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Perception of pediatric oncology family care providers toward palliative care and its perceived barriers in Egypt

Published online by Cambridge University Press:  12 November 2021

Magda Aly Mohamed ,
Ateya Megahed Ibrahim Open the ORCID record for Ateya Megahed Ibrahim [Opens in a new window] ,
Hanaa Mohamed Ibrahim ,
Nabila Abdella  and
Reda Ibrahim Elmowafy
Magda Aly Mohamed
Affiliation:
Department of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt
Ateya Megahed Ibrahim*
Affiliation:
Department of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt
Hanaa Mohamed Ibrahim*
Affiliation:
Department of Pediatric Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt
Nabila Abdella
Affiliation:
Department of Pediatric Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt
Reda Ibrahim Elmowafy
Affiliation:
Department of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt
*
Author for correspondence: Ateya Megahed Ibrahim, Department of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt. Email: ateyamegahed@yahoo.com
Author for correspondence: Ateya Megahed Ibrahim, Department of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said, Egypt. Email: ateyamegahed@yahoo.com
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Abstract

Background

Palliative care is comprehensive supportive care addressing the suffering, pain, discomfort, symptoms, and stress of cancer and any serious life-threatening disease. It is a key part of care for our children living with cancer and is an important source of support for their families. The study aimed to assess the perception of pediatric oncology family care providers toward palliative care and its perceived barriers in Egypt.

Method

Total number of 500 oncology children's family care providers was recruited. A descriptive research design was utilized. Researchers used three tools as Structured Interview Questionnaire to assess the participants' knowledge and perceived barriers, Attitude toward palliative care Likert Scale, and Reported Practices Observational Checklist. The study was conducted in outpatient cancer clinics affiliated with El-Nasr governmental hospital located at Port Said governorate.

Results

51.8% of the total oncology children's family care providers had sufficient knowledge, 78.6% had a positive attitude, while,76.8% of them had inappropriate Practice towards palliative care.

Significance of results

The pediatric oncology family care providers had sufficient knowledge and a positive attitude toward palliative care, but their practices were inappropriate. Also, the majority of participants identified Lack of family care providers training in pediatric palliative care and improper communication between the health team and family care providers as the main barriers to providing palliative care to children. Providing a palliative care training program for family caregivers through continuing professional development is highly recommended besides further research studies using large probability samples at different settings.

Keywords

AttitudeBarriersKnowledgeOncologyPalliative carePractice
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 1 , February 2022 , pp. 55 - 61
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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References

