Palliative care knowledge, attitudes and perceived self-competence of nurses working in Vietnam
Abstract
Aim:
To explore palliative care knowledge, attitudes and perceived self-competence of nurses working in oncology settings in Hanoi, Vietnam.
Method:
The study employed a cross-sectional descriptive survey design. The self-administered questionnaires consisted of three validated instruments: the Expertise and Insight Test for Palliative Care, the Attitude Toward Care of the Dying Scale B and the Palliative Care Nursing Self Competence Scale. The sample consisted of 251 nurses caring for cancer patients in three oncology hospitals in Vietnam.
Results:
The responses identified low scores in nurses' palliative care knowledge related to pain and other symptom management and psychological and spiritual aspects. Nurses' responses reflected discomfort in communicating about death and establishing therapeutic relationship with oncology patients who require palliative care. Additionally, nurses reported low scores in perceived self-competence when providing pain management and addressing social and spiritual domains of palliative care. The findings also revealed that nurses who had higher palliative care knowledge scores demonstrated attitudes which were more positive and expressed greater perceived self-competence.
Conclusion:
Nurses working in oncology wards need more education to develop their knowledge and skills of palliative care, especially in the areas of pain management, psychological and spiritual care, and communication.
References
- (2009) Palliative care in Lebanon: knowledge, attitudes and practices. Int J Palliat Nurs 15(7): 346–53. doi: https://doi.org/10.1016/s0020-7489(03)00073-7 Link, Google Scholar
- (2004) A test instrument for palliative care. Int J Nurs Stud 41(1): 107–17 Crossref, Medline, Google Scholar
- (2006) Status of cancer pain in Hanoi, Vietnam: A hospital-wide survey in a tertiary cancer treatment center. J Pain Symptom Manage 31(5): 431–9 Crossref, Medline, Google Scholar
- (2007) Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol 25(5): 555–560. doi: https://doi.org/10.1200/JCO.2006.07.9046 Crossref, Medline, Google Scholar
- (1986)
The wording and translation of research instruments . In: Brislin RWLonner WLBerry JW (eds). Field methods in cross-cultural research. Sage, Beverly Hills: 137–64 Google Scholar - Conte TM (ed) (2011) Pediatric oncology nurses' lived experiences with loss and grief. Villanova University, Villanova Google Scholar
- (2011) Development of the palliative care nursing self-competence scale. Journal of Hospice and Palliative Nursing 13(4): 230–41. doi: https://doi.org/10.1097/NJH.0b013e318213d300 Crossref, Google Scholar
- (2010) The preparation of oncology nurses in palliative care. Semin Oncol Nurs 26(4): 259–65. doi: https://doi.org/10.1016/j.soncn.2010.08.001 Crossref, Medline, Google Scholar
- (2011) An evaluation of aged-care workers' knowledge of and attitudes toward the palliative approach. Res Gerontol Nurs 4(4): 251–9. doi: https://doi.org/10.3928/19404921-20101103-01. Epub 2010 Crossref, Medline, Google Scholar
- (2003) Attitudes toward care of the terminally ill: an educational intervention. Am J Hosp Palliat Care 20(1): 13–22. doi: https://doi.org/10.1177/104990910302000108 Crossref, Medline, Google Scholar
- (2012) Factors influencing nurses' attitudes toward death. Int J Palliat Nurs 18(6): 267–73 Link, Google Scholar
- (2006) Palliative care in Vietnam: findings from a rapid situation analysis in five provinces. Vietnam Ministry of Health, Hanoi Google Scholar
