ORIGINAL ARTICLE
The efficacy of educational interventions on neonatal intensive care unit nurses knowledge and attitude toward neonatal palliative care
 
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Faculty of Nursing, Jordan University of Science and Technology, Irbid, JORDAN
 
 
Online publication date: 2023-01-28
 
 
Publication date: 2023-05-01
 
 
Electron J Gen Med 2023;20(3):em464
 
KEYWORDS
ABSTRACT
Aim:
The objective of this study is examining the impact of an educational interventions in improving knowledge and attitudes towards neonatal palliative care (NPC)among nurses in Jordan.

Method:
A pre-post-test design was used to examine the efficacy of an educational program nurses’ knowledge and attitude toward NPC. Almost 164 nurses participated in the study, 82 intervention groups and 82 control groups.

Results:
The overall NPC mean knowledge score for the control group was 30.60 (SD=4.01) and for the intervention group was 73.85 (SD=5.78). The control group’s mean attitude for the NPC score is 88.94 (SD=14.45), whereas the intervention group’s is 82.13 (SD=10.59). There was also a substantial favorable effect of education program on nurses’ knowledge and attitude regarding NPC. Furthermore, there was no influence of characteristics on nurses’ knowledge and attitude regarding NPC.

Conclusion:
Depending on the findings of this study, the NPC educational program is beneficial in improving nurse knowledge and attitudes for NPC services, as well as providing an effective educational program for nurses. With the rising demand for NPC services with chronic critical illnesses and the documented good impact of NPC services on neonates in need and their families, it became imperative to improve the nurse’s knowledge and attitude toward NPC.

 
REFERENCES (29)
1.
Connor S. Global atlas of palliative care. London: The Worldwide Hospice Palliative Care Alliance. 2020. https://doi.org/10.1007/978-3-....
 
2.
Khraisat OM, Alakour NA, O’Neill TM. Pediatric end-of-life care barriers and facilitators: Perception of nursing professionals in Jordan. Indian J Palliat Care. 2017;23(2):199-206. https://doi.org/10.4103/0973-1... PMid:28503041 PMCid:PMC5412129.
 
3.
Khraisat OM, Alkhawaldeh A, Abuhammad S. Spirituality-focused end-of-life care among paediatric patients: evidence from Saudi Arabia? Int J Palliat Nurs. 2019;25(12):610-6. https://doi.org/10.12968/ijpn.... PMid:31855517.
 
4.
Abuhammad S, Almasri R. Impact of educational programs on Nurses’ knowledge and attitude toward pediatric palliative care. Palliat Support Care. 2022;20(3):397-406. https://doi.org/10.1017/S14789... PMid:34380586.
 
5.
Abuhammad S, Muflih S, Alzoubi KH, Gharaibeh B. Nursing and PharmD undergraduate students’ attitude toward the “do not resuscitate” order for children with terminally ill diseases. J Multidiscip Healthc. 2021;14:425-34. https://doi.org/10.2147/JMDH.S... PMid:33658789 PMCid:PMC7917390.
 
6.
Ferrell B, Thaxton CA, Murphy H. Preparing nurses for palliative care in the NICU. Adv Neonatal Care. 2020;20(2):142-50. https://doi.org/10.1097/ANC.00... PMid:32053525.
 
7.
Abuhammad S, Alzoubi KH, Muflih S, Almasri R. Pediatric palliative care from nursing and PharmD perspectives. Pediatr Int. 2021;63(10):1236-41. https://doi.org/10.1111/ped.14... PMid:33533075.
 
8.
AbuYahya O, Abuhammad S, Hamoudi B, Reuben R, Yaqub M. The do not resuscitate order (DNR) from the perspective of oncology nurses: A study in Saudi Arabia. Int J Clin Pract. 2021;75(8):e14331. https://doi.org/10.1111/ijcp.1... PMid:33960067.
 
9.
Chin SDN, Paraszczuk AM, Eckardt P, Bressler T. Neonatal nurses’ perceptions of palliative care in the neonatal intensive care unit. MCN Am J Matern Child Nurs. 2021;46(5):250-7. https://doi.org/10.1097/NMC.00... PMid:34162793.
 
10.
Kain VJ. The praecox program: Pilot testing of an online educational program to improve neonatal palliative care practice. J Neonatal Nurs. 2017;23(4):188-92. https://doi.org/10.1016/j.jnn.....
 
11.
Twamley K, Kelly P, Moss R, et al. Palliative care education in neonatal units: impact on knowledge and attitudes. BMJ Support Palliat Care. 2013;3(2):213-20. https://doi.org/10.1136/bmjspc... PMid:24644571.
 
12.
Kain VJ, Wilkinson DJ. Neonatal palliative care in action: Moving beyond the rhetoric and influencing policy. J Res Nurs. 2013;18(5):459-68. https://doi.org/10.1177/174498....
 
