| چکیده انگلیسی مقاله |
Background: Palliative care (PC) is an integral component of nursing practice. Lack of knowledge about PC and negative attitude towards it, as well as gaps in evidence-based practice (EBP) among nurses is one of the most common obstacles to quality PC. Accordingly, the present study aims to evaluate nurses' knowledge of PC and their attitude towards caring for dying patients and its relationship with EBP (knowledge/skills, attitude and performance) in primary health care (PHC) organizations in Astana, Kazakhstan.
Methods: A cross-sectional study design was employed to collect data from 565 nurses working in primary health care organizations in Astana, Kazakhstan from January 2022 to March 2023. The subjects were recruited by convenience sampling. The data were collected using an online questionnaire including four parts: demographic and professional characteristics, the Palliative Care Quiz for Nurses (PCQN), the Frommelt Attitudes Towards Care of the Dying (FATCOD), and the Evidence-based Practice Questionnaire (EBPQ). Data analysis was performed by Independent T-test, One-Way ANOVA, and Kendall tau rank correlation coefficient. Hierarchical multiple regression was also developed to identify those variables that influenced the level of knowledge of nurses about PC. SPSS version 24 was used for analysis. The significance level considered at 0.05.
Results: The nurses’ PC knowledge level was low (mean score= 9.06±2.93). Most of the nurses (93%) had a neutral or negative attitude towards caring for dying patients (mean score= 94.50±12.41). The obtained score (4.39 ±1.05) on the EBPQ was indicative of an moderate level of competence in EBP. Work experience (β=0.534; p=0.000) and competencies in EBP (β=0.136, p=0.001) were associated with knowledge of PC. The aspect of Knowledge/skills in EBP had the most significant impact on the level of competence of nurses in the field of PC (β=0.122, p=0.005).
Conclusions: An insufficient level of nurses' knowledge about PC and a neutral or negative attitude towards caring for dying patients were revealed. The results also indicated that much attention and resources should be directed to improving the level of knowledge of nurses in the field of EBP, because this aspect significantly affects the level of knowledge on PC.
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