Page 66 - Livre électronique des RFTP 2024

P13. MANAGING THE END OF LIFE IN PALLIATIVE CARE

SITUATIONS : NURSES POINT OF VIEW

RAHMA GARGOURI1, NAJLA BAHLOUL1, RIM KHEMAKHEM1, NESRINE KALLEL1, IMEN
SELLAMI2, ILHEM YANGUI1, BABA ANINAABDERAHMAN1, SIWAR BAHRI1, HAJER
AYADI1, WALID FEKI1, SAMY KAMMOUN1

SERVICE DE PNEUMOLOGIE CHU HEDI CHAKER SFAX-TUNISIE SERVICE DE MEDECINE DE
TRAVAIL CHU HEDI CHAKER SFAX-TUNISIE

INTRODUCTION

The vision of the end of life begins to change, and the global approach to incurable
diseases continues to undergo revolutionary dynamics; there will be hope in the
process of death. Nursing staff find themselves obliged to follow this trend. This
study was carried out, which aimed to evaluate the knowledge of nurses in
palliative care, using a validated score.

MATERIALS AND METHODS

This is a descriptive and cross-sectional study spread over 4 months, from January
to May 2023 in the two public teaching hospitals of Sfax in Tunisia. An anonymous
questionnaire was distributed on paper at the workplace of nurses in departments
likely to care for patients in palliative care. The time allocated for the response was
20 minutes during which the nurses were required not to consult the internet pages
to collect the answers to the questions. This questionnaire included
sociodemographic and professional data. Another part included responses to the
“Palliative Care Knowledge Test” (PCKT) questionnaire.
RESULTS

Among the 116 people contacted, N=81 (69.82%) agreed to respond. We noted a
female predominance (89%), with an average age of 37 years with extremes
ranging from 22 to 52 years. Only 45% of participants were having continuos training
in addition to their basic training. In the last 12 months, only 14 nurses have had
training in palliative care, the average duration of which was 45 minutes, and it was
during scientific meetings. The percentage of correct responses per statement
fluctuated between 13% and 98%. Participants gave mostly correct answers in the
“Communication” dimension (91.33%) followed by the “Pain” dimension (79.44%).

The dimension with less correct answers is that of “Gastrointestinal disorders”
(38.66%). Statistically significant correlations were identified between correct
answers to the questionnaire and age (r = 0.211; p = 0.006), date of diploma (r = 0.41;
p = 0.002) and date of professional position (r = 0.3211; p = 0.0311). No significant
correlation was observed with the original service, the original diploma,
participation in training and conferences, and with the number of palliative care
patients treated.

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