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Table 3 Self-reported behaviours

From: Perceptions of healthcare professionals towards palliative care in internal medicine wards: a cross-sectional survey

 

Physicians

(n = 44)

Nurses

(n = 156)

p-value

Always speak about extent of care to terminally ill patients* n(%) agree

40 (88.9)

67 (42.9)

0.001

Always have conversations about palliative care to terminally ill patients* n(%) agree

35 (77.8)

65 (41.7)

0.001

When would you consider a referral to palliative care?* n(%) agree

When first diagnosed with life limiting illness

15 (34.9)

115 (73.7)

0.001

At symptom onset

43 (97.7)

128 (82.6)

0.011

When illness becomes terminal

44 (100.0)

150 (96.2)

0.187

If family or patient demonstrate distress

40 (93.0)

113 (72.4)

0.005

How confident are you in explaining the role of palliative care to patients?Mean (+/−sd)

3.7 (0.74)

3.2 (0.86)

0.001

How do you first communicate the option of palliative care to patients and families?* n(%) selecting

Hold a patient and/or family conference

39 (88.6)

57 (37.7)

 

Refer to palliative care

5 (11.4)

87 (57.6)

0.001

Do not broach topic

0 (0.0)

7 (4.6)

 

How confusing do you find the different terminologies used (e.g terminal care, best supportive care, comfort care) are?Mean (+/sd)

How much do you agree or disagree with the following statements about palliative care?§ Mean (+/−sd)

2.7 (1.06)

2.7 (0.98)

0.855

PC referrals are an underutilized service

3.6 (0.99)

3.4 (1.06)

0.184

Nurses should be included more in end of life conversations

4.3 (0.59)

4.0 (0.80)

0.015

There should be more PC training to healthcare workers

4.6 (0.50)

4.2 (0.72)

0.003

The general public does not know enough about PC

4.6 (0.54)

4.2 (0.82)

0.007

  1. † As measured on the following scale: 1 “not at all confident”; 2 “not so confident”; 3 “somewhat confident”; 4 “confident”; 5 “very confident”
  2. ‡ As measured on the following scale: 1 “not at all confusing”; 2 “not so confusing”; 3 “somewhat confusing”; 4 “confusing”; 5 “very confusing”
  3. § As measured on the following scale: 1 “strongly disagree”; 2 “disagree”; 3 “neutral”; 4 “agree”; 5 “strongly agree”
  4. All p-values for * obtained from chi square test
  5. All p-values for †, ‡ and § obtained from Wilcoxon Rank Sums test