The effectiveness of aesthetic care training on nurses’ perceptions of end-of-life care in patients with cancer: a quasi-experimental study

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Abstract

Background

Supportive end-of-life care plays a significant role for patients with cancer. Significantly, art and aesthetics in nursing are regarded as key components of nursing practice. They may contribute to supportive end-of-life care that nurses provide for patients with cancer. Therefore, this study aimed to examine the effectiveness of aesthetic care training on nurses’ perceptions of end-of-life care in patients with cancer.

Methods

A quasi-experimental study was conducted with two groups of nurses working in the oncology wards of two hospitals in Kerman, Iran. A sample consisting of 100 nurses was selected by census and randomly assigned to an experimental group ( n = 49) and a control group ( n = 51). The experimental group received educational workshops on aesthetic care over four weekly-held 90-minute sessions. Both groups completed the Oncology Nurses’ Perceptions of End-Of-Life Care (ONPEoLC) Scale before, immediately after, and one month after the intervention. The data were analyzed with SPSS software version 21 using t-test, Chi-square, and repeated measures ANOVA. The significance level was set to p < 0.05.

Results

The mean baseline scores on the ONPEoLC Scale were 163.08 ± 13.58 in the experimental group and 163.27 ± 14.57 in the control group. There was no statistically significant difference between the two groups ( P > 0.05). Post-intervention mean scores in the experimental and control groups were 187.1 ± 18.22 and 159.11 ± 22.11, respectively, indicating a statistically significant difference between the two groups ( P < 0.001). One month after the intervention, the experimental and control groups’ mean scores were 190.89 ± 11.13 and 165.80 ± 11.69, respectively, with a significant difference between the groups ( P = 0.001).

Conclusion

Based on the results of the present study, designing aesthetic care educational programs is an effective way to improve nurses’ understanding of end-of-life care. Therefore, it is recommended that nursing faculties and educational policymakers utilize aesthetic care training to improve the nurses’ perceptions of end-of-life care.

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Most cited references 32

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Fundamental patterns of knowing in nursing.

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Integrative oncology: Addressing the global challenges of cancer prevention and treatment

Jun Mao, Geetha Gopalakrishna Pillai, Carlos Andrade … (2021)

The increase in cancer incidence and mortality is challenging current cancer care delivery globally, disproportionally affecting low- and middle-income countries (LMICs) when it comes to receiving evidence-based cancer prevention, treatment, and palliative and survivorship care. Patients in LMICs often rely on traditional, complementary, and integrative medicine (TCIM) that is more familiar, less costly, and widely available. However, spheres of influence and tensions between conventional medicine and TCIM can further disrupt efforts in evidence-based cancer care. Integrative oncology provides a framework to research and integrate safe, effective TCIM alongside conventional cancer treatment and can help bridge health care gaps in delivering evidence-informed, patient-centered care. This growing field uses lifestyle modifications, mind and body therapies (eg, acupuncture, massage, meditation, and yoga), and natural products to improve symptom management and quality of life among patients with cancer. On the basis of this review of the global challenges of cancer control and the current status of integrative oncology, the authors recommend: 1) educating and integrating TCIM providers into the cancer control workforce to promote risk reduction and culturally salient healthy life styles; 2) developing and testing TCIM interventions to address cancer symptoms or treatment-related adverse effects (eg, pain, insomnia, fatigue); and 3) disseminating and implementing evidence-based TCIM interventions as part of comprehensive palliative and survivorship care so patients from all cultures can live with or beyond cancer with respect, dignity, and vitality. With conventional medicine and TCIM united under a cohesive framework, integrative oncology may provide citizens of the world with access to safe, effective, evidence-informed, and culturally sensitive cancer care.

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End-of-life care pathways in acute and hospice care: an integrative review.

Jane L. Phillips, Elizabeth J Halcomb, Patricia M. Davidson (2011)

Over the past decade, there has been widespread adoption of end-of-life care pathways as a tool to better manage care of the dying in a variety of care settings. The adoption of various end-of-life care pathways has occurred despite lack of robust evidence for their use. This integrative review identified published studies evaluating the impact of an end-of-life care pathway in the acute and hospice care setting from January 1996 to April 2010. A search of the electronic databases Scopus and Cumulative Index of Nursing and Allied Health Literature as well as Medline and the World Wide Web were undertaken. This search used Medical Subject Headings key words including "end-of-life care," "dying," "palliative care," "pathways," "acute care," and "evaluation." Articles were reviewed by two authors using a critical appraisal tool. The search revealed 638 articles. Of these, 26 articles met the inclusion criteria for this integrative review. No randomized controlled trials were reported. The majority of these articles reported baseline and post implementation pathway chart audit data, whereas a smaller number were local, national, or international benchmarking studies. Most of the studies emerged from the United Kingdom, with a smaller number from the United States, The Netherlands, and Australia. Existing data demonstrate the utility of the end-of-life pathway in improving care of the dying. The absence of randomized controlled trial data, however, precludes definitive recommendations and underscores the importance of ongoing research. Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

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Author and article information

Contributors

Sedigheh Khodabandeh Shahraki:

ORCID: http://orcid.org/0000-0002-1489-5883

s_khodabandeh@kmu.ac.ir , mitra.khodabandeh@Yahoo.com

Journal

Journal ID (nlm-ta): BMC Palliat Care

Journal ID (iso-abbrev): BMC Palliat Care

Title: BMC Palliative Care

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-684X

Publication date (Electronic): 8 February 2024

Publication date PMC-release: 8 February 2024

Publication date Collection: 2024

Volume: 23

Electronic Location Identifier: 34

Affiliations

[1 ]Nursing Research Center, Kerman University of Medical Sciences, ( https://ror.org/02kxbqc24) Kerman, Iran

[2 ]GRID grid.411757.1, ISNI 0000 0004 1755 5416, Community Health Research Center, Isfahan (Khorasgan) Branch, , Islamic Azad University, ; Isfahan, Iran

[3 ] Reproductive health, Family and Population Research Center, Kerman University of Medical Sciences, ( https://ror.org/02kxbqc24) Kerman, Iran

Author information

Parvin Mangolian shahrbabaki http://orcid.org/0000-0003-0539-5390

Sedigheh Khodabandeh Shahraki http://orcid.org/0000-0002-1489-5883

Article

Publisher ID: 1343

DOI: 10.1186/s12904-024-01343-4

PMC ID: 10851450

PubMed ID: 38326782

SO-VID: 685cdae0-a3d3-49ff-b560-c2a1ca7b550e

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 18 April 2023

Date accepted : 5 January 2024

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ScienceOpen disciplines: Anesthesiology & Pain management

Keywords: nurses,aesthetic care training,end-of-life

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ScienceOpen disciplines: Anesthesiology & Pain management

Keywords: nurses, aesthetic care training, end-of-life

The effectiveness of aesthetic care training on nurses’ perceptions of end-of-life care in patients with cancer: a quasi-experimental study

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Most cited references 32

Fundamental patterns of knowing in nursing.

Integrative oncology: Addressing the global challenges of cancer prevention and treatment

End-of-life care pathways in acute and hospice care: an integrative review.

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