Advanced search
1 file | 967.36 KB Add to list

Agreement of nursing home staff with palliative care principles : a PACE cross-sectional study among nurses and care assistants in five European countries

Author
Organization
Abstract
Context: To provide high-quality palliative care to nursing home residents, staff need to understand the basic principles of palliative care. Objectives: To evaluate the extent of agreement with the basic principles of palliative care of nurses and care assistants working in nursing homes in five European countries and to identify correlates. Methods: This is a cross-sectional study in 214 homes in Belgium, England, Italy, the Netherlands, and Poland. Agreement with basic principles of palliative care was measured with the Rotterdam MOVE2PC. We calculated percentages and odds ratios of agreement and an overall score between 0 (no agreement) and 5 (total agreement). Results: Most staff in all countries agreed that palliative care involves more than pain treatment (58% Poland to 82% Belgium) and includes spiritual care (62% Italy to 76% Belgium) and care for family or relatives (56% Italy to 92% Belgium). Between 51% (the Netherlands) and 64% (Belgium) correctly disagreed that palliative care should start in the last week of life and 24% (Belgium) to 53% (Poland) agreed that palliative care and intensive life-prolonging treatment can be combined. The overall agreement score ranged between 1.82 (Italy) and 3.36 (England). Older staff (0.26; 95% confidence interval [CI]: 0.09-0.43, P = 0.003), nurses (0.59; 95% CI: 0.43-0.75, P < 0.001), and staff who had undertaken palliative care training scored higher (0.21; 95% CI: 0.08-0.34, P = 0.002). Conclusions: The level of agreement of nursing home staff with basic principles of palliative care was only moderate and differed between countries. Efforts to improve the understanding of basic palliative care are needed.
Keywords
Palliative care, nursing homes, care homes, opinions, attitudes, KNOWLEDGE, SETTINGS, BARRIERS, HOSPICE, NEEDS

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 967.36 KB

Citation

Please use this url to cite or link to this publication:

