Agreement of Nursing Home Staff With Palliative Care Principles:A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries

Honinx, E. and Smets, T. and Piers, R. and Deliens, L. and Payne, S. and Kylänen, M. and Barańska, I. and Pasman, H.R.W. and Gambassi, G. and Van den Block, L. and Gatsolaeva, Y. and Miranda, R. and Pivodic, L. and Tanghe, M. and van Hout, H. and Van Den Noortgate, N. and Froggatt, K. and Onwuteaka-Philipsen, B. and Szczerbińska, K. and Oosterveld-Vlug, M. and Wichmann, A.B. and Engels, Y. and Vernooij-Dassen, M. and Hockley, J. and Leppäaho, S. and Pautex, S. and Bassal, C. and Mammarella, F. and Mercuri, M. and Rossi, P. and Segat, I. and Stodolska, A. and Adang, E. and Andreasen, P. and Kuitunen-Kaija, O. and Moore, D.C. and Pac, A. and Kijowska, V. and Koppel, M.T. and van der Steen, J.T. and 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). pp. 824-834. ISSN 0885-3924

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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.

Item Type: Journal Article
Journal or Publication Title: Journal of Pain and Symptom Management
Uncontrolled Keywords: /dk/atira/pure/subjectarea/asjc/2900
Subjects:
Departments: Faculty of Health and Medicine > Health Research
ID Code: 136563
Deposited By: ep_importer_pure
Deposited On: 06 Sep 2019 13:25
Refereed?: Yes
Published?: Published
Last Modified: 07 Dec 2019 05:24
URI: https://eprints.lancs.ac.uk/id/eprint/136563

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