Factors Related to Palliative Care Competency among Professional Nurses in a Tertiary Hospital in Bangkok
Keywords:
knowledge, attitude, caring behaviors for dying patients, palliative care competencyAbstract
This cross-sectional descriptive research aimed to examine the palliative care competency of professional nurses and the associated factors, including age, length of work experience, knowledge, attitude toward care of palliative care patients, and end-of-life care behaviors. Selected by purposive sampling based on the inclusion criteria, the sample consisted of 322 professional nurses from a tertiary hospital in Bangkok. The instruments used for data collection included a personal information record form, a palliative care knowledge assessment, a palliative care attitude assessment, an end-of-life care behavior questionnaire, and a palliative care competence assessment. The quality of the questionnaires was evaluated with content validity indices of 1, 1, 1, and .98, respectively and the Cronbach's alpha coefficients of .71, .81, .97, and .98, respectively. Data analysis was conducted using descriptive statistics, Pearson’s correlation coefficient, and Spearman’s rank correlation coefficient. The level of statistical significance was set at p-value < .05.
The study results showed that the overall palliative care competency ranged at a moderate level (𝑥̅ = 185.74 ; SD = 41.53). While age, work experience, attitudes, and end-of-life care behaviors were positively correlated with palliative care competency at a statistically significant level (rsp = .153, rsp = .147, r = .372, r = .684, p < .05, respectively), there is no statistically significant correlation between knowledge of palliative care and competency (r = .086, p > .183).
This study indicates the importance of enhancing practical skills and promoting positive attitudes toward palliative care to improve palliative care competency among nurses
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