- (2011) Spiritual care for palliative patients. Curr Probl Cancer 35(6): 365–71. doi: https://doi.org/10.1016/j.currproblcancer.2011.10.011 Crossref, Medline, Google Scholar
- (2010) Spanish nephrology nurses' views and attitudes towards caring for dying patients. J Ren Care 36(1): 2–8. doi: https://doi.org/10.1111/j.1755-6686.2010.00141.x Crossref, Medline, Google Scholar
- (2008) Attitudes of Iranian nurses toward caring for dying patients. Palliative & Supportive Care 6(4): 363–9. doi: https://doi.org/10.1017/S1478951508000588 Crossref, Medline, Google Scholar
- (2011) Awareness of palliative care among diploma nursing students. Indian J Palliat Care 17(1): 20–3. doi: https://doi.org/10.4103/0973-1075.78445 Crossref, Medline, Google Scholar
- (2009) Paediatric nurses' knowledge of palliative care in Florida: a quantitative study. Int J Palliat Nurs 15(9): 432–9 Link, Google Scholar
- (2011) Pediatric nurses' attitudes toward hospice and pediatric palliative care. Pediatr Nurs 37(3): 121–6 Medline, Google Scholar
- (2010) Is emotional dissonance more prevalent in oncology care? Emotion work, burnout and coping. Psychooncology 19(8): 855–62. doi: https://doi.org/10.1002/pon.1631 Crossref, Medline, Google Scholar
- (2007) Vietnam: integrating palliative care into HIV/AIDS and cancer care. J Pain Symptom Manage 33(5): 578–83 Crossref, Medline, Google Scholar
- (2010) Vietnam's palliative care initiative: successes and challenges in the first five years. J Pain Symptom Manage 40(1): 27–30. doi: https://doi.org/10.1016/j.jpainsymman.2010.04.009 Crossref, Medline, Google Scholar
- (2008) Assessing nurses' attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncol Nurs Forum 35(6): 955–9. doi: https://doi.org/10.1188/08.ONF.955-959 Crossref, Medline, Google Scholar
- (2010) Evaluating the impact of education on knowledge and confidence in delivering psychosocial end-of-life care. Int J Palliat Nurs 16(8): 371–6 Link, Google Scholar
- (2009) EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care. Nurs Crit Care 14(3): 110–21. doi: https://doi.org/10.1111/j.1478-5153.2008.00328.x Crossref, Medline, Google Scholar
- (2011) Greek nurses attitudes towards death. Global Journal of Health Science 3(1): 224–30. doi: https://doi.org/10.5539/gjhs.v3n1224 Crossref, Google Scholar
- (2010) Nurses' and care workers' attitudes toward death and caring for dying older adults in Japan. Int J Palliat Nurs 16(12): 593–8 Link, Google Scholar
- (2007) Cancer mortality pattern in Viet Nam. Asian Pac J Cancer Prev 8(4): 535–8 Medline, Google Scholar
- (2009) Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference. J Palliat Med 12(10): 885–904. doi: https://doi.org/10.1089/jpm.2009.0142 Crossref, Medline, Google Scholar
- (2008) A study of nurses' knowledge of a palliative approach in residential aged care facilities. Int J Older People Nurs 3(4): 258–67. doi: https://doi.org/10.1111/j.1748-3743.2008.00136.x Crossref, Medline, Google Scholar
- (1996) The palliative care quiz for nursing (PCQN): the development of an instrument to measure nurses' knowledge of palliative care. J Adv Nurs 23(1): 126–37 Crossref, Medline, Google Scholar
- (2014) A Japanese Region-wide Survey of the Knowledge, Difficulties and Self-reported Palliative Care Practices Among Nurses. Jpn J Clin Oncol 44(8): 718–28. doi: https://doi.org/10.1093/jjco/hyu075 Crossref, Medline, Google Scholar
- (2011) Nurses' perceptions of educational gaps in delivering end-of-life care. Oncol Nurs Forum 38(6): 711–7. doi: https://doi.org/10.1188/11.ONF.711-717 Crossref, Medline, Google Scholar
World Health Organization (2012) Health Service Delivery Profile. Viet Nam. http://tinyurl.com/oz9b8t7 (accessed 11 September 2014 ) Google Scholar



