Palliative care in the emergency department: An observational study of doctors in KwaZulu-Natal

South African Family Practice

 
 
Field Value
 
Title Palliative care in the emergency department: An observational study of doctors in KwaZulu-Natal
 
Creator Sriranganathan, Nagaleswari Morris, David Campbell, Laura Hift, Richard
 
Subject — emergency medicine; palliative care; knowledge; attitude; survey
Description Background: The World Health Organization advocates the early, appropriate provision of palliative care (PC) to patients throughout the life course. Patient consultations to the emergency department (ED) have been recognised as opportunities to initiate or optimise their PC needs. This study aimed to assess the knowledge of and attitudes towards PC among doctors at emergency physician staffed EDs in KwaZulu-Natal, South Africa.Methods: A cross-sectional survey was conducted between November 2021 and February 2022 for doctors employed out at emergency physician staffed EDs in KwaZulu-Natal, South Africa, using the validated Palliative Care Attitude and Knowledge questionnaire. The variables assessed were the self-rated and basic knowledge and attitudes towards core domains of PC. Ordinal data were compared using the t-test or ANOVA as appropriate, using MedCalc® Statistical Software version 22.009.Results: Of the 39 participants, the scores for the knowledge questions showed that 15.3% participants had good knowledge, 53.8% had fair knowledge and 30.7% had poor knowledge. Participants had either favourable (58.8%) or an uncertain (41.0%) attitude towards PC. No correlation was seen between the knowledge and attitudes scores (Spearman’s rho = 0.13, 95% CI –0.19 to 0.43, p = 0.43).Conclusion: There appears to be a deficit in knowledge of PC among doctors in the ED and a need for in-service training in PC for emergency care physicians.Contribution: This study provides new knowledge around PC practices at EDs in KwaZulu-Natal, South Africa.
 
Publisher AOSIS
 
Contributor
Date 2024-04-19
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf application/pdf application/pdf
Identifier 10.4102/safp.v66i1.5860
 
Source South African Family Practice; Vol 66, No 1 (2024): Part 2; 6 pages 2078-6204 2078-6190
 
Language eng
 
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https://safpj.co.za/index.php/safpj/article/view/5860/8657 https://safpj.co.za/index.php/safpj/article/view/5860/8658 https://safpj.co.za/index.php/safpj/article/view/5860/8659 https://safpj.co.za/index.php/safpj/article/view/5860/8661 https://safpj.co.za/index.php/safpj/article/view/5860/8662 https://safpj.co.za/index.php/safpj/article/view/5860/8660
 
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Rights Copyright (c) 2024 Nagaleswari Sriranganathan, David Morris, Laura Campbell, Richard Hift https://creativecommons.org/licenses/by/4.0
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