A cross-national cross-sectional survey of the attitudes and perceived competence of final-year medicine, nursing and pharmacy students in relation to end-of-life care in dementia.

Abstract:

BACKGROUND:Little is known about the attitudes of healthcare professional students' perceived competence and confidence in treating those with dementia who are at the end of life. AIM:To explore the attitudes of final year medical, nursing and pharmacy students towards people with dementia and to evaluate their perceived competence and confidence dealing with biomedical and psychosocial issues within the context of palliative care provision to patients with dementia. DESIGN:Cross-sectional survey using a questionnaire. SETTING/PARTICIPANTS:Final-year students in each profession from Queen's University Belfast (Northern Ireland) and the University of Iowa (USA) were recruited. METHOD:Three versions of an online questionnaire (containing the Attitudes to Dementia Questionnaire and a series of questions on end-of-life care in dementia) were distributed. RESULTS:A total of 368 responses were received (response rate 42.3%). All respondents reported positive attitudes towards people with dementia. US nursing students reported significantly more positive attitudes than the medical students of United States and Northern Ireland. Medical students were more likely to report low confidence in discussing non-medical aspects of dying, whereas nursing students were most likely to feel prepared and confident to do this. Medical and nursing students reported low confidence with aspects of medication-related care; however, data from the pharmacy samples of Northern Ireland and United States suggested that these students felt confident in advising other healthcare professionals on medication-related issues. CONCLUSIONS:While healthcare students hold positive attitudes towards people with dementia, some clinical tasks remain challenging and further basic training may be of benefit.

journal_name

Palliat Med

journal_title

Palliative medicine

authors

De Witt Jansen B,Weckmann M,Nguyen CM,Parsons C,Hughes CM

doi

10.1177/0269216313483661

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

847-54

issue

9

eissn

0269-2163

issn

1477-030X

pii

0269216313483661

journal_volume

27

pub_type

杂志文章
  • Services given and help perceived during home care for terminal cancer.

    abstract::Separate accounts of care were recorded weekly from staff, patients and relatives in a randomised sample of patients with terminal cancer referred to a home care service with readily available beds. Various services were involved but nurses made most contacts, 3.0 visits and 2.4 phone calls weekly, rising sharply in t...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639601000207

    authors: Hinton J

    更新日期:1996-04-01 00:00:00

  • Tuberculosis in the hospice--a cause for concern?

    abstract::Open pulmonary tuberculosis has been increasingly seen in HIV-infected patients in this hospice. Multidrug-resistant tuberculosis is a new and serious threat and two cases have occurred in our hospice in the past two years. This infection poses a health risk to staff, patients, relatives and volunteers. Palliative car...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639701100607

    authors: McKeogh MM

    更新日期:1997-11-01 00:00:00

  • Living with severe chronic obstructive pulmonary disease (COPD): perceptions of patients and their carers. An interpretative phenomenological analysis.

    abstract:BACKGROUND:A study designed to explore the experiences of patients with severe chronic obstructive pulmonary disease (COPD) and their carers, particularly with regard to ongoing and palliative care needs. METHODS:The participants were nine men and one woman with severe COPD and the carers of eight of the men, in East ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216304pm928oa

    authors: Seamark DA,Blake SD,Seamark CJ,Halpin DM

    更新日期:2004-10-01 00:00:00

  • Depressive symptoms in advanced cancer. Part 1. Assessing depression: the Mood Evaluation Questionnaire.

    abstract:OBJECTIVE:A prospective cohort study evaluated the performance and acceptability of the cognitive based Mood Evaluation Questionnaire (MEQ) in assessing depressive symptoms over time in patients with advanced cancer. The structured clinical interview for DSM-III-R (SCID) and the single-item interview screening question...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216303pm812oa

    authors: Meyer HA,Sinnott C,Seed PT

    更新日期:2003-10-01 00:00:00

  • Defining the palliative care patient: a systematic review.

    abstract:BACKGROUND:The lack of a clear definition of the palliative care patient hampers the comparison of results across different studies and impedes implementation of research findings in everyday practice. AIM:The aim of this article is to propose minimum characteristics that define a palliative care patient. DESIGN:The ...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216311435268

    authors: Van Mechelen W,Aertgeerts B,De Ceulaer K,Thoonsen B,Vermandere M,Warmenhoven F,Van Rijswijk E,De Lepeleire J

    更新日期:2013-03-01 00:00:00

  • Caregiver characteristics and bereavement needs: Findings from a population study.

