Nurses' knowledge and attitude towards palliative care in Northcentral Ethiopia: a cross-sectional study

Tigabu Munye Aytenew, N. Ejigu, Melese Kebede, T. Amera, Amare Simegn, Tadila Dires, Demewoz Kefale, Solomon Demis, Gebrie Kassaw, Berihun Bantie
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Abstract

Background: Due to limited development of palliative care practice in Africa, many patients have not yet received formal palliative care. However, there were limited studies conducted among nurses assessing their knowledge and attitude towards palliative care in Ethiopia. Objective: The study aimed to assess nurses’ knowledge and attitude towards palliative care. Methods: A cross-sectional study was conducted, and a total of 402 were included in the study. A structured and pre-tested self-administered questionnaire was used to collect the data. Binary logistic regression was used to analyze the outcome variables. Finally, the association was declared using AOR at a 95% CI at p ≤0.05. Results: Of the total respondents, 216 (55.81%) were women. This study finding revealed that 304 (78.55%) of the respondents had inadequate knowledge, and 273 (70.54%) had unfavourable attitude towards palliative care. Educational level (AOR=2.61, 95%CI: 1.39, 4.89) and work experience (AOR=5.86, 95%CI:1.27, 26.92) were significantly associated with knowledge and attitude towards palliative care. Conclusions: This study finding showed that educational level and years of work experience showed a significant association with nurses’ knowledge and attitude towards palliative care. The concerned bodies and stake holders shall work together to enhance the nurses’ knowledge and attitude towards palliative care. Keywords: Knowledge; attitude; palliative care; nurses.
埃塞俄比亚中北部地区护士对姑息关怀的认识和态度:横断面研究
背景:由于非洲的姑息关怀实践发展有限,许多病人尚未接受过正规的姑息关怀。然而,在埃塞俄比亚,对护士进行姑息关怀知识和态度评估的研究十分有限。研究目的本研究旨在评估护士对姑息关怀的知识和态度。研究方法本研究为横断面研究,共纳入 402 名护士。研究采用了结构化的、预先测试过的自填式问卷来收集数据。采用二元逻辑回归分析结果变量。最后,在 p≤0.05 时,使用 95% CI 的 AOR 宣布两者之间的关联。结果在所有受访者中,216 人(55.81%)为女性。研究结果显示,304 名受访者(78.55%)对姑息治疗的认识不足,273 名受访者(70.54%)对姑息治疗持否定态度。受教育程度(AOR=2.61,95%CI:1.39,4.89)和工作经验(AOR=5.86,95%CI:1.27,26.92)与对姑息关怀的知识和态度显著相关。结论研究结果表明,受教育程度和工作年限与护士对姑息治疗的认识和态度有明显关系。有关机构和利益相关者应共同努力,提高护士对姑息关怀的认识和态度。关键词知识;态度;姑息关怀;护士。
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