Relationship between Knowledge, Attitude, Barriers, and Nurses’ Behavior in Pediatric Palliative Care

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Jintana Thepsaw
Sudaporn Payakkaraung
Wanida Sanasuttipun
Arunrat Srichantaranit


          Purpose: To examine the relationship between knowledge, attitude, barriers, and nurses’ behavior in pediatric palliative care.
          Design: Correlational study design.
          Methods: The sample included 95 nurses working in the pediatric wards at a super tertiary care hospital. Nurses who were working in pediatric wards more than 1 year and had palliative care experience for at least one pediatric patient were recruited to be the study sample. Data were collected using an assessment form of demographic information, and a set of questionnaires: knowledge of, attitude towards, and barriers to pediatric palliative care, as well as pediatric palliative care behavior. Descriptive statistics and Spearman’s rank correlation coefficient were used in data analysis.
          Main findings: The subjects had a high level of knowledge and behavior, good attitude, and moderate level of barriers to pediatric palliative care. Attitude was significantly positive correlated at a low level with nurses’ behavior in pediatric palliative care (rs = .21, p < .05). Barriers to care were significantly negative correlated at a low level with nurses’ behavior in pediatric palliative care  (rs = -.23, p < .05). Knowledge was not correlated with nurses’ behavior in pediatric palliative care.
           Conclusion and recommendations: This study shows that attitude towards and barriers to care are negatively correlated with nurses’ behavior in pediatric palliative care. Nurses should discuss on and find out strategies to embrace good attitude to nurses and reduce barriers to pediatric palliative care so that the quality care would be further efficient.


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Thepsaw, J., Payakkaraung, S., Sanasuttipun, W., & Srichantaranit, A. (2018). Relationship between Knowledge, Attitude, Barriers, and Nurses’ Behavior in Pediatric Palliative Care. Nursing Science Journal of Thailand, 36(2), 18–29. Retrieved from
Research Papers


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