School of Nursing, Ball State University, 2000 W University Ave, Muncie, IN, 47306, USA.
Department of Adult Health & Critical Care, College of Nursing, Sultan Qaboos University, Al-Khod, 123, P. O. Box 66, Muscat, Oman.
J Cancer Educ. 2023 Jun;38(3):781-788. doi: 10.1007/s13187-022-02184-6. Epub 2022 May 27.
Palliative care (PC) is a vital part of the responses needed to address the outcomes of cancer and other non-communicable diseases such as chronic pain, terminal illnesses, and end-of-life situations. Until today, there is a significant lack of access to PC in most developing countries, where the majority of the global population lives. Deficiencies in nurses' knowledge and attitudes exacerbate the lack of access to PC and end-of-life care (EOLC) in these countries. This study was conducted in Oman to assess undergraduate nursing students' (NS) PC knowledge and attitudes towards EOLC. A cross-sectional design was used to collect data from 276 NS in all undergraduate programs in Oman. The PC knowledge and attitude towards EOLC were measured using the PEACE-Q and FATCOD-B. The NS had a borderline level of PC knowledge but favorable attitudes towards EOLC. The NS were least knowledgeable about the philosophy of PC, delirium, side effects of opioids, cancer pain, and dyspnea. There were differences in PC knowledge and attitudes across programs. The findings highlight potential deficiencies and opportunities that can be utilized to augment future nursing human resources for PC and EOLC in Oman. We recommend a national interdisciplinary PC education and training consortium (NIPCET-C) to dialogue, develop, promote, monitor, and evaluate PC and EOLC education in Oman.
姑息治疗（PC）是应对癌症和其他非传染性疾病（如慢性疼痛、绝症和临终情况）后果所需的重要措施之一。直到今天，在大多数发展中国家，大多数全球人口居住的地方，仍然存在着严重缺乏 PC 服务的问题。这些国家的护士在知识和态度方面的不足，加剧了他们无法获得 PC 和临终关怀服务的问题。本研究在阿曼进行，旨在评估本科护理学生（NS）对 PC 和临终关怀的知识和态度。采用横断面设计，从阿曼所有本科护理课程的 276 名 NS 中收集数据。使用 PEACE-Q 和 FATCOD-B 量表测量 PC 知识和临终关怀态度。NS 的 PC 知识处于边缘水平，但对临终关怀态度良好。NS 在姑息治疗哲学、谵妄、阿片类药物的副作用、癌症疼痛和呼吸困难方面的知识最少。不同课程之间的 PC 知识和态度存在差异。研究结果强调了潜在的不足和机会，可以利用这些不足和机会来增加阿曼未来姑息治疗和临终关怀的护理人力资源。我们建议建立一个全国性的姑息治疗和临终关怀教育和培训联合体（NIPCET-C），以在阿曼开展姑息治疗和临终关怀教育的对话、制定、推广、监测和评估工作。
