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The Knowledge toward Palliative Care among Nursing Students:

An Evaluation Study of Palliative Care Learning

1
Ristina Mirwanti* , Hartiah Haroen 2

1,2 Faculty of Nursing, Universitas Padjadjaran

*E-mail of the corresponding author : ristina.mirwanti@unpad.ac.id

INTRODUCTION Table 1. Descriptive Results of Nursing Students’ Responses on PCQN Picture 2. Learning Method

Pre-test Post-test

Knowledge of palliative care was essential for nursing students to Correct Wrong Correct Wrong

take care of palliative patients. During the COVID 19 pandemic, Frequen Frequen Freque Freque Lecture

various learning methods were applied in palliative care learning to No Item cy % cy % ncy % ncy %

improve palliative care knowledge. This study aimed to evaluate Palliative care is appropriate only in

Palliative Care Learning by the score of ‘palliative care knowledge situations where there is evidence of a Case-Based Study

downward trajectory or deterioration.
among nursing students. 1 (False [F]) 43 26,22 121 73,78 86 52,44 78 47,56

METHODS Morphine is the standard used to Project-Based Learning

compare the analgesic effect of other
2 opioids. (True [T]) 142 86,58 22 13,42 150 91,46 14 8,54

This study used pre and post-design to measure nursing students’ The extent of the disease determines Roleplay

knowledge of the palliative care learning process. It was conducted 3 the method of pain treatment. (F) 11 6,71 153 93,29 6 3,66 158 96,34

among nursing students of the Faculty of Nursing Universitas Adjuvant therapies are important m
4 managing pain. (T) 156 95,12 8 4,88 160 97,56 4 2,44

Padjadjaran amount 164 students. Data was collected from Palliative Discussion

Care Quiz for Nurses (PCQN) questionnaire (score 0 to 20) before It is crucial for family members to
remain at the bedside until death

beginning and after the learning process. 5 occurs. (F) 3 1,83 161 98,17 4 2,44 160 97,56

During the last days of life, drowsiness
associated with electrolyte imbalance

may decrease the need for sedation.
Picture 1. Research Method 6 (T) 122 74,39 42 25,61 137 83,54 27 16,46 Diagram 1. The Experience Being Abandoned by Loved People

Drug addiction is a major problem when
morphine is used on a long-term basis

7 for the management of pain. (F) 10 6,1 154 93,9 18 10,98 146 89,02

Individuals who are taking opioids
Learning should also follow a bowel regimen
Pre –test Post – test 8 (laxative treatment). (T) 138 84,15 26 15,85 154 93,9 10 6,1

Process

The provision of palliative care requires

9 emotional detachment. (F) 155 94,51 9 5,49 149 90,85 15 9,15

During the terminal stages of an illness,

drugs that can cause respiratory
RESULT 10 treatment of severe dyspnea. (T) 83 50,61 81 49,39 97 59,15 67 40,85
depression are appropriate for the

Men generally reconcile their grief more

11 quickly than do women. (F) 65 39,63 99 60,37 72 43,9 92 56,1
This study showed that the mean of nursing students’ knowledge The philosophy of palliative care is

compatible with that of aggressive
toward palliative care before the learning process was 10.24 (SD 12 treatment. (T) 86 52,44 78 47,56 81 49,39 83 50,61

1.83), meanwhile after the learning process was 10.98 (SD 1.88). The use of placebos is appropriate in

DISCUSSION 13 the treatment of some types of pain. (F) 66 40,24 98 59,76 62 37,8 102 62,2

High-dose codeine causes more

14 nausea and vomiting than morphine. (T) 143 87,2 21 12,8 147 89,63 17 10,37
There was an increase in the mean of knowledge from before to Suffering and physical pain are YES NO

after the learning process. This increase can occur because the 15 identical. (F) 113 68,9 51 31,1 95 57,93 69 42,07

learning process was carried out through various learning methods, Demerol (Pethidine) is not an effective

analgesic for the control of chronic pain.
namely lectures, case-based studies, project-based learning, 16 (T) 69 42,07 95 57,93 91 55,49 73 44,51 Reference

roleplays, and discussions. The accumulation of losses makes

CONCLUSION 17 palliative care. (F) 34 20,73 130 79,27 27 16,46 137 83,54 Hertanti, N. S., Wicaksana, A. L., Effendy, C., & Kao, C. Y. (2021). Palliative Care Quiz for Nurses-
burnout inevitable for those who work in

Indonesian Version (PCQN-I): A Cross-cultural Adaptation, Validity, and Reliability Study. Indian journal of

Manifestations of chronic pain are palliative care, 27(1), 35–42. https://doi.org/10.4103/IJPC.IJPC_76_20
Dimoula, M., Kotronoulas, G., Katsaragakis, S., Christou, M., Sgourou, S., & Patiraki, E. (2018).
The nursing students’ knowledge toward palliative care increased by 18 different from those of acute pain. (T) 136 82,93 28 17,07 145 88,41 19 11,59 Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A

0.74 points after the learning process. This increase may be affected The loss of a distant relationship is three-cohort, cross-sectional survei. Nurse Education Today, 74, 7-14.

easier to resolve than the loss of one https://doi.org/10.1016/j.nedt.2018.11.025
by the learning method and material that was given. To improve 19 that is close or intimate. (F) 20 12,2 144 87,8 26 15,85 138 84,15 Alhamdoun, A., Qadire, M. A., Aldiabat, K. M., & Al-Rawajfah, O. (2021). Nursing students' knowledge of

Pain threshold is lowered by fatigue or
students’ knowledge, we should improve the learning methods and 20 anxiety. (T) 84 51,22 80 48,78 93 56,71 71 43,29 palliative care: a short literature review, Internasional Palliative Journal, 27(1),
https://doi.org/10.12968/ijpn.2021.27.1.54

materials. Majeed, F. (2014). Effectiveness of case-based teaching of physiology for nursing students. Journal of

Taibah University Medical Sciences, 9(4), 289-292, https://doi.org/10.1016/j.jtumed.2013.12.005.

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