Alkhudairi, HM (2019) General public awareness, knowledge, and beliefs toward palliative care in a Saudi population. Journal of Nature and Science of Medicine 2(1), 48.10.4103/JNSM.JNSM_37_18CrossRefGoogle Scholar
Anteneh, S and Kassa, H (2016) Assessment of nurses' knowledge, attitude, practice and associated factors towards palliative care: In the case of Amhara region hospitals. Advances in Biological Research 10(2), 110–123.Google Scholar
Collins, A, McLachlan, S and Philip, J (2020) Community knowledge of and attitudes to palliative care: A descriptive study. Palliative Medicine 34(2), 245–252.CrossRefGoogle ScholarPubMed
Davies, B, Sehring, S, Partridge, J, et al. (2008) Barriers to palliative care for children: Perceptions of pediatric health care providers. Pediatrics 121(2), 282–288. doi:10.1542/peds.2006-3153.CrossRefGoogle ScholarPubMed
Egypt's Fakkous Center. Available at: http://www.egyptcancernetwork.org/about/our-partners/fakkous/ (accessed 19 November 2016).Google Scholar
El Malla, H, Kreicbergs, U, Steineck, G, et al. (2017) Advances in pediatric oncology: A five-year nationwide survival follow-up at children's cancer hospital in Egypt. Journal of Psychology & Clinical Psychiatry 7, 00443.10.15406/jpcpy.2017.07.00443CrossRefGoogle Scholar
Elmelegy, OEA, Ahmed, RE and Elkazeh, EAEE (2016) Impact of palliative care educational program on nursing students’ knowledge and attitudes toward care of dying patients. International journal of Nursing Didactics 6(12), 22–31.Google Scholar
Fadare, J, Obimakinde, A, Afolayan, J, et al. (2014) Healthcare workers knowledge and attitude toward palliative care in an emerging tertiary centre in south-west Nigeria. Indian Journal of Palliative Care 20(1), 1–5.CrossRefGoogle Scholar
Ferrell, B, Coyne, P and Dahlin, C (2016) Advanced Practice Palliative Nursing, 1st ed. UK: Oxford University Press, p. 576.Google Scholar
França, JRFDS, Costa, SFGD, Lopes, MEL, et al. (2013) The importance of communication in pediatric oncology palliative care: Focus on humanistic nursing theory. Revista Latino-Americana de Enfermagem 21(3), 780–786.CrossRefGoogle ScholarPubMed
Friedrichsdorf, S and Bruera, E (2018) Delivering pediatric palliative care: From denial, palliphobia, pallilalia to palliative. Children 5(9), 1–13.CrossRefGoogle ScholarPubMed
Gu, X and Cheng, W (2016) Chinese oncologists’ knowledge, attitudes, and practice towards palliative care and end-of-life issues. BMC Medical Education 16, 149, 1–7.CrossRefGoogle ScholarPubMed
Kaba, M, de Fouw, M, Deribe, KS, et al. (2021) Palliative care needs and preferences of female patients and their caregivers in Ethiopia: A rapid program evaluation in Addis Ababa and sidama zone. PLoS One 16(4), e0248738.CrossRefGoogle Scholar
Maria, K, Evanthia, V, Petros, KA, et al. (2016) Assessment of knowledge and associated factors towards palliative care among Greek nurses. World Journal of Social Science Research. 3(3), 4.CrossRefGoogle Scholar
Mastroianni, C, Piredda, M, Taboga, C, et al. (2015) Frommelt attitudes toward care of the dying scale form B: Psychometric testing of the Italian version for students. OMEGA-Journal of Death and Dying 70(3), 227–250.CrossRefGoogle ScholarPubMed
Muleme, J, Kankya, C, Ssempebwa, JC, et al. (2017) A framework for integrating qualitative and quantitative data in knowledge, attitude, and practice studies: A case study of pesticide usage in eastern Uganda. Frontiers in Public Health 5(318), 1–15.CrossRefGoogle ScholarPubMed
Nakazawa, Y, Miyashita, M, Morita, T, Umeda, M, Oyagi, Y, Ogasawara, T (2009) The palliative care knowledge test: reliability and validity of an instrument to measure palliative care knowledge among health professionals. Palliative Medicine 23(8), 754–766.CrossRefGoogle ScholarPubMed
O'Shea, ER, Campbell, SH, Engler, AJ, et al. (2015) Effectiveness of a perinatal and pediatric end-of-life nursing education consortium (ELNEC) curricula integration. Nurse Education Today 35(6), 765–770. doi:10.1016/j.nedt.2015.02.015.CrossRefGoogle ScholarPubMed
Pasaol, J (2019) Assessment of knowledge, attitude, practice, and barriers toward palliative care among pediatric oncology health care providers in southern Philippines. Unpublished master thesis of public health. National cancer center graduate school of cancer science and policy. Journal of Clinical Oncology 37(15_suppl.). doi:10.1200/JCO.2019.37.15_suppl.e21536.CrossRefGoogle Scholar
Rost, M, De Clercq, E, Rakic, M, et al. (2020) Barriers to palliative care in pediatric oncology in Switzerland: A focus group study. Journal of Pediatric Oncology Nursing 37(1), 35–45. doi:10.1177/1043454219871082.CrossRefGoogle ScholarPubMed
Smith, TJ, Temin, S, Alesi, ER, et al. (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. Journal of Clinical Oncology 30, 880–887. doi: 10.1200/JCO.2011.38.5161.CrossRefGoogle Scholar
Spruit, JL, Bell, CJ, Toly, VB, et al. (2018) Knowledge, beliefs, and behaviors related to palliative care delivery among pediatric oncology health care providers. Journal of Pediatric Oncology Nursing 35(4), 247–256. doi:10.1177/1043454218764885.CrossRefGoogle ScholarPubMed
Szymczak, J, Schall, T, Hill, D, et al. (2018) Pediatric oncology provider perceptions of a pediatric palliative care service: The influence of emotional esteem and emotional labor. Journal of Pain and Symptom Management 55(5), 1260–1268.CrossRefGoogle ScholarPubMed
Tesfaye, T., Anbessie, Y., & Gizaw, A. B. (2018). Palliative care practice and associated factors among nurses working in Jimma University Medical Center South-West Ethiopia, 2017. Practice 18, 24.Google Scholar
Weaver, MS, Heinze, KE, Bell, CJ, et al. (2016) Establishing psychosocial palliative care standards for children and adolescents with cancer and their families: An integrative review. Palliative Medicine 30(3), 212–223.CrossRefGoogle ScholarPubMed
World Health Organization (2015) Definition of Palliative Care [Internet]. Geneva: WHO. Available at: http://www.who.int/cancer/palliative/definition/en/ (accessed 8 October 2020).Google Scholar
World Health Organization (2017) Cancer. Available at: http://www.who.int/mediacentre/factsheets/fs297/en/.Google Scholar
Zeru, T, Berihu, H, Gerensea, H, et al. (2020) Assessment of knowledge and attitude towards palliative care and associated factors among nurses working in selected Tigray hospitals, northern Ethiopia. Pan African Medical Journal 35(121), 1–12.CrossRefGoogle ScholarPubMed