    abstract:BACKGROUND:Globally, most care for people with life-limiting illnesses is provided by informal caregivers. Identifying characteristics of caregivers that may have unmet needs and negative outcomes can help provide better support to facilitate adjustment. AIM:We compared characteristics, expressed unmet needs and outco...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216316663855

    authors: DiGiacomo M,Hatano Y,Phillips J,Lewis J,Abernethy AP,Currow DC

    更新日期:2017-05-01 00:00:00

  • Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of societal attitudes.

    abstract::We investigated the impact of perception of socioeconomic burden on beliefs regarding a patient's autonomy in end-of-life (EOL) decision making. We also sought to identify the characteristics of individuals who advocate patient autonomy and their attitudes toward other EOL issues. A total of 1055 individuals from the ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216308099244

    authors: Kwon YC,Shin DW,Lee JH,Heo DS,Hong YS,Kim SY,Yun YH

    更新日期:2009-01-01 00:00:00

  • What is stable pain control? A prospective longitudinal study to assess the clinical value of a personalized pain goal.

    abstract:BACKGROUND:A universal consensus regarding standardized pain outcomes does not exist. The personalized pain goal has been suggested as a clinically relevant outcome measure. AIM:To assess the feasibility of obtaining a personalized pain goal and to compare a clinically based personalized pain goal definition versus a ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216317701891

    authors: Fainsinger R,Nekolaichuk C,Fainsinger L,Muller V,Fainsinger L,Amigo P,Brisebois A,Burton-Macleod S,Ghosh S,Gilbert R,Tarumi Y,Thai V,Wolch G

    更新日期:2017-12-01 00:00:00

  • "We will remember them": a mixed-method study to explore which post-funeral remembrance activities are most significant and important to bereaved people living with loss, and why those particular activities are chosen.

    abstract::In an increasingly secular age in which society no longer offers a code of behaviour for those who are bereaved as in Victorian times, the majority of people do not seek support from church-based rituals of remembrance. Most hospices provide religious Services of Remembrance and Thanksgiving or non-faith remembrance g...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216309103803

    authors: Vale-Taylor P

    更新日期:2009-09-01 00:00:00

  • Symptom severity and distress in advanced cancer.

    abstract::We determined the relationship between symptom severity and distress for multiple cancer symptoms, and examined patient demographic influences on severity and distress in advanced cancer. A Cochran-Armitage trend test determined whether symptom distress increased with severity. Chi-square, Fisher's exact test and logi...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216309356380

    authors: Kirkova J,Walsh D,Rybicki L,Davis MP,Aktas A,Tao Jin,Homsi J

    更新日期:2010-04-01 00:00:00

  • A study comparing hyoscine hydrobromide and glycopyrrolate in the treatment of death rattle.

    abstract::This study looked at the efficacy of drug treatment in managing death rattle in a 30-bedded specialist palliative care unit. The study was conducted in two phases. In the first, patients received hyoscine hydrobromide as the antimuscarinic; glycopyrrolate was used in the second phase. The patients in the two phases we...

    journal_title:Palliative medicine

    pub_type: 临床试验,杂志文章

    doi:10.1191/026921601678320313

    authors: Back IN,Jenkins K,Blower A,Beckhelling J

    更新日期:2001-07-01 00:00:00

  • Opioid purchases and expenditure in nine western European countries: 'are we killing off morphine?'.

    abstract:BACKGROUND:In clinical practice the major role of opioid drugs is the management of malignant and nonmalignant pain. The primary aim of this study is to evaluate the trend in sales of four opioid analgesic drugs (codeine, tramadol, morphine, fentanyl), from wholesalers to community pharmacies, as an indicator of opioid...

    journal_title:Palliative medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1191/0269216305pm1002oa

    authors: De Conno F,Ripamonti C,Brunelli C

    更新日期:2005-04-01 00:00:00

  • Access and equity in HIV/AIDS palliative care: a review of the evidence and responses.

    abstract::The high prevalence of pain and other symptoms throughout the HIV disease trajectory, the need for management of side effects related to antiretroviral therapy, the continuing incidence of cancers and new emerging co-morbidities as a result of extended life expectancy under new therapeutic regimes, and the ongoing nee...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1191/0269216305pm1005oa

    authors: Harding R,Easterbrook P,Higginson IJ,Karus D,Raveis VH,Marconi K

    更新日期:2005-04-01 00:00:00

  • Hope beyond (redundant) hope: how chaplains work with dying patients.

    abstract::Using Grounded Theory, this study examines the experience of 19 palliative care chaplains in counselling dying people. Taking a broad-based definition of counselling, and using unstructured individual interviews and group work, the study aimed to understand how palliative care chaplains work with patients at the point...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216310380297

    authors: Nolan S

    更新日期:2011-01-01 00:00:00

  • A study of animal companionship in a day hospice.

