as to facilitate students in managing palliative patients in clinical learning. Keywords: Attitude, Knowledge, Nursing Care, Palliative

 

 

Abstrak

 

Kematian merupakan salah satu peristiwa emosional paling intens yang dialami siapa pun termasuk pada kondisi paliatif. Ada pendapat bahwa pemberian asuhan keperawatan pada pasien yang berada di akhir hayatnya mungkin bisa dilakukan tantangan bagi perawat dan mahasiswa keperawatan, terutama pada pertemuan pertama mereka dengan kondisi pasien dengan paliatif. Pengetahuan dan sikap mahasiswa dalam penanganan perawatan paliatif penting untuk dimiliki.  Mengidentifikasi pengetahuan dan sikap mahasiswa keperawatan dalam pengelolaan asuhan keperawatan paliatif. Metode penelitian yang digunakan adalah deskriftif kuantitatif. Populasi mahasiswa keperawatan yang melaksanakan praktik pembelajaran klinik dengan teknik sampel Proportionate stratified random sampling berjumlah sebanyak 61 responden. Instumen yang digunakan Frommelt Attitude Toward Care of Dying Patients Scale (FATCOD‐C) untuk mengevaluasi sikap mahasiswa dalam perawatan paliatif pada pasien dan keluarga dan untuk mengevaluasi pengetahuan The Palliative Care Knowledge Questionnaire-Basic (PCKQ-B). Penelitian menunjukan tingkat pengetahuan cukup (57.4%) dan sikap positif (50.8%). Cukupnya pengetahuan dan positifnya sikap terhadap perawatan paliatif, penting bagi institusi Pendidikan dalam mengembangkan mata ajar keperawatan palitif dalam kurikulum inti sehingga memfasilitasi mahasiswa dalam pengelolaan pasien paliatif pada pembelajaran klinik.

 

Kata Kunci: Asuhan Keperawatan, Paliatif, Pengetahuan, Sikap

asuhan keperawatan, paliatif, pengetahuan, sikap

Al-Azri, M., Al-Saidi, et al. (2021). Knowledge and Experiences of Final Year Medical and Nursing Students with Regard to Palliative Care at Government University in Oman: A Questionnaire Based Study. The Official Journal of the American Association for Cancer Education, 36, 747–754.

Alconero-Camarero, A. R., Sarabia-Cobo, C. M., González-Gómez, S., Ibáñez-Rementería, I., Lavín-Alconero, L., & Sarabia-Cobo, A. B. (2018). Nursing students’ emotional intelligence, coping styles and learning satisfaction in clinically simulated palliative care scenarios: An observational study. Nurse Education Today, 61. https://doi.org/10.1016/j.nedt.2017.11.013

Alshammari, F.; Sim, J.; Lapkin, S. . S. (2022). Registered nurses’ knowledge, attitudes and beliefs about end-of-life care in non-specialist palliative care settings: A mixed studies review. Nurse Educ. Pract., 59.

Alwawi, A. A., Abu-Odah, H., & Bayuo, J. (2022). Palliative Care Knowledge and Attitudes towards End-of-Life Care among Undergraduate Nursing Students at Al-Quds University: Implications for Palestinian Education. International Journal of Environmental Research and Public Health, 19(15). https://doi.org/10.3390/ijerph19159563

Ascencio-Huertas, L. (2015). Adaptación en español de la escala de actitudes ante cuidados paliativos: Confiabilidad y análisis factorial. Psicooncología, 12, 367.

Cárdenas, M., Escandón, V. and Ballesteros, R. (2016). Nursing Students’ Notions about Palliative Care Bogota D.C. 6, 15–30.

Carrasco, J.M., Lynch, et al. (2015). Palliative Care Medical Education in European Universities: A Descriptive Study and Numerical Scoring System Proposal for Assessing Educational Development. Journal of Pain and Symptom Management, 50, 516-523.e2.

Chen, X.; Zhang, Y.; Arber, A.; Huo, X.; Liu, J.; Sun, C.; Yuan, L.; Wang, X.; Wang, D.; Wu, J. . et al. (2022). The training effects of a continuing education program on nurses knowledge and attitudes to palliative care: A cross sectional study. BMC Palliat. Care, 21, 56.

