German nursing home professionals' knowledge and specific self-efficacy related to palliative care
In Germany, more and more terminally ill patients spend their last days of life in nursing homes, and this presents a challenge for these institutions. Even though palliative care is a growing domain in health care, no quantitative in-depth evaluations of the status quo in nursing homes has been con...
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Published in | Journal of palliative medicine Vol. 16; no. 7; p. 794 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.07.2013
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Subjects | |
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Abstract | In Germany, more and more terminally ill patients spend their last days of life in nursing homes, and this presents a challenge for these institutions. Even though palliative care is a growing domain in health care, no quantitative in-depth evaluations of the status quo in nursing homes has been conducted so far in Germany, partly because of lacking measuring tools.
This study used a new questionnaire to assess German health care professionals' theoretical knowledge of palliative care and their perceived self-efficacy. Both variables have been proven to be indicators for the quality of the implementation of palliative care in nursing homes.
We used the Bonn Palliative Care Knowledge Test (Bonner Palliativwissenstest, BPW) questionnaire to measure knowledge of palliative care in the domains of medicine, care, and psychosocial care and to measure self-efficacy relating to palliative care.
Care workers (N=130) in five nursing homes in the region of Aachen in western Germany answered the questionnaires. The results show low knowledge (on average 52.8% correct answers) and self-efficacy relating to palliative care, although work with dying people is their daily challenge. While general knowledge correlated with work experience, a negative correlation of specific self-efficacy with age and working experience was observed.
Lower self-efficacy of care workers experienced in palliative care probably implies that the difficulty of palliative care skills is underestimated by inexperienced care workers. Palliative care training is urgently needed to improve knowledge and self-efficacy. Guidance to assist care professionals involved in palliative care in nursing homes needs to be developed and provided. |
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AbstractList | In Germany, more and more terminally ill patients spend their last days of life in nursing homes, and this presents a challenge for these institutions. Even though palliative care is a growing domain in health care, no quantitative in-depth evaluations of the status quo in nursing homes has been conducted so far in Germany, partly because of lacking measuring tools.
This study used a new questionnaire to assess German health care professionals' theoretical knowledge of palliative care and their perceived self-efficacy. Both variables have been proven to be indicators for the quality of the implementation of palliative care in nursing homes.
We used the Bonn Palliative Care Knowledge Test (Bonner Palliativwissenstest, BPW) questionnaire to measure knowledge of palliative care in the domains of medicine, care, and psychosocial care and to measure self-efficacy relating to palliative care.
Care workers (N=130) in five nursing homes in the region of Aachen in western Germany answered the questionnaires. The results show low knowledge (on average 52.8% correct answers) and self-efficacy relating to palliative care, although work with dying people is their daily challenge. While general knowledge correlated with work experience, a negative correlation of specific self-efficacy with age and working experience was observed.
Lower self-efficacy of care workers experienced in palliative care probably implies that the difficulty of palliative care skills is underestimated by inexperienced care workers. Palliative care training is urgently needed to improve knowledge and self-efficacy. Guidance to assist care professionals involved in palliative care in nursing homes needs to be developed and provided. |
Author | Rolke, Roman Müller, Monika Grützner, Felix Markett, Sebastian Kern, Martina Schmidt-Wolf, Gabriele Radbruch, Lukas Pfister, David Müller, Sigrun |
Author_xml | – sequence: 1 givenname: David surname: Pfister fullname: Pfister, David organization: ALPHA-Rheinland, University of Bonn, Bonn, Germany – sequence: 2 givenname: Sebastian surname: Markett fullname: Markett, Sebastian – sequence: 3 givenname: Monika surname: Müller fullname: Müller, Monika – sequence: 4 givenname: Sigrun surname: Müller fullname: Müller, Sigrun – sequence: 5 givenname: Felix surname: Grützner fullname: Grützner, Felix – sequence: 6 givenname: Roman surname: Rolke fullname: Rolke, Roman – sequence: 7 givenname: Martina surname: Kern fullname: Kern, Martina – sequence: 8 givenname: Gabriele surname: Schmidt-Wolf fullname: Schmidt-Wolf, Gabriele – sequence: 9 givenname: Lukas surname: Radbruch fullname: Radbruch, Lukas |
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SubjectTerms | Aged Clinical Competence Female Geriatric Nursing - methods Geriatric Nursing - standards Germany Health Knowledge, Attitudes, Practice Homes for the Aged - manpower Homes for the Aged - organization & administration Homes for the Aged - standards Humans Longitudinal Studies Male Nursing Homes - manpower Nursing Homes - organization & administration Nursing Homes - standards Nursing Staff - education Nursing Staff - psychology Palliative Care - methods Self Efficacy Statistics, Nonparametric Surveys and Questionnaires Terminally Ill |
Title | German nursing home professionals' knowledge and specific self-efficacy related to palliative care |
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