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The need for palliative care education, support, and reflection among rural nurses and other staff: A quantitative study

Published online by Cambridge University Press:  27 February 2014

Gerd Eriksson ,
Tina Wahlström Bergstedt  and
Christina Melin-Johansson
Gerd Eriksson
Affiliation:
Mid Sweden University, Department of Nursing Sciences, Östersund, Sweden Health Care Administration, Östersund Municipality, Östersund, Sweden
Tina Wahlström Bergstedt
Affiliation:
Social Service Department, Åre Municipality, Järpen, Sweden
Christina Melin-Johansson*
Affiliation:
Mid Sweden University, Department of Nursing Sciences, Östersund, Sweden
*
Address correspondence and reprint requests to: Christina Melin-Johansson, Mid Sweden University, Department of Nursing Sciences, 831 25 Östersund, Sweden. E-mail: titti.melin-johansson@miun.se.
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Abstract

Objective:

Many people now die in community care, and, considering the aging population, all healthcare staff members must be prepared to provide palliative care. Our objectives were to describe the total staff working in different care organizations in a rural community in Sweden and to explore palliative care competence, to describe educational gaps and the need for support and reflection, and to determine whether there are differences in care organizations, professions, age, and gender.

Method:

A 4-section 20-item questionnaire was distributed to 1686 staff (65% response rate): in nursing homes (n = 395), home care (n = 240), and group residential settings (n = 365). Registered nurses (n = 70), assistant nurses (n = 916), managers (n = 43), and paramedics (n = 33) participated. Descriptive and correlational statistics were employed.

Results:

Significant differences were found, and 40% (53% among men) lacked palliative care education, Fewer than 50% lacked education in the spiritual/existential areas, and 75% of those aged 20–66 (75% women, 55% men) needed further education. More women than men and staff aged 50–59 had an increased need to reflect.

Significance of Results:

Our study may provide guidance for managers in rural communities when planning educational interventions in palliative care for healthcare staff and may support direct education with content for specific professions.

Keywords

CaregiversCommunity health servicesEducationPalliative careQuestionnaire design
Type
Original Articles
Information
Palliative & Supportive Care , Volume 13 , Issue 2 , April 2015 , pp. 265 - 274
Copyright
Copyright © Cambridge University Press 2014 

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