Application effect of structured education-based palliative care training on geriatric nurses
Objective The extent to which geriatric nurses receive palliative care education affects the provision of palliative care services.This study explores the impact of structured education-based palliative care training on geriatric nurses'knowledge related to death,attitudes toward death,and sense of meaning in life.Methods A total of 99 nurses from 7 departments in the geriatrics division of a tertiary grade-A hospital from January to March 2020 were selected as research subjects.According to the principle of balanced and comparable baseline data between groups,nurses from 4 departments(n=59)were assigned to the observation group,while nurses from the other 3 departments(n=40)were assigned to the control group.The training content included 8 topics:death and dying care,suicide-related issues,attitudes toward death across different age groups,care for loss and grief,an overview of death and death education,death theory,legal issues,and philosophical,religious,and folk views on death and funeral-related matters.The observation group received structured education-based palliative care training,while the control group received routine palliative care training.Both groups were trained for 3 months.After the intervention,the Nurses'Death Knowledge Questionnaire,Death Attitude Profile-Revised(DAP-R)and Chinese version of the Meaning in Life Questionnaire(C-MLQ)were used to assess the nurses'death-related knowledge,attitudes toward death,and sense of meaning in life,respectively.Results The total score of the nurses'knowledge level related to death in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).In the evaluation of the nurses'attitudes toward death,the scores for natural acceptance and escape acceptance in the observation group were higher than those in the control group,while the scores for death terror and death avoidance were lower than those in the control group,the differences were statistically significant(P<0.05).The scores of the nurses'life meaning identity in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Structured education-based palliative care training can improve death-related knowledge,attitudes toward death and sense of meaning in life among geriatric nurses.
GeriatricNursePalliative careDeath attitudeMeaning of lifeStructured education