Factors associated with knowledge of palliative care of nursing students
Abstract
Introduction. Gaps in palliative care (PC) care in low-middle-income countries may be related, among other factors, to insufficient training of nursing professionals. The objective of this study is to identify the factors associated with having an adequate level of knowledge about CP in undergraduate nursing students at a university in Colombia. Methodology. Cross-sectional study in 182 nursing students. The adequate level of knowledge in PC was considered as a dependent variable. Sociodemographic and academic variables, and perceptions in PC (measured by the Rotterdam-MOVE2PC scale) were evaluated as potentially associated factors. The population and perceptions were characterized using descriptive statistics, and multiple logistic regression was performed to identify associated factors. Results. 9.89% of students had an adequate level of knowledge in PC. Associated factors were identified as studying between 5-8 semester (OR=9.48, 95%CI=2.26- 39.60), living with a partner (OR=5.57, 95%CI=1.04- 29.79), and predominantly agree with the opinions in CP (OR=5.24, 95% CI=1.46- 18.83). Discussion. The level of knowledge in PC identified in this study is like that reported in previous studies in Colombia. The associated factors are consistent with those described in other contexts. In this study, being a woman and having religious beliefs were not associated with an adequate level of knowledge in PC. Conclusions. Less than 10% of nursing students have an adequate level of knowledge in PC. It is necessary to adjust the nursing curriculum considering students' perceptions of PC in order to adequately train them in PC, especially those between the first and fourth semester.
References
1. Nacak UA, Erden Y. End-of-Life Care and Nurse's Roles. Eurasian J Med [Internet]. 2022;54(Suppl1):141-144. doi: https://doi.org/10.5152/eurasianjmed.2022.22324
2. World Health Organization. Palliative Care. Key facts [Internet]. Ginebra: OMS; 2020. Recuperado a partir de: https://www.who.int/news-room/fact-sheets/detail/palliative-care
3. Knaul FM, Farmer PE, Krakauer EL, De Lima L, Bhadelia A, Kwete XJ, et al. Alleviating the access abyss in palliative care and pain relief-an imperative of universal health coverage: The Lancet Commission report. Lancet [Internet]. 2018;391(10128):1391-1454. doi: https://doi.org/10.1016/s0140-6736(17)32513-8
4. Calvel L, Blondet LV, Chedotal I, Grosshans D, Lefebvre F, Mounier G, et al. Difficulties in providing palliative care in identified palliative care beds: An exploratory survey. Presse Med [Internet]. 2019;48(7-8Pt1):e209-e215. doi: https://doi.org/10.1016/j.lpm.2018.10.020
5. Coym A, Oechsle K, Kanitz A, Puls N, Blum D, Bokemeyer C, et al. Impact, challenges and limits of inpatient palliative care consultations - perspectives of requesting and conducting physicians. BMC Health Serv Res [Internet]. 2020;20(1):86. doi: https://doi.org/10.1186/s12913-020-4936-x
6. Connor SR, Gwyther E. The Worldwide Hospice Palliative Care Alliance. J Pain Symptom Manage [Internet]. 2018;55(2S):S112-S116. doi: https://doi.org/10.1016/j.jpainsymman.2017.03.020
7. Clark D, Baur N, Clelland D, Garralda E, López-Fidalgo J, Connor S, et al. Mapping Levels of Palliative Care Development in 198 Countries: The Situation in 2017. J Pain Symptom Manage [Internet]. 2020;59(4):794-807.e4. doi: https://doi.org/10.1016/j.jpainsymman.2019.11.009
8. Sánchez-Cárdenas MA, León MX, Rodríguez-Campos LF, Correa-Morales JE, Buitrago-Reyes LA, Vargas-Villanueva MA, et al. The Development of Palliative Care in Colombia: An Analysis of Geographical Inequalities Through the Application of International Indicators. J Pain Symptom Manage [Internet]. 2021;62(2):293-302. doi: https://doi.org/10.1016/j.jpainsymman.2020.12.010
9. Observatorio Colombiano de Cuidados Paliativos. Red de Cuidados Paliativos [Internet]. Bogotá: OCCP; 2025. Recuperado a partir de: https://www.occp.com.co/red
10. Wang W, Wu C, Bai D, Chen H, Cai M, Gao J, et al. A meta-analysis of nursing students' knowledge and attitudes about end-of-life care. Nurse Educ Today [Internet]. 2022;119:105570. doi: https://doi.org/10.1016/j.nedt.2022.105570
