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      Healthcare Workers Knowledge and Attitude Toward Palliative Care in an Emerging Tertiary Centre in South-West Nigeria

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          Abstract

          Background:

          Palliative care is an emerging area of medicine with potential to affect positively many chronically ill patients. This study investigated the knowledge and attitude of healthcare workers in a tertiary level hospital in Nigeria where a palliative care unit is being established.

          Material and Methods:

          The study was a cross-sectional questionnaire-based study carried out among healthcare workers in Ekiti State University Teaching Hospital, Ado-Ekiti, south-west Nigeria. The questionnaire had sections about definition of palliative care, its philosophy, communication issues, medications, and contexts about its practice. The information obtained from the questionnaire was coded, entered, and analyzed using IBM SPSS version 19.

          Results:

          A total of 170 questionnaires were returned within the stipulated time frame with response rate of 66.7%. Majority, (135, 86%) respondents felt palliative care was about the active management of the dying while 70.5% of respondents equated palliative care to pain management. Regarding the philosophy of palliative care, 70 (57.9%) thought that it affirms life while 116 (78.4%) felt palliative care recognizes dying as a normal process. One hundred and twenty-two (78.7%) respondents were of the opinion that all dying patients would require palliative care. The patient should be told about the prognosis according to 122 (83%) respondents and not doing so could lead to lack of trust (85%). Regarding the area of opioid use in palliative care, 76% of respondents agreed that morphine improves the quality of life of patients.

          Conclusion:

          There are plausible gaps in the knowledge of the healthcare workers in the area of palliative care. Interventions are needed to improve their capacity.

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          Most cited references16

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          Palliative Care in Enugu, Nigeria: Challenges to a New Practice

          Everyone, young and old, male and female, rich and poor, should have access to excellent care during the course of a serious illness and at the end of life. Therefore, a denial of such care becomes an infringement of the individual's human rights. Because of the efforts of pioneers in this field of Medicine in Africa and beyond, both living and immortalized, we can now say that palliative care in the African context is affordable and achievable. In this article, some of the challenges faced in setting up and running a new palliative care practice in an emerging and developing economy are examined.
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            Morphinofobia: the situation among the general population and health care professionals in North-Eastern Portugal

            Background Morphinofobia among the general population (GP) and among health care professionals (HP) is not without danger for the patients: it may lead to the inappropriate management of debilitating pain. The aim of our study was to explore among GP and HP the representation and attitudes concerning the use of morphine in health care. Methods A cross-sectional study was done among 412 HP (physicians and nurses) of the 4 hospitals and 10 community health centers of Beira Interior (Portugal)and among 193 persons of the GP randomly selected in public places. Opinions were collected through a translated self-administered questionnaire. Results A significant difference of opinion exists among GP and HP about the use of morphine. The word morphine first suggests drug to GP (36,2%) and analgesia to HP (32,9%.). The reasons for not using morphine most frequently cited are: for GP morphine use means advanced disease (56%), risk of addiction (50%), legal requirements (49,7%); for HP it means legal risks (56,3%) and adverse side effects of morphine such as somnolence - sedation (30,5%) The socio-demographic situation was correlated with the opinions about the use of morphine. Conclusions False beliefs about the use of morphine exist among the studied groups. There seems to be a need for developing information campaigns on pain management and the use of morphine targeting. Better training and more information of HP might also be needed.
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              Palliative care in Lebanon: knowledge, attitudes and practices of physicians and nurses.

              Palliative care (PC) is defined by the World Health Organization as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness..." In Lebanon, PC is new to the health care field and as such very little is known about type of services offered and the preparedness of health care professionals to provide PC. The purpose of this study is to determine the knowledge, attitudes, and practices of physicians and nurses towards PC in Lebanon, and to assess the need and model for service delivery. A cross-sectional descriptive survey using self-administered questionnaire sent to 15 hospitals in Lebanon was used; 1873 nurses and 1884 physicians participated in the study. The response rate was 32%; 51% for nurses and 13% for physicians. Around 93% of nurses and 96% of physicians were able to identify the goals of PC. The majority (94% to 99%) believes terminally ill patients and their families should be informed of the diagnosis and prognosis. Only 19% percent of physicians routinely inform terminally ill patients about their diagnosis. Around 100% of the respondents believe that PC services need to be developed in Lebanon warranting the need for continuing education in this field.
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                Author and article information

                Journal
                Indian J Palliat Care
                Indian J Palliat Care
                IJPC
                Indian Journal of Palliative Care
                Medknow Publications & Media Pvt Ltd (India )
                0973-1075
                1998-3735
                Jan-Apr 2014
                : 20
                : 1
                : 1-5
                Affiliations
                [1]Department of Pharmacology, Ekiti State University, Ado-Ekiti, Nigeria
                [1 ]Department of Family Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria
                [2 ]Department of Anesthesia, Ekiti State University, Ado-Ekiti, Nigeria
                [3 ]Department of Surgery, Ekiti State University, Ado-Ekiti, Nigeria
                [4 ]Department of Social Welfare, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria
                Author notes
                Address for correspondence: Dr. Joseph O. Fadare; E-mail: jofadare@ 123456gmail.com
                Article
                IJPC-20-1
                10.4103/0973-1075.125547
                3931235
                24600175
                0b860f00-565b-4c3c-afbb-fb597e77defb
                Copyright: © Indian Journal of Palliative Care

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Original Article

                Anesthesiology & Pain management
                healthcare workers,knowledge,palliative care,perception,oncology
                Anesthesiology & Pain management
                healthcare workers, knowledge, palliative care, perception, oncology

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