    abstract::Attitudes to companion animals were surveyed among 50 patients and staff at a day care hospice. Dog visits were welcomed by all but two. Of the 37 patients studied, only seven had a companion animal, often their closest companion. Many more would like to keep an animal, but were prevented by age, frailty or accommodat...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/026921639601000410

    authors: Phear DN

    更新日期:1996-10-01 00:00:00

  • Evidence on the analgesic role of bisphosphonates and denosumab in the treatment of pain due to bone metastases: A systematic review within the European Association for Palliative Care guidelines project.

    abstract:BACKGROUND:Bisphosphonates and denosumab are well-established therapies to reduce the frequency and severity of skeletal-related events in patients with bone metastasis. However, the analgesic effect of these medications on bone pain is uncertain. AIM:To identify, critically appraise and synthesize existing evidence t...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0269216316639793

    authors: Porta-Sales J,Garzón-Rodríguez C,Llorens-Torromé S,Brunelli C,Pigni A,Caraceni A

    更新日期:2017-01-01 00:00:00

  • The Liverpool Care Pathway for cancer patients dying in hospital medical wards: a before-after cluster phase II trial of outcomes reported by family members.

    abstract:BACKGROUND:Hospital is the most common place of cancer death but concerns regarding the quality of end-of-life care remain. AIM:Preliminary assessment of the effectiveness of the Liverpool Care Pathway on the quality of end-of-life care provided to adult cancer patients during their last week of life in hospital. DES...

    journal_title:Palliative medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0269216313487569

    authors: Costantini M,Pellegrini F,Di Leo S,Beccaro M,Rossi C,Flego G,Romoli V,Giannotti M,Morone P,Ivaldi GP,Cavallo L,Fusco F,Higginson IJ

    更新日期:2014-01-01 00:00:00

  • Access to palliative care services in hospital: a matter of being in the right hospital. Hospital charts study in a Canadian city.

    abstract::Access to palliative care (PC) is a major need worldwide. Using hospital charts of all patients who died over one year (April 2008-March 2009) in two mid-sized hospitals of a large Canadian city, similar in size and function and operated by the same administrative group, this study examined which patients who could be...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216311408992

    authors: Cohen J,Wilson DM,Thurston A,MacLeod R,Deliens L

    更新日期:2012-01-01 00:00:00

  • A qualitative study to explore psychological distress and illness burden associated with opioid-induced constipation in cancer patients with advanced disease.

    abstract:BACKGROUND:Constipation affects many patients receiving long-term opioid therapy for cancer pain. Little is known about the nature of psychological distress and the burden associated with this problem. This information may inform the development of effective treatment strategies and ameliorate distress. AIM:The object...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216312450358

    authors: Dhingra L,Shuk E,Grossman B,Strada A,Wald E,Portenoy A,Knotkova H,Portenoy R

    更新日期:2013-05-01 00:00:00

  • Current status of accurate prognostic awareness in advanced/terminally ill cancer patients: Systematic review and meta-regression analysis.

    abstract:BACKGROUND:No systematic meta-analysis is available on the prevalence of cancer patients' accurate prognostic awareness and differences in accurate prognostic awareness by publication year, region, assessment method, and service received. AIM:To examine the prevalence of advanced/terminal cancer patients' accurate pro...

    journal_title:Palliative medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1177/0269216316663976

    authors: Chen CH,Kuo SC,Tang ST

    更新日期:2017-05-01 00:00:00

  • Alteration of drug-metabolizing enzyme activity in palliative care patients: Microdosed assessment of cytochrome P450 3A.

    abstract:BACKGROUND:Cytochrome P450 3A is the most relevant drug-metabolizing enzyme in humans as it is involved in the elimination of 50% of marketed drugs. Nothing is known about the activity of cytochrome P450 3A in palliative care patients who have complicated symptoms often associated with a terminal illness. AIM:In order...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319843629

    authors: Geist M,Bardenheuer H,Burhenne J,Mikus G

    更新日期:2019-07-01 00:00:00

  • Does being religious help or hinder coping with chronic illness? A critical literature review.

    abstract::This paper reviews a number of studies relating to religion and coping with chronic illness, emphasizing those aspects relevant to palliative care. After pointing out that religious and existential needs are common in chronic illness, a critical examination is made of those studies which purport to demonstrate associa...

