Challenges Faced by Nurses Working in Palliative Care Centers

Authors : Sibel Özdemir Özmen, Alev Yıldırım Keskin
Pages : 42-56
Doi:10.17942/sted.1391118
View : 189 | Download : 95
Publication Date : 2024-07-16
Article Type : Research Paper
Abstract :Objective: This study was conducted to determine the difficulties experienced by nurses working in palliative care centers. Methods: Data were collected using the descriptive \"Personal and Professional Introductory Information Form\" prepared by the researcher and the \"Palliative Care Difficulties Scale (PCDS)\". In the evaluation of the data; numbers, percentages and means, Independent t-test, One Way ANOVA test, Mann Whitney U test, Kruskal-Wallis test, Spearman Correlation test, and simple linear regression analysis test were used. The significance level of statistical tests was accepted as p<0.05. Results: It was determined that 92.5% of the nurses participating in the study were women, 49.1% were between the ages of 31-40, 75.5% had a bachelor\'s degree, and 82.1% worked with palliative care patients for 0-5 years. The total mean score of nurses\' PCDS was 42.82±7.69, sub-dimensions of the scale communication in multidisciplinary teams 8.60±2.38, communication with patient and family 9.44±2.29, expert support 7.44±2.35, the mean score of 44±2.35, reducing symptoms 8.83±2.55, and communication coordination sub-dimension was 8.50±2.59, which was above the medium level. It was determined that the nurses participating in the study considered the inconvenience of work environment conditions, excessive workload, mobbing, the inadequacy of corporate culture, inability to make one-to-one decisions, and physical, economic and socio-cultural factors as palliative care barriers. Nurses stated that they needed team communication and expert support in wound care, tracheostomy care, positioning, and respiratory support practices, and they had difficulties. It was determined that there was a significant difference between the PCDS total score and its sub-dimensions (p<0.05). Conclusion: Nurses working in palliative care face many difficulties and it is thought that it is important to strengthen health services, and policies to remove these obstacles.
Keywords : palyatif bakım, hemşirelik, hemşirelik bakımı

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