NDLI: Understanding emergency department staff needs and perceptions in the provision of palliative care.

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Understanding emergency department staff needs and perceptions in the provision of palliative care.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Shearer, Freya M. Rogers, Ian R. Monterosso, Leanne Ross-Adjie, Gail Rogers, Jeremy R.
Spatial Coverage	Western Australia
Description	Country affiliation: Australia Author Affiliation: Shearer FM ( Emergency Department, St John of God Murdoch Hospital, Murdoch, Western Australia, Australia.)
Abstract	OBJECTIVE: The primary aim of the present study was to investigate Australian ED staff perspectives and needs regarding palliative care provision. Secondary aims were to assess staff views about death and dying, and their awareness of common causes of death in Australia, particularly those where a palliative care approach is appropriate. METHODS: All medical and nursing staff working in a private ED in Perth, Western Australia, were asked to complete a combined quantitative and qualitative survey. The survey tool uses a combination of Likert-type scales and open-ended questions. Descriptive statistics and intergroup comparisons were made for all quantifiable variables, whereas formal content analysis was used for text responses. RESULTS: Surveys were returned by 22 doctors and 44 nurses, with most reporting only working knowledge of palliative care but clinical proficiency in symptom control. Confidence in palliative care provision was lower among nursing than medical staff but educational needs were similar. Cancer diagnoses were consistently overestimated, and dementia and COPD underestimated, as the most common causes of death. Only six of 63 (9.5%) of respondents identified the correct top five causes of death. CONCLUSIONS: Our study suggests that although ED staff expressed confidence regarding symptom management in palliative care, they lacked understanding of the patients in whom a palliative approach could be applied and sought further education in areas, such as end-of-life communication and ethical issues. ED specific training and clinical interventions in palliative care provision would seem to be needed and justified.
File Format	HTM / HTML
ISSN	17426731
Issue Number	3
Volume Number	26
e-ISSN	17426723
Journal	Emergency Medicine Australasia
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2014-06-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Medicine Attitude Of Health Personnel Emergency Service, Hospital Statistics & Numerical Data Health Knowledge, Attitudes, Practice Palliative Care Standards Adult Attitude To Death Clinical Competence Female Health Personnel Education Psychology Humans Male Middle Aged Needs Assessment Self Efficacy Western Australia Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

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