Acute and Critical Care

Original Articles

Nursing
Palliative care knowledge and attitudes toward end-of-life care among intensive care unit nurses in Jordan: Khaldoun Mohammad Hamdan, Ahmad M. Al-Bashaireh, Mohammad Al-Dalahmeh, Ahmad Rajeh Saifan, Maha Alkaid Albqoor, Abeer M. Shaheen; Acute Crit Care. 2023;38(4):469-478. Published online November 28, 2023; DOI: https://doi.org/10.4266/acc.2023.00430

9,778 View
336 Download
9 Web of Science
12 Crossref

Background
There is a growing need for palliative care globally due to the rapid aging of the population and improvement in cancer survival rates. Adequate knowledge and a positive attitude are vital for palliative care nurses. The study’s purpose was to examine nurses’ knowledge and attitudes toward palliative care.
Methods
A cross-sectional design with convenience sampling was used. The study included 182 intensive care unit (ICU) nurses from Jordanian hospitals in all sectors. Self-administered questionnaires were used to assess nurses' knowledge and attitudes toward palliative care. Descriptive statistics, analysis of variance, and the Kruskal-Wallis H test were used to analyze the data.
Results
We measured nurses’ knowledge using the Palliative Care Quiz for Nursing, and we measured nurses' attitudes using the Frommelt Attitude Toward Care of the Dying scale. The mean total knowledge and attitude scores were 8.88 (standard deviation [SD], 2.52) and 103.14 (SD, 12.31), respectively. The lowest level of knowledge was in psychosocial and spiritual care (mean, 0.51±0.70). The percentage of nurses with unfavorable attitudes was 53.3%. Significant differences in knowledge and attitude levels were observed according to educational level, experience, and hospital type.
Conclusions
ICU nurses have insufficient knowledge and inappropriate attitudes toward palliative care. Knowledge of psychological and spiritual aspects of palliative care was particularly lacking as were appropriate attitudes towards communication with dying patients. Improving knowledge and attitudes toward palliative care in nursing schools and hospitals would help overcome this problem.

Citations

Citations to this article as recorded by

Core competency in palliative care among intensive care unit nurses: A latent profile analysis
Qin Guan, Xiaoling Zhu, Zhipeng Xue, Mengyun Peng
Nursing in Critical Care.2025;[Epub] CrossRef
Knowledge, attitudes, and self-efficacy regarding palliative care among Palestinian nurses in intensive care units
Bilal Awad, Ahmad Batran, Malakeh Z. Malak, Ahmad Ayed, Anas Shehadeh, Bahaa Alassoud, Moath Abu Ejheisheh
BMC Nursing.2025;[Epub] CrossRef
Soulful support: Exploring critical care nurses' spiritual caregiving towards end‐of‐life scenario
Ayman Mohamed El‐Ashry, Sameh Eltyebani, Shimmaa Mohamed Elsayed, Mahmoud Abdelwahab Khedr, Mona Metwally El‐Sayed, Mohamed Adel Ghoneam, Haitham Mokhtar Mohamed Abdallah
Nursing in Critical Care.2025;[Epub] CrossRef
Palliative Care Knowledge, Attitudes, and Self-Competence of Nurses Working in Hospital Settings
Mona Ibrahim Hebeshy, Darcy Copeland
Journal of Palliative Care.2025;[Epub] CrossRef
Towards enhancing palliative care competencies through comprehensive training for nurses and physicians in resource-limited settings: a cross-sectional study
Mohammad Alhaddar, Heba Falna, Haya Sultan, Hammoda Abu-Odah, Mohammad Khleif, Shahenaz Najjar
BMC Nursing.2025;[Epub] CrossRef
Empowering critical care nurses: bridging knowledge gaps in palliative care
Halima A. Almahrizi, Fawwaz Alaloul, Ohood K. Al Mamari, Esther K. Rani, Zayoon A. Al Mahrizi, Salma A. Al Harthy, Zakariya Al-Naamani
BMC Nursing.2025;[Epub] CrossRef
Spiritual and cultural influences on end-of-life care decision-making: a comparative analysis of the Arab Middle East and the United Kingdom
Hanan Hamdan Alshehri, Chris McParland, Hibah Abdulrahim Bahri, Bridget Johnston
Current Opinion in Supportive & Palliative Care.2025; 19(4): 242. CrossRef
The Correlation Between Nurses' Knowledge and Attitudes and the Provision of Patients' Spiritual Care in the High Care Unit
Hidayatul Rahmi, Rebbi Permata Sari Rebbi, Revi Neini Iqbal, Willady Rasyid
Journal of Health Sciences and Epidemiology.2025; 3(1): 51. CrossRef
Knowledge of undergraduate nursing students about palliative care
Aruna Jothishanmugam
Journal of Education and Health Promotion.2025;[Epub] CrossRef
Investigation of the Relationship between Personality Traits of Intensive Care Nurses and Their Attitudes and Behaviours towards End-of-life Care
Fırat Demir, Cansu Polat Dünya, İlknur Özkan
Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi.2024; 6(3): 243. CrossRef
Knowledge and attitude towards palliative care and associated factors among nurse: a cross-sectional descriptive study
Saeedeh Rafiee, Ismail Azizi-Fini, Zahra-Sadat Banihashemi, Safoura Yadollahi
BMC Nursing.2024;[Epub] CrossRef
Knowledge, Attitudes, and Determinants of Palliative Care Among Nurses: A Descriptive Study
Kalkidan Girma, Gebremedhin Desta, Saba Tsegaye, Melkamu Tesfaye
Journal of Integrative Nursing and Palliative Care.2023; 4(1): 108. CrossRef