13.
Reed E, Todd J, Lawton S, et al. A multi-professional educational programto improve and sustain respondents’ confidence to deliver palliative care: A mixed-methods study. Palliat Med. 2018;32(2):571-80. https://doi.org/10.1177/026921... PMid:28604265.
 
14.
Hall SL, Famuyide ME, Saxton SN, et al. Improving staff knowledge and attitudes toward providing psychosocial support to NICU parents through an online education course. Adv Neonatal Care. 2019;19(6):490-9. https://doi.org/10.1097/ANC.00... PMid:31306236 PMCid:PMC6882527.
 
15.
Murakami N, Tanabe K, Morita T, et al. Going back to home to die: Does it make a difference to patient survival? BMC Palliat Care. 2015;14:7. https://doi.org/10.1186/s12904... PMid:25821408 PMCid:PMC4376364.
 
16.
O’Shea ER, Wallace M, Griffin MQ, Fitzpatrick JJ. The effect of an educational session on pediatric nurses’ perspectives toward providing spiritual care. J Pediatr Nurs. 2011;26(1):34-43. https://doi.org/10.1016/j.pedn... PMid:21256410.
 
17.
O’Shea ER, Mager D. End-of-life nursing education: Enhancing nurse knowledge and attitudes. Appl Nurs Res. 2019;50:151197. https://doi.org/10.1016/j.apnr... PMid:31734002.
 
18.
Zhang Z-G, Chen F, Chen J-Z. Introducing an antibiotic stewardship program in a pediatric center in China. World J Pediatr. 2018;14(3):274-9. https://doi.org/10.1007/s12519... PMid:29508365.
 
19.
Zhang W, Lane BS. Promoting neonatal staff nurses’ comfort and involvement in end of life and bereavement care. Nurs Res Pract. 2013;2013:365329. https://doi.org/10.1155/2013/3... PMid:23606955 PMCid:PMC3625592.
 
20.
Sabaq AG, Khalaf SM. Effect of educational program on nurses’ performance regarding neonatal palliative care. Tanta Sci Nurs J. 2016;10(1):43-71. https://doi.org/10.21608/tsnj.....
 
21.
Forouzi MA, Banazadeh M, Ahmadi JS, Razban F. Barriers of palliative care in neonatal intensive care units: Attitude of neonatal nurses in southeast Iran. Am J Hosp Palliat Care. 2017;34(3):205-11. https://doi.org/10.1177/104990... PMid:26602317.
 
22.
Chatziioannidis I, Pouliakis A, Cuttini M, et al. Nurses’ involvement in end-of-life decisions in neonatal intensive care units. Nurs Ethics. 2022;29(3):569-81. https://doi.org/10.1177/096973... PMid:35142573.
 
23.
Ismail MSM, Mahrous ES, Mokbel RA. Facilitators and barriers for delivery of palliative care practices among nurses in neonatal intensive care unit. Int J Nurs Health Sci. 2020;6:18-28. https://doi.org/10.14445/24547....
 
24.
Razeq NMA, Alduraidi H, Halasa S, Cuttini M. Clinicians’ self-reported practices related to end-of-life care for infants in NICUs in Jordan. J Obstet Gynecol Neonatal Nurs. 2020;49(1):78-90. https://doi.org/10.1016/j.jogn... PMid:31811824.
 
25.
Kasem A, Abuhammad S. Pediatric basic life support among nursing students in Jordan: Stimulation-based education. Open Nurs J. 2022;16(1):e187443462208110. https://doi.org/10.2174/187443....
 
26.
Kasem A, Abuhammad S, Alswaiti EM. Maternal awareness of breastfeeding policies in baby‐friendly hospitals in Jordan. Nurs Forum. 2022;57(5):843-50. https://doi.org/10.1111/nuf.12... PMid:35441376.
 
27.
Kasem A, Razeq NMA, Abuhammad S, Alkhazali H. Mothers’ knowledge and attitudes about newborn screening in Jordan. J Community Genet. 2022;13:215-25. https://doi.org/10.1007/s12687....
 
28.
Abuhammad S, Alzoubi KH, Al-Azzam SI, Karasneh RA. Knowledge and practice of patients’ data sharing and confidentiality among nurses in Jordan. J Multidiscip Healthc. 2020;13:935-42. https://doi.org/10.2147/JMDH.S... PMid:32982270 PMCid:PMC7502382.
 
29.
Karasneh R, Al-Mistarehi A-H, Al-Azzam S, et al. Physicians’ knowledge, perceptions, and attitudes related to patient confidentiality and data sharing. Int J Gen Med. 2021;14:721-31. https://doi.org/10.2147/IJGM.S... PMid:33688243 PMCid:PMC7936708.
 
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