Staff perceptions of palliative care in a public Australian, metropolitan emergency department

Andrew Russ, David Mountain, I.R. Rogers, F. Shearer, L. Monterosso, G. Ross-Adjie, J.R. Rogers

    Research output: Contribution to journalArticle

    4 Citations (Scopus)

    Abstract

    © 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine. Objective: The primary aim was to investigate staff experiences and attitudes towards palliative care provision in a public metropolitan ED. Methods: Using a previously validated survey tool, data were collected from ED clinical staff using Likert-type, open-ended and dichotomous items asking about perceptions of palliative care and education needs. Comparisons were made between nursing and medical staff. Results: Medical staff and nurses' perceptions of palliative care were similar, differing on only 10 of 37 (Likert) items. All staff reported confidence with symptom management, whereas medical staff felt more confident with decision-oriented communication and nurses were more supportive of nasogastric feeding. Staff were moderately accurate in determining the five most common causes of death. Four out of five conditions selected as appropriate for palliative care were cancer diagnoses. End-of-life communication and ethical issues were the two most frequently requested areas for further education. Conclusions: Our study suggests that overall ED staff were confident regarding symptom management in palliative care. Cancer diagnoses were overrepresented in both the top five causes of death and conditions most appropriate for a palliative approach, suggesting that staff might underestimate the role of a palliative approach in non-cancer diagnoses. Areas suggested for further education include communication and ethical issues surrounding end-of-life care.
    Original languageEnglish
    Pages (from-to)287-294
    JournalEmergency Medicine Australasia
    Volume27
    Issue number4
    DOIs
    Publication statusPublished - 2015

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    Palliative Care
    Hospital Emergency Service
    Medical Staff
    Emergency Medicine
    Communication
    Education
    Ethics
    Cause of Death
    Nurses
    Attitude of Health Personnel
    Terminal Care
    Nursing Staff
    Neoplasms

    Cite this

    Russ, Andrew ; Mountain, David ; Rogers, I.R. ; Shearer, F. ; Monterosso, L. ; Ross-Adjie, G. ; Rogers, J.R. / Staff perceptions of palliative care in a public Australian, metropolitan emergency department. In: Emergency Medicine Australasia. 2015 ; Vol. 27, No. 4. pp. 287-294.
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    title = "Staff perceptions of palliative care in a public Australian, metropolitan emergency department",
    abstract = "{\circledC} 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine. Objective: The primary aim was to investigate staff experiences and attitudes towards palliative care provision in a public metropolitan ED. Methods: Using a previously validated survey tool, data were collected from ED clinical staff using Likert-type, open-ended and dichotomous items asking about perceptions of palliative care and education needs. Comparisons were made between nursing and medical staff. Results: Medical staff and nurses' perceptions of palliative care were similar, differing on only 10 of 37 (Likert) items. All staff reported confidence with symptom management, whereas medical staff felt more confident with decision-oriented communication and nurses were more supportive of nasogastric feeding. Staff were moderately accurate in determining the five most common causes of death. Four out of five conditions selected as appropriate for palliative care were cancer diagnoses. End-of-life communication and ethical issues were the two most frequently requested areas for further education. Conclusions: Our study suggests that overall ED staff were confident regarding symptom management in palliative care. Cancer diagnoses were overrepresented in both the top five causes of death and conditions most appropriate for a palliative approach, suggesting that staff might underestimate the role of a palliative approach in non-cancer diagnoses. Areas suggested for further education include communication and ethical issues surrounding end-of-life care.",
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    Staff perceptions of palliative care in a public Australian, metropolitan emergency department. / Russ, Andrew; Mountain, David; Rogers, I.R.; Shearer, F.; Monterosso, L.; Ross-Adjie, G.; Rogers, J.R.

    In: Emergency Medicine Australasia, Vol. 27, No. 4, 2015, p. 287-294.

    Research output: Contribution to journalArticle

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