Healthcare Professional's Knowledge, Perception and Performance on Early Enteral Nutrition for Critically Ill Patients: Sun Hee Yun, Sun Jung Kim, Eui Geum Oh; Korean J Crit Care Med. 2012;27(1):36-44.; DOI: https://doi.org/10.4266/kjccm.2012.27.1.36

4,275 View
80 Download
6 Crossref

Abstract PDF

BACKGROUND
Proper nutritional supplement is one of the fundamental management domains for critical ill patients. While it shows positive effect on processing and prognosis of critical ill patients, early enteral nutrition is overlooked. This study explored healthcare professional's level of knowledge perception and performance on early enteral nutrition for critically ill patients. Data was collected from a convenient sample of 319 registered doctors, nurses and nutritionists in ICU at seven university hospitals.
METHODS
A cross-sectional survey design was used. The participants were assessed by questionnaires, specifically designed for the study and verified for the content validity by professional reviewers related with critical ill patients.
RESULTS
While the level of the perception of early enteral nutrition is high, the level of knowledge and performance are relatively low. The nurses showed a statistically significant difference on the level of knowledge, by their educational backgrounds and clinical experiences. Regarding the hospital support system, the doctors showed a significant difference on the level of perception and performance, while the nurses only showed that difference on the level of performance. It was shown that with higher the level of knowledge regarding the early enteral nutrition, the higher the level of performance. Further, the higher the level of perception, the higher the level of performance was observed. The hospital support system and the perception of the healthcare professionals are two most influential factors to affect the performance of the healthcare professionals related with the early enteral nutrition for the critically ill patients.
CONCLUSION
To perform the proper early enteral nutrition, the hospital support system and the level of the healthcare professionals' perception, are two most important factors. Therefore, the efforts to build the hospital support system along with the educational provisions are needed.

Citations

Citations to this article as recorded by

Effects of a video-based enteral nutrition education program using QR codes for intensive care unit nurses: a quasi-experimental study
Won Kee Seo, Hyunjung Kim
Journal of Korean Biological Nursing Science.2024; 26(1): 16. CrossRef
Critical Care Nurses’ Perceptions of Enteral Nutrition: A Descriptive Cross-Sectional Study
Khaled Mohammed Al-Sayaghi, Talal Ali Hussein Saad Alqalah, Sameer Abdulmalik Alkubati, Gamil Ghaleb Alrubaiee, Sultan Abdulwadoud Alshoabi, Masouda Hassan Atrous, Farida Khalil Ibrahim Mohamed, Kamal Dahan Alsultan, Awadia Greeballah Suliman, Moawia Bush
The Open Nursing Journal.2022;[Epub] CrossRef
Factors Influencing the Occurrence of Diarrhea in Patients Admitted to Intensive Care Units
Hanna Lee, Rhayun Song
Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 221. CrossRef
Critical Care Nurses’ Perception, Knowledge, and Practices of Enteral Nutrition
Hyunjung Kim, Eunjin Soun
Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 383. CrossRef
Nutritional Assessment of ICU Inpatients with Tube Feeding
Yu-Jin Kim, Jung-Sook Seo
Journal of the Korean Dietetic Association.2015; 21(1): 11. CrossRef
Nutritional Support, Gastric Residual Volume and Nutritional Status during Enteral Nutrition in Intensive Care Unit Patients
Minju Lee, Jiyeon Kang
Korean Journal of Adult Nursing.2014; 26(6): 621. CrossRef

First
Prev
Page of 1
Next
Last

Search