Chover-Sierra, E., Martínez-Sabater, et al. (2020). Analysis of Spanish Nursing Students’ Knowledge in Palliative Care. An Online Survey in Five Colleges. Nurse Education in Practice, 49.

City K, L. M. (2010). Hospice Palliative Care for the 21st century: A model for quality end-of-life care. (Ferrell B, Coyle N (ed.)). Oxford University Press.

David, H.M.S.L.; Riera, J.R.M.; Mallebrera, A.H. Costa, M. F. de L. da. (2020). Case management nurse in Spain: Facing the challenge of chronicity through a comprehensive practice. Ciência Saude Coletiva, 25, 315–324.

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). https://doi.org/10.1186/s12904-020-00567-4

Doménech-Briz, V.; Gómez Romero, R.; de Miguel-Montoya, I.; Juárez-Vela, R.; Martínez-Riera, J.R.; Mármol-López, M.I.; Verdeguer-Gómez, M.V.; Sánchez-Rodríguez, Á. . G.-C. (2020). Results of Nurse Case Management in Primary Heath Care: Bibliographic Review. Int. J. Environ. Res. Public Health, 17(9541).

Du, H., Wu, M., Pan, Y.Q., et al. (2020). Current Status and Influencing Factors of Palliative Care Attitudes of Nurses from the Oncology Department in Anhui Province. Nursing Practice and Research, 1–6.

Effendy, C. (2014). Pengembangan manajemen pelayanan paliatif. Jurnal Manajemen Pelayanan Kesehatan, 17(1).

Ek, K., Westin, L., Prahl, C., Österlind, J., Strang, S., Bergh, I., Henoch, I., & Hammarlund, K. (2014). Death and caring for dying patients: Exploring first-year nursing students’ descriptive experiences. International Journal of Palliative Nursing, 20(10). https://doi.org/10.12968/ijpn.2014.20.10.509

Grubb, C.; Arthur, A. (2016). Student Nurses’ Experience of and Attitudes towards Care of the Dying: A Cross-Sectional Study. Palliat. Med, 30, 83–88.

Knaul, F. M., Farmer, P. E., Krakauer, E. L., De Lima, L., Bhadelia, A., Jiang Kwete, X., Arreola-Ornelas, H., Gómez-Dantés, O., Rodriguez, N. M., Alleyne, G. A. O., Connor, S. R., Hunter, D. J., Lohman, D., Radbruch, L., del Rocío Sáenz Madrigal, M., Atun, R., Foley, K. M., Frenk, J., Jamison, D. T., … Zimmerman, C. (2018). Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report. In The Lancet (Vol. 391, Issue 10128). https://doi.org/10.1016/S0140-6736(17)32513-8

Potts, M., Cartmell, K. B., Nemeth, L., Bhattacharjee, G., & Qanungo, S. (2018). A Systematic Review of Palliative Care Intervention Outcomes and Outcome Measures in Low-Resource Countries. In Journal of Pain and Symptom Management (Vol. 55, Issue 5). https://doi.org/10.1016/j.jpainsymman.2017.12.487

Radbruch L, Payne S, Bercovitch M, et al. (2009). White Paper on standards and norms for hospice and palliative care in Europe: part 1. Eur J Palliat Care, 16(6), 278–289.

Sipayung, R. A., Pahria, T., & Praptiwi, A. (2019). Self-Efficacy of internship nursing students in dealing with Palliative patients. Journal of Nursing Care, 2(2). https://doi.org/10.24198/jnc.v2i2.18943

Sukcharoen, P., Sakunpong, N., & Sripa, K. (2020). Effectiveness of transformative learning on spirituality in palliative care among nursing students: A mixed methods study. Journal of Behavioral Science, 15(3).

Tang, Q.R., Chen, Q., Qu, X. . (2020). No Title A Study of Humanistic Care Practice in Hospice Wards on Enhancing Nursing Students’ Perceptions of Palliative Care. Chinese General Medicine, 23, 267–270.

Wallace, M., G. (2009). Integration of End-of-Life Care Content in Undergraduate Nursing Curricula: Student Knowledge and Perceptions. Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing, 25, 50–56.

Wang, L., Li, C., Zhang, Q., & Li, Y. (2018). Clinical nurses’ attitudes towards death and caring for dying patients in China. International Journal of Palliative Nursing, 24(1). https://doi.org/10.12968/ijpn.2018.24.1.33