11. Robledo-Muñoz ML, Pabón-Cardona D, Vélez-Zuluaga RM, Villada-Villa JS. Conocimientos de estudiantes de octavo, noveno y décimo semestre del programa de enfermería de la Corporación Universitaria Adventista sobre cuidados paliativos, Medellín [Trabajo de Grado]. Medellín: Corporación Universitaria Adventista; 2020. Recuperado a partir de: http://repository.unac.edu.co/bitstream/handle/11254/1100/Trabajo%20de%20grado.pdf?sequence=1&isAllowed=y
12. Tandalla-Yanez KP, Cusme-Torres AN. Perception and level of knowledge in nursing students about palliative care [Version 1; Peer Review - In Progress]. Salud, Ciencia y Tecnologia [Internet]. 2023;3:305. doi: https://doi.org/10.56294/saludcyt2023305
13. Peña-Marcial E, Diaz-Marcelo JS, Reyna-Avila L, Pérez-Cabañas R, Bernal-Mendoza LI. Ansiedad y nivel de conocimiento en cuidados paliativos en estudiantes de Guerrero. Rev Cienc Cuidad [Internet]. 2022;19(1):57-70. Recuperado a partir de: https://revistas.ufps.edu.co/index.php/cienciaycuidado/article/view/3093
14. Aboshaiqah AE. Predictors of Palliative Care Knowledge Among Nursing Students in Saudi Arabia: A Cross-Sectional Study. J Nurs Res [Internet]. 2020;28(1):e60. doi: https://doi.org/10.1097/jnr.0000000000000301
15. Jiang Q, Lu Y, Ying Y, Zhao H. Attitudes and knowledge of undergraduate nursing students about palliative care: An analysis of influencing factors. Nurse Educ Today [Internet]. 2019;80:15-21. doi: https://doi.org/10.1016/j.nedt.2019.05.040
16. Muliira JK, Lazarus ER, Mirafuentes EC. A Multi-country Comparative Study on Palliative Care Knowledge and Attitudes Toward End-of-Life Care Among Undergraduate Nursing Students. J Cancer Educ [Internet]. 2023;38(3):837-844. doi: https://doi.org/10.1007/s13187-022-02193-5
17. Dimoula M, Kotronoulas G, Katsaragakis S, Christou M, Sgourou S, Patiraki E. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey. Nurse Educ Today [Internet]. 2019;74:7-14. doi: https://doi.org/10.1016/j.nedt.2018.11.025
18. Gelegjamts D, Yoo JY, Kim J, Kim SJ. Undergraduate nursing students' palliative care knowledge and attitudes towards end-of-life care: a cross-sectional descriptive study. Contemp Nurse [Internet]. 2020;56(5-6):477-490. doi: https://doi.org/10.1080/10376178.2021.1890165
19. Chover-Sierra E, Martínez-Sabater A. Analysis of Spanish nursing students' knowledge in palliative care. An online survey in five colleges. Nurse Educ Pract [Internet]. 2020;49:102903. doi: https://doi.org/10.1016/j.nepr.2020.102903
20. Witkamp FE, van Zuylen L, van der Rijt CC, van der Heide A. Validation of the Rotterdam MOVE2PC questionnaire for assessment of nurses' knowledge and opinions on palliative care. Res Nurs Health [Internet]. 2013;36(5):512-523. doi: https://doi.org/10.1002/nur.21551
21. Franco-Pujante L. Adaptación transcultural y validación de la versión española de la escala Rotterdam MOVE2PC para enfermeras [Internet]. Valencia: Universidad de Valencia; 2014. Recuperado a partir de: https://datos.bne.es/edicion/a6331758.html
22. López-García M, Rubio L, Martin-de-Las-Heras S, Suárez J, Pérez-Cárceles MD, Martin-Martin J. Instruments to measure skills and knowledge of physicians and medical students in palliative care: A systematic review of psychometric properties. Med Teach [Internet]. 2022;44(10):1133-1145. doi: https://doi.org/10.1080/0142159x.2022.2067033
23. Boyer-Cienfuegos VJ. Conocimientos sobre cuidados paliativos en estudiantes de enfermería en una universidad privada de Chiclayo, 2022 [Tesis de Grado]. Chiclayo: Universidad Católica Santo Toribio de Mogrovejo; 2023. Recuperado a partir de: https://tesis.usat.edu.pe/xmlui/handle/20.500.12423/6666
24. Pastrana T, de Lima L, Wenk R. Estudio multicéntrico sobre la comodidad y el interés en cuidados paliativos en estudiantes de pregrado en Colombia. Medicina Paliativa [Internet]. 2015;22(4):136-145. doi: https://doi.org/10.1016/j.medipa.2014.10.004
25. de Quadros-Wuelche GP, Bucco M, de Abreu-Bueno AP, da Silva-Caldeira R. Assessment of the perception of nursing students in relation to palliative care. Research, Society and Development [Internet]. 2022;11(13):e120111335133. doi: https://doi.org/10.33448/rsd-v11i13.35133
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