Table 4 Practice of nurses towards palliative care at Addis Ababa selected hospitals, May 2012
No | Characteristics | Multiple response | Frequency | Percentage |
|---|---|---|---|---|
| Â | Â | Â | Yes n (%) | No n (%) |
1 | Initiate palliative care discussion: | During diagnosis | 186 (54.5) | 155 (45) |
When the disease progress | 128 (37.5) | 213 (62.5) | ||
At the end of life | 57 (16.7) | 284 (83.3) | ||
2 | Do you inform terminally ill patient about their diagnosis? | Yes | 167 (49) | 174 (51) |
No | 69 (20.2) | 272 (79.8) | ||
Depending on family’s wish | 96 (28.2) | 245 (71.8) | ||
Inapplicable | 11 (3.2) | 330 (96.8) | ||
3 | Factors considered when dealing with terminally ill patient: | Spiritual | 172 (50.4) | 169 (49.6) |
Medical situation | 149 (43.7) | 192 (56.3) | ||
Cultural | 69 (20.2) | 272 (79.8) | ||
Psychological | 124 (36.4) | 217 (63.6) | ||
4 | Address spiritual issue: | Connect with spiritual counselor | 177 (51.9) | 164 (48.1) |
Listen with empathy | 133 (39) | 208 (61) | ||
Impose your own view | 320 (94.7) | 18 (5.3) | ||
Understand patient reaction | 74 (21.7) | 267 (78.3) | ||
5 | Cultural assessment during patient care should include: | Truth telling and decision making | 148 (43.4) | 193 (56.6) |
Preference regarding disclosure of information | 55 (16.1) | 286 (83.9) | ||
Dietary preference | 65 (19.1) | 276 (80.9) | ||
Language, family communication | 158 (46.3) | 183 (53.7) | ||
Perspective on death, suffering & grieving | 42 (12.3) | 299 (87.7) | ||
6 | Addressing psychological: | Emotional support | 180 (52.8) | 161 (47.2) |
Counseling the patient | 159 (46.6) | 182 (53.4) | ||
Hiding the truth | 285 (83.6) | 56 (16.4) | ||
7 | Whom do you involve in decision making? | Patient | 205 (60.1) | 136 (39.9) |
Family | 111 (32.6) | 230 (67.4) | ||
My own | 27 (7.9) | 314 (92.1) | ||
Other health professional | 47 (13.8) | 294 (86.2) | ||
8 | How do you perceived terminally ill patient concern or question? | Patient right | 273 (80.1) | 68 (19.9) |
Treat | 336 (96.8) | 11 (3.2) | ||
Doubting your professionalism | 25 (7.3) | 316 (92.7) | ||
Attention seeking behavior | 307 (90) | 34 (10.0) | ||
9 | Communication to the family of terminally ill patient depends on: | Family’s ability to assimilate | 230 (67.7) | 111 (32.6) |
Their involvement in decision making | 206 (60.4) | 135 (39.6) | ||
Your willingness to disclose information | 36 (10.6) | 305 (89.4) | ||
10 | Commonly use medication in your practice for severe pain? | Paracetamol/Ibuprofin | 207 (60.7) | 134 (39.3) |
Codeine | 41 (12) | 300 (88) | ||
Morphine | 108 (31.7) | 233 (68.3) | ||
11 | How do you assess patient pain? | Grade with face | 201 (58.8) | 140 (41.1) |
Intensity | 122 (35.8) | 219 (64.2) | ||
Location | 34 (10) | 307 (90) | ||
| Â | Â | Quality | 39 (11.4) | 302 (88.5) |