MLA
Honinx, Elisabeth, et al. “Agreement of Nursing Home Staff with Palliative Care Principles : A PACE Cross-Sectional Study among Nurses and Care Assistants in Five European Countries.” JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, vol. 58, no. 5, 2019, pp. 824–34, doi:10.1016/j.jpainsymman.2019.06.015.
APA
Honinx, E., Smets, T., Piers, R., Deliens, L., Payne, S., Kylänen, M., … Morgan de Paula, E. (2019). Agreement of nursing home staff with palliative care principles : a PACE cross-sectional study among nurses and care assistants in five European countries. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 58(5), 824–834. https://doi.org/10.1016/j.jpainsymman.2019.06.015
Chicago author-date
Honinx, Elisabeth, Tinne Smets, Ruth Piers, Luc Deliens, Sheila Payne, Marika Kylänen, Ilona Barańska, et al. 2019. “Agreement of Nursing Home Staff with Palliative Care Principles : A PACE Cross-Sectional Study among Nurses and Care Assistants in Five European Countries.” JOURNAL OF PAIN AND SYMPTOM MANAGEMENT 58 (5): 824–34. https://doi.org/10.1016/j.jpainsymman.2019.06.015.
Chicago author-date (all authors)
Honinx, Elisabeth, Tinne Smets, Ruth Piers, Luc Deliens, Sheila Payne, Marika Kylänen, Ilona Barańska, H. Roeline W. Pasman, Giovanni Gambassi, Lieve Van den Block, on behalf of PACE, Yuliana Gatsolaeva, Rose Miranda, Lara Pivodic, Marc Tanghe, Hein van Hout, Nele Van Den Noortgate, Katherine Froggatt, Bregje Onwuteaka-Philipsen, Katarzyna Szczerbińska, Mariska Oosterveld-Vlug, Anne B. Wichmann, Yvonne Engels, Myrra Vernooij-Dassen, Jo Hockley, Suvi Leppäaho, Sophie Pautex, Catherine Bassal, Federica Mammarella, Martina Mercuri, Paola Rossi, Ivan Segat, Agata Stodolska, Eddy Adang, Paula Andreasen, Outi Kuitunen-Kaija, Danni Collingridge Moore, Agnieszka Pac, Violetta Kijowska, Maud ten Koppel, Jenny T. van der Steen, and Emilie Morgan de Paula. 2019. “Agreement of Nursing Home Staff with Palliative Care Principles : A PACE Cross-Sectional Study among Nurses and Care Assistants in Five European Countries.” JOURNAL OF PAIN AND SYMPTOM MANAGEMENT 58 (5): 824–834. doi:10.1016/j.jpainsymman.2019.06.015.
Vancouver
1.
Honinx E, Smets T, Piers R, Deliens L, Payne S, Kylänen M, et al. Agreement of nursing home staff with palliative care principles : a PACE cross-sectional study among nurses and care assistants in five European countries. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT. 2019;58(5):824–34.
IEEE
[1]
E. Honinx et al., “Agreement of nursing home staff with palliative care principles : a PACE cross-sectional study among nurses and care assistants in five European countries,” JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, vol. 58, no. 5, pp. 824–834, 2019.
@article{8626200,
  abstract     = {{Context: To provide high-quality palliative care to nursing home residents, staff need to understand the basic principles of palliative care. 
Objectives: To evaluate the extent of agreement with the basic principles of palliative care of nurses and care assistants working in nursing homes in five European countries and to identify correlates. 
Methods: This is a cross-sectional study in 214 homes in Belgium, England, Italy, the Netherlands, and Poland. Agreement with basic principles of palliative care was measured with the Rotterdam MOVE2PC. We calculated percentages and odds ratios of agreement and an overall score between 0 (no agreement) and 5 (total agreement). 
Results: Most staff in all countries agreed that palliative care involves more than pain treatment (58% Poland to 82% Belgium) and includes spiritual care (62% Italy to 76% Belgium) and care for family or relatives (56% Italy to 92% Belgium). Between 51% (the Netherlands) and 64% (Belgium) correctly disagreed that palliative care should start in the last week of life and 24% (Belgium) to 53% (Poland) agreed that palliative care and intensive life-prolonging treatment can be combined. The overall agreement score ranged between 1.82 (Italy) and 3.36 (England). Older staff (0.26; 95% confidence interval [CI]: 0.09-0.43, P = 0.003), nurses (0.59; 95% CI: 0.43-0.75, P < 0.001), and staff who had undertaken palliative care training scored higher (0.21; 95% CI: 0.08-0.34, P = 0.002). 
Conclusions: The level of agreement of nursing home staff with basic principles of palliative care was only moderate and differed between countries. Efforts to improve the understanding of basic palliative care are needed.}},
  author       = {{Honinx, Elisabeth and Smets, Tinne and Piers, Ruth and Deliens, Luc and Payne, Sheila and Kylänen, Marika and Barańska, Ilona and Pasman, H. Roeline W. and Gambassi, Giovanni and Van den Block, Lieve and PACE, on behalf of and Gatsolaeva, Yuliana and Miranda, Rose and Pivodic, Lara and Tanghe, Marc and van Hout, Hein and Van Den Noortgate, Nele and Froggatt, Katherine and Onwuteaka-Philipsen, Bregje and Szczerbińska, Katarzyna and Oosterveld-Vlug, Mariska and Wichmann, Anne B. and Engels, Yvonne and Vernooij-Dassen, Myrra and Hockley, Jo and Leppäaho, Suvi and Pautex, Sophie and Bassal, Catherine and Mammarella, Federica and Mercuri, Martina and Rossi, Paola and Segat, Ivan and Stodolska, Agata and Adang, Eddy and Andreasen, Paula and Kuitunen-Kaija, Outi and Moore, Danni Collingridge and Pac, Agnieszka and Kijowska, Violetta and Koppel, Maud ten and van der Steen, Jenny T. and Morgan de Paula, Emilie}},
  issn         = {{0885-3924}},
  journal      = {{JOURNAL OF PAIN AND SYMPTOM MANAGEMENT}},
  keywords     = {{Palliative care,nursing homes,care homes,opinions,attitudes,KNOWLEDGE,SETTINGS,BARRIERS,HOSPICE,NEEDS}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{824--834}},
  title        = {{Agreement of nursing home staff with palliative care principles : a PACE cross-sectional study among nurses and care assistants in five European countries}},
  url          = {{http://dx.doi.org/10.1016/j.jpainsymman.2019.06.015}},
  volume       = {{58}},
  year         = {{2019}},
}

Altmetric
View in Altmetric
Web of Science
Times cited: