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Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries

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Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. / Honinx, E.; Smets, T.; Piers, R. et al.
In: Journal of Pain and Symptom Management, Vol. 58, No. 5, 01.11.2019, p. 824-834.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Honinx, E, Smets, T, Piers, R, Deliens, L, Payne, S, Kylänen, M, Barańska, I, Pasman, HRW, Gambassi, G, Van den Block, L, Gatsolaeva, Y, Miranda, R, Pivodic, L, Tanghe, M, van Hout, H, Van Den Noortgate, N, Froggatt, K, Onwuteaka-Philipsen, B, Szczerbińska, K, Oosterveld-Vlug, M, Wichmann, AB, Engels, Y, Vernooij-Dassen, M, Hockley, J, Leppäaho, S, Pautex, S, Bassal, C, Mammarella, F, Mercuri, M, Rossi, P, Segat, I, Stodolska, A, Adang, E, Andreasen, P, Kuitunen-Kaija, O, Moore, DC, Pac, A, Kijowska, V, Koppel, MT, van der Steen, JT & Morgan de Paula, E 2019, 'Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries', Journal of Pain and Symptom Management, vol. 58, no. 5, pp. 824-834. https://doi.org/10.1016/j.jpainsymman.2019.06.015

APA

Honinx, E., Smets, T., Piers, R., Deliens, L., Payne, S., Kylänen, M., Barańska, I., Pasman, H. R. W., Gambassi, G., Van den Block, L., Gatsolaeva, Y., Miranda, R., Pivodic, L., Tanghe, M., van Hout, H., Van Den Noortgate, N., Froggatt, K., Onwuteaka-Philipsen, B., Szczerbińska, K., ... Morgan de Paula, E. (2019). Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. Journal of Pain and Symptom Management, 58(5), 824-834. https://doi.org/10.1016/j.jpainsymman.2019.06.015

Vancouver

Honinx E, Smets T, Piers R, Deliens L, Payne S, Kylänen M et al. Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. Journal of Pain and Symptom Management. 2019 Nov 1;58(5):824-834. Epub 2019 Jul 31. doi: 10.1016/j.jpainsymman.2019.06.015

Author

Honinx, E. ; Smets, T. ; Piers, R. et al. / Agreement of Nursing Home Staff With Palliative Care Principles : A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. In: Journal of Pain and Symptom Management. 2019 ; Vol. 58, No. 5. pp. 824-834.

Bibtex

@article{fd43fa87d1b34f97b0379e40135c2e66,
title = "Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries",
abstract = "Context: To provide high-quality palliative care to nursing home residents, staff need to understand the basic principles of palliative care. Objectives: To evaluate the extent of agreement with the basic principles of palliative care of nurses and care assistants working in nursing homes in five European countries and to identify correlates. Methods: This is a cross-sectional study in 214 homes in Belgium, England, Italy, the Netherlands, and Poland. Agreement with basic principles of palliative care was measured with the Rotterdam MOVE2PC. We calculated percentages and odds ratios of agreement and an overall score between 0 (no agreement) and 5 (total agreement). Results: Most staff in all countries agreed that palliative care involves more than pain treatment (58% Poland to 82% Belgium) and includes spiritual care (62% Italy to 76% Belgium) and care for family or relatives (56% Italy to 92% Belgium). Between 51% (the Netherlands) and 64% (Belgium) correctly disagreed that palliative care should start in the last week of life and 24% (Belgium) to 53% (Poland) agreed that palliative care and intensive life-prolonging treatment can be combined. The overall agreement score ranged between 1.82 (Italy) and 3.36 (England). Older staff (0.26; 95% confidence interval [CI]: 0.09–0.43, P = 0.003), nurses (0.59; 95% CI: 0.43–0.75, P < 0.001), and staff who had undertaken palliative care training scored higher (0.21; 95% CI: 0.08–0.34, P = 0.002). Conclusions: The level of agreement of nursing home staff with basic principles of palliative care was only moderate and differed between countries. Efforts to improve the understanding of basic palliative care are needed.",
keywords = "Palliative care, nursing homes, care homes, opinions, attitudes",
author = "E. Honinx and T. Smets and R. Piers and L. Deliens and S. Payne and M. Kyl{\"a}nen and I. Bara{\'n}ska and H.R.W. Pasman and G. Gambassi and {Van den Block}, L. and Y. Gatsolaeva and R. Miranda and L. Pivodic and M. Tanghe and {van Hout}, H. and {Van Den Noortgate}, N. and K. Froggatt and B. Onwuteaka-Philipsen and K. Szczerbi{\'n}ska and M. Oosterveld-Vlug and A.B. Wichmann and Y. Engels and M. Vernooij-Dassen and J. Hockley and S. Lepp{\"a}aho and S. Pautex and C. Bassal and F. Mammarella and M. Mercuri and P. Rossi and I. Segat and A. Stodolska and E. Adang and P. Andreasen and O. Kuitunen-Kaija and D.C. Moore and A. Pac and V. Kijowska and M.T. Koppel and {van der Steen}, J.T. and {Morgan de Paula}, E.",
year = "2019",
month = nov,
day = "1",
doi = "10.1016/j.jpainsymman.2019.06.015",
language = "English",
volume = "58",
pages = "824--834",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "5",

}

RIS

TY - JOUR

T1 - Agreement of Nursing Home Staff With Palliative Care Principles

T2 - A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries

AU - Honinx, E.

AU - Smets, T.

AU - Piers, R.

AU - Deliens, L.

AU - Payne, S.

AU - Kylänen, M.

AU - Barańska, I.

AU - Pasman, H.R.W.

AU - Gambassi, G.

AU - Van den Block, L.

AU - Gatsolaeva, Y.

AU - Miranda, R.

AU - Pivodic, L.

AU - Tanghe, M.

AU - van Hout, H.

AU - Van Den Noortgate, N.

AU - Froggatt, K.

AU - Onwuteaka-Philipsen, B.

AU - Szczerbińska, K.

AU - Oosterveld-Vlug, M.

AU - Wichmann, A.B.

AU - Engels, Y.

AU - Vernooij-Dassen, M.

AU - Hockley, J.

AU - Leppäaho, S.

AU - Pautex, S.

AU - Bassal, C.

AU - Mammarella, F.

AU - Mercuri, M.

AU - Rossi, P.

AU - Segat, I.

AU - Stodolska, A.

AU - Adang, E.

AU - Andreasen, P.

AU - Kuitunen-Kaija, O.

AU - Moore, D.C.

AU - Pac, A.

AU - Kijowska, V.

AU - Koppel, M.T.

AU - van der Steen, J.T.

AU - Morgan de Paula, E.

PY - 2019/11/1

Y1 - 2019/11/1

N2 - Context: To provide high-quality palliative care to nursing home residents, staff need to understand the basic principles of palliative care. Objectives: To evaluate the extent of agreement with the basic principles of palliative care of nurses and care assistants working in nursing homes in five European countries and to identify correlates. Methods: This is a cross-sectional study in 214 homes in Belgium, England, Italy, the Netherlands, and Poland. Agreement with basic principles of palliative care was measured with the Rotterdam MOVE2PC. We calculated percentages and odds ratios of agreement and an overall score between 0 (no agreement) and 5 (total agreement). Results: Most staff in all countries agreed that palliative care involves more than pain treatment (58% Poland to 82% Belgium) and includes spiritual care (62% Italy to 76% Belgium) and care for family or relatives (56% Italy to 92% Belgium). Between 51% (the Netherlands) and 64% (Belgium) correctly disagreed that palliative care should start in the last week of life and 24% (Belgium) to 53% (Poland) agreed that palliative care and intensive life-prolonging treatment can be combined. The overall agreement score ranged between 1.82 (Italy) and 3.36 (England). Older staff (0.26; 95% confidence interval [CI]: 0.09–0.43, P = 0.003), nurses (0.59; 95% CI: 0.43–0.75, P < 0.001), and staff who had undertaken palliative care training scored higher (0.21; 95% CI: 0.08–0.34, P = 0.002). Conclusions: The level of agreement of nursing home staff with basic principles of palliative care was only moderate and differed between countries. Efforts to improve the understanding of basic palliative care are needed.

AB - Context: To provide high-quality palliative care to nursing home residents, staff need to understand the basic principles of palliative care. Objectives: To evaluate the extent of agreement with the basic principles of palliative care of nurses and care assistants working in nursing homes in five European countries and to identify correlates. Methods: This is a cross-sectional study in 214 homes in Belgium, England, Italy, the Netherlands, and Poland. Agreement with basic principles of palliative care was measured with the Rotterdam MOVE2PC. We calculated percentages and odds ratios of agreement and an overall score between 0 (no agreement) and 5 (total agreement). Results: Most staff in all countries agreed that palliative care involves more than pain treatment (58% Poland to 82% Belgium) and includes spiritual care (62% Italy to 76% Belgium) and care for family or relatives (56% Italy to 92% Belgium). Between 51% (the Netherlands) and 64% (Belgium) correctly disagreed that palliative care should start in the last week of life and 24% (Belgium) to 53% (Poland) agreed that palliative care and intensive life-prolonging treatment can be combined. The overall agreement score ranged between 1.82 (Italy) and 3.36 (England). Older staff (0.26; 95% confidence interval [CI]: 0.09–0.43, P = 0.003), nurses (0.59; 95% CI: 0.43–0.75, P < 0.001), and staff who had undertaken palliative care training scored higher (0.21; 95% CI: 0.08–0.34, P = 0.002). Conclusions: The level of agreement of nursing home staff with basic principles of palliative care was only moderate and differed between countries. Efforts to improve the understanding of basic palliative care are needed.

KW - Palliative care

KW - nursing homes

KW - care homes

KW - opinions

KW - attitudes

U2 - 10.1016/j.jpainsymman.2019.06.015

DO - 10.1016/j.jpainsymman.2019.06.015

M3 - Journal article

VL - 58

SP - 824

EP - 834

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 5

ER -