A Survey of Medical Professionals in an Apex Tertiary Care Hospital to Assess Awareness, Interest, Practices, and Knowledge in Palliative Care: A Descriptive Cross-sectional Study.
Awareness
interest
knowledge
palliative care
practices
Journal
Indian journal of palliative care
ISSN: 0973-1075
Titre abrégé: Indian J Palliat Care
Pays: United States
ID NLM: 101261221
Informations de publication
Date de publication:
Historique:
entrez:
23
5
2019
pubmed:
23
5
2019
medline:
23
5
2019
Statut:
ppublish
Résumé
Medical discipline in India focuses on cure rather than comfort care. Palliative care is concerned with improving quality of life and relieving sufferings in patients with advanced incurable terminal diseases. Palliative care in India is still in infancy stage due to lack of knowledge, attitude and skills among health care providers. The reason being lack of training in under graduate as well as postgraduate teaching curriculum and lack of sensitization among policy makers. To assess the awareness, interest, practices and knowledge in palliative care among medical professionals working in a tertiary care hospital. All participants were mailed proforma to be filled in a fixed format including details of their qualification, demographic data, their field of work, their training in palliative care and multiple choice questions regarding awareness interest, practices and knowledge of palliative care. Out of 186 respondents, 56% had not received any basic training in palliative care. 81% wanted palliative care education to be included in undergraduate curriculum. Poor program was identified as the most common barrier in learning palliative care. 77% respondents had no idea about home based palliative care services. 50.8% patients dies in hospital in their terminal stage. 88% were interested in learning safe opioid practices. Although 89.8% were aware of the need of palliative care in metastatic cancer but less than 50% were aware of the fact that palliative care is also required in MDR-TB and mental illness. This study reflects data of an apex cancer institute of the country. The result of awareness is not very encouraging despite a dedicated palliative care department. So, we can assume what will be the palliative care status in other parts of India where there is no palliative care at all. We strongly recommends that palliative care teaching should be incorporated in undergraduate curriculum to sensitize the students from the beginning. Budding residents in their learning phase can play an important role by learning and providing palliative care as the first person to come into contact with the patients are residents. There is a strong need of spreading palliative care awareness all over the country.
Sections du résumé
BACKGROUND
BACKGROUND
Medical discipline in India focuses on cure rather than comfort care. Palliative care is concerned with improving quality of life and relieving sufferings in patients with advanced incurable terminal diseases. Palliative care in India is still in infancy stage due to lack of knowledge, attitude and skills among health care providers. The reason being lack of training in under graduate as well as postgraduate teaching curriculum and lack of sensitization among policy makers.
AIMS AND OBJECTIVES
OBJECTIVE
To assess the awareness, interest, practices and knowledge in palliative care among medical professionals working in a tertiary care hospital.
MATERIALS AND METHODS
METHODS
All participants were mailed proforma to be filled in a fixed format including details of their qualification, demographic data, their field of work, their training in palliative care and multiple choice questions regarding awareness interest, practices and knowledge of palliative care.
RESULTS
RESULTS
Out of 186 respondents, 56% had not received any basic training in palliative care. 81% wanted palliative care education to be included in undergraduate curriculum. Poor program was identified as the most common barrier in learning palliative care. 77% respondents had no idea about home based palliative care services. 50.8% patients dies in hospital in their terminal stage. 88% were interested in learning safe opioid practices. Although 89.8% were aware of the need of palliative care in metastatic cancer but less than 50% were aware of the fact that palliative care is also required in MDR-TB and mental illness.
CONCLUSION
CONCLUSIONS
This study reflects data of an apex cancer institute of the country. The result of awareness is not very encouraging despite a dedicated palliative care department. So, we can assume what will be the palliative care status in other parts of India where there is no palliative care at all.
RECOMMENDATION
CONCLUSIONS
We strongly recommends that palliative care teaching should be incorporated in undergraduate curriculum to sensitize the students from the beginning. Budding residents in their learning phase can play an important role by learning and providing palliative care as the first person to come into contact with the patients are residents. There is a strong need of spreading palliative care awareness all over the country.
Identifiants
pubmed: 31114100
doi: 10.4103/IJPC.IJPC_191_18
pii: IJPC-25-172
pmc: PMC6504741
doi:
Types de publication
Journal Article
Langues
eng
Pagination
172-180Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
J Palliat Care. 1999 Spring;15(1):44-9
pubmed: 10333664
J R Soc Med. 2000 Jun;93(6):292-5
pubmed: 10911822
Natl Med J India. 2001 Mar-Apr;14(2):102-4
pubmed: 11396312
Dtsch Med Wochenschr. 2007 Dec;132(49):2620-3
pubmed: 18050025
Asian Pac J Cancer Prev. 2008 Oct-Dec;9(4):581-4
pubmed: 19256742
Indian J Palliat Care. 2010 Sep;16(3):154-9
pubmed: 21218005
Indian J Palliat Care. 2011 Jan;17(Suppl):S74-6
pubmed: 21811377
BMC Palliat Care. 2011 Nov 23;10:19
pubmed: 22112146
Indian J Palliat Care. 2012 May;18(2):85-6
pubmed: 23093822
J Family Community Med. 2012 Sep;19(3):194-7
pubmed: 23230387
J Relig Health. 1983 Jun;22(2):98-104
pubmed: 24306644
Indian J Palliat Care. 2014 Jan;20(1):1-5
pubmed: 24600175
Can Fam Physician. 2014 Aug;60(8):697-9, 704-7
pubmed: 25122807
J Educ Health Promot. 2015 Mar 26;4:20
pubmed: 25861665
BMC Med Educ. 2016 May 18;16:149
pubmed: 27188161
Indian J Palliat Care. 2016 Jul-Sep;22(3):343-7
pubmed: 27559266
Cancer. 1996 Mar 1;77(5):996-1001
pubmed: 8608495
Eur J Cancer. 1996 Jun;32A(7):1142-7
pubmed: 8758244
Hematol Oncol Clin North Am. 1996 Feb;10(1):1-20
pubmed: 8821557
J Pain Symptom Manage. 1997 Nov;14(5):265-73
pubmed: 9392919
Palliat Med. 1998 Mar;12(2):133-4
pubmed: 9616452