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

Age Platform Europe, and Alzheimer Europe, PACE, European Association for Palliative Care vzw, European Forum For Primary Care

Research output: Contribution to journalArticleAcademicpeer-review

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.
Original languageEnglish
JournalJournal of Pain and Symptom Management
DOIs
Publication statusPublished - 2019

Cite this

Age Platform Europe, and Alzheimer Europe ; PACE ; European Association for Palliative Care vzw ; European Forum For Primary Care. / 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.
@article{3910aa39e3d440a694f902ac279b46f9,
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.",
author = "Elisabeth Honinx and Tinne Smets and Ruth Piers and Luc Deliens and Sheila Payne and Marika Kyl{\"a}nen and Ilona Barańska and Pasman, {H. Roeline W.} and Giovanni Gambassi and {van den Block}, Lieve and Yuliana Gatsolaeva and Rose Miranda and Lara Pivodic and {Age Platform Europe, and Alzheimer Europe} and Marc Tanghe and {van Hout}, Hein and {van den Noortgate}, Nele and Katherine Froggatt and Bregje Onwuteaka-Philipsen and Katarzyna Szczerbińska and Mariska Oosterveld-Vlug and Wichmann, {Anne B.} and Yvonne Engels and Myrra Vernooij-Dassen and Jo Hockley and Suvi Lepp{\"a}aho and Sophie Pautex and Catherine Bassal and Federica Mammarella and Martina Mercuri and Paola Rossi and Ivan Segat and Agata Stodolska and Eddy Adang and Paula Andreasen and Outi Kuitunen-Kaija and Moore, {Danni Collingridge} and Agnieszka Pac and Violetta Kijowska and Koppel, {Maud ten} and {van der Steen}, {Jenny T.} and {Morgan de Paula}, Emilie and PACE and {European Association for Palliative Care vzw} and {European Forum For Primary Care} and Yuliana Gatsolaeva and Rose Miranda and Lara Pivodic and Marc Tanghe and {van Hout}, Hein and {van den Noortgate}, Nele and Bregje Onwuteaka-Philipsen and Mariska Oosterveld-Vlug and {van der Steen}, {Jenny T.}",
year = "2019",
doi = "10.1016/j.jpainsymman.2019.06.015",
language = "English",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",

}

Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. / Age Platform Europe, and Alzheimer Europe; PACE; European Association for Palliative Care vzw; European Forum For Primary Care.

In: Journal of Pain and Symptom Management, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries

AU - Honinx, Elisabeth

AU - Smets, Tinne

AU - Piers, Ruth

AU - Deliens, Luc

AU - Payne, Sheila

AU - Kylänen, Marika

AU - Barańska, Ilona

AU - Pasman, H. Roeline W.

AU - Gambassi, Giovanni

AU - van den Block, Lieve

AU - Gatsolaeva, Yuliana

AU - Miranda, Rose

AU - Pivodic, Lara

AU - Age Platform Europe, and Alzheimer Europe

AU - Tanghe, Marc

AU - van Hout, Hein

AU - van den Noortgate, Nele

AU - Froggatt, Katherine

AU - Onwuteaka-Philipsen, Bregje

AU - Szczerbińska, Katarzyna

AU - Oosterveld-Vlug, Mariska

AU - Wichmann, Anne B.

AU - Engels, Yvonne

AU - Vernooij-Dassen, Myrra

AU - Hockley, Jo

AU - Leppäaho, Suvi

AU - Pautex, Sophie

AU - Bassal, Catherine

AU - Mammarella, Federica

AU - Mercuri, Martina

AU - Rossi, Paola

AU - Segat, Ivan

AU - Stodolska, Agata

AU - Adang, Eddy

AU - Andreasen, Paula

AU - Kuitunen-Kaija, Outi

AU - Moore, Danni Collingridge

AU - Pac, Agnieszka

AU - Kijowska, Violetta

AU - Koppel, Maud ten

AU - van der Steen, Jenny T.

AU - Morgan de Paula, Emilie

AU - PACE

AU - European Association for Palliative Care vzw

AU - European Forum For Primary Care

AU - Gatsolaeva, Yuliana

AU - Miranda, Rose

AU - Pivodic, Lara

AU - Tanghe, Marc

AU - van Hout, Hein

AU - van den Noortgate, Nele

AU - Onwuteaka-Philipsen, Bregje

AU - Oosterveld-Vlug, Mariska

AU - van der Steen, Jenny T.

PY - 2019

Y1 - 2019

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.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85071333879&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/31376522

U2 - 10.1016/j.jpainsymman.2019.06.015

DO - 10.1016/j.jpainsymman.2019.06.015

M3 - Article

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

ER -