    journal_title:Palliative medicine

    pub_type: 杂志文章,评审

    doi:10.1177/026921639701100405

    authors: Dein S,Stygall J

    更新日期:1997-07-01 00:00:00

  • Barriers and facilitators to the receipt of palliative care for people with dementia: the views of medical and nursing staff.

    abstract:BACKGROUND:The global prevalence of dementia is set to rise to almost 65 million people by 2030, providing policy makers and practitioners with significant challenges, not least within the realms of end-of-life care. The international literature would suggest that people with dementia may benefit from palliative forms ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216311423443

    authors: Ryan T,Gardiner C,Bellamy G,Gott M,Ingleton C

    更新日期:2012-10-01 00:00:00

  • Cancer patients' experiences of living with venous thromboembolism: A systematic review and qualitative thematic synthesis.

    abstract:BACKGROUND:Cancer-associated thrombosis is common. Recommended treatment is daily injected low-molecular-weight heparin for 6 months. Most studies focus on prophylaxis and treatment; few have explored the patients' experience. AIMS:To identify and synthesise the available literature concerning patients' experience of ...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216318757133

    authors: Benelhaj NB,Hutchinson A,Maraveyas AM,Seymour JD,Ilyas MW,Johnson MJ

    更新日期:2018-05-01 00:00:00

  • The impacts and effectiveness of support for people bereaved through advanced illness: A systematic review and thematic synthesis.

    abstract:BACKGROUND:Bereavement support is a key component of palliative care, with different types of support recommended according to need. Previous reviews have typically focused on specialised interventions and have not considered more generic forms of support, drawing on different research methodologies. AIM:To review the...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216320920533

    authors: Harrop E,Morgan F,Longo M,Semedo L,Fitzgibbon J,Pickett S,Scott H,Seddon K,Sivell S,Nelson A,Byrne A

    更新日期:2020-07-01 00:00:00

  • Systematic review of barriers and enablers to the delivery of palliative care by primary care practitioners.

    abstract:BACKGROUND:There is increasing demand for primary care practitioners to play a key role in palliative care delivery. Given this, it is important to understand their perceptions of the barriers and enablers to optimal palliative care, and how commonly these are experienced. AIM:To explore the type and prevalence of bar...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319865414

    authors: Carey ML,Zucca AC,Freund MA,Bryant J,Herrmann A,Roberts BJ

    更新日期:2019-10-01 00:00:00

  • Impact of a postgraduate six-month rotation in palliative care on knowledge and attitudes of junior residents.

    abstract::Fifty junior residents completed a six-month training period. An anonymous postal questionnaire was sent to collect the residents' opinions on improvements in their knowledge, perception of priorities and usefulness of training. Responses were rated from 5 (a great deal) to 1 (not at all improved). A total of 33 (66%)...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1191/0269216306pm1158xx

    authors: Duong PH,Zulian GB

    更新日期:2006-07-01 00:00:00

  • The role of general practitioners in continuity of care at the end of life: a qualitative study of terminally ill patients and their next of kin.

    abstract:OBJECTIVES:Exploring terminal patients' perceptions of GPs' role in delivering continuous end-of-life care and identifying barriers to this. DESIGN:Qualitative interview study with patients (two consecutive interviews). SETTING:Primary care Belgium. PARTICIPANTS:Seventeen terminally ill cancer patients, informed abo...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216307078503

    authors: Michiels E,Deschepper R,Van Der Kelen G,Bernheim JL,Mortier F,Vander Stichele R,Deliens L

    更新日期:2007-07-01 00:00:00

  • 'It all depends!': A qualitative study of preferences for place of care and place of death in terminally ill patients and their family caregivers.

    abstract:BACKGROUND:It is often suggested that terminally ill patients favour end-of-life care at home. Yet, it is unclear how these preferences are formed, if the process is similar for patients and family caregivers, and if there are discrepancies between preferences for place of care and place of death. Understanding these n...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216319845794

    authors: Gerber K,Hayes B,Bryant C

    更新日期:2019-07-01 00:00:00

  • Death with dignity from the perspective of the surviving family: a survey study among family caregivers of deceased older adults.

    abstract:BACKGROUND:Death with dignity has been identified as important both to patients and their surviving family. While research results have been published on what patients themselves believe may affect the dignity of their deaths, little is known about what family caregivers consider to be a dignified death. AIM:(1) To as...

    journal_title:Palliative medicine

    pub_type: 杂志文章

    doi:10.1177/0269216313483185

    authors: van Gennip IE,Pasman HR,Kaspers PJ,Oosterveld-Vlug MG,Willems DL,Deeg DJ,Onwuteaka-Philipsen BD

    更新日期:2013-07-01 00:00:00