Influence of Short-Term Palliative Care Educational Program on Knowledge, Beliefs, and Attitudes of Physiotherapy Students: A Quasi-experimental Study

Iram Iram, Tarushi Tanwar, Pooja Bhati, Zubia Veqar
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Abstract

Inadequate knowledge prevents healthcare professionals from providing the best end-of-life care to dying patients and meeting their needs. To address the unmet need for palliative care, it is also necessary to implement a multi-disciplinary treatment approach to overcome significant barriers, such as the lack of specific palliative care training among healthcare professionals. The study aimed to develop and establish psychometric properties of knowledge and belief questionnaires and investigate the effect of palliative care educational programs on outcomes of knowledge, belief, and attitudes in physiotherapy students at various Indian universities. Knowledge and belief questionnaires were developed, and their reliability and validity were established on 26 final-year physiotherapy students who were subjected to an educational program of six hours on palliative care, and their knowledge, belief, and attitude toward critical care of patients were assessed before and after completion of the program. The results demonstrated that both questionnaires had good content and face validity. The knowledge and belief questionnaires showed good (ICC 0.88, 95% CI (0.73–0.94)) (Cronbach alpha 0.89) and moderate (ICC 0.70, 95% CI (− 0.09– − 0.80)) (Cronbach alpha 0.75) reliability, respectively. Also, a significant improvement was observed in the knowledge, attitudes, and beliefs of students after completion of the educational program (p < 0.05). The self-made knowledge and belief questionnaires were found to be valid and reliable tools for assessing knowledge and belief. A focused educational program on palliative care may be included in the curriculum of physiotherapy students to enhance their knowledge, beliefs, and attitudes.

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短期姑息关怀教育项目对物理治疗专业学生的知识、信念和态度的影响:一项准实验研究
由于知识不足,医护人员无法为临终病人提供最佳的临终关怀,也无法满足他们的需求。为了满足尚未得到满足的姑息关怀需求,还必须实施多学科治疗方法,以克服重大障碍,如医护人员缺乏专门的姑息关怀培训。该研究旨在开发和建立知识与信念问卷的心理测量特性,并调查姑息关怀教育项目对印度各大学物理治疗专业学生的知识、信念和态度成果的影响。研究人员开发了知识和信念问卷,并对 26 名最后一年物理治疗专业的学生进行了信度和效度测定,这些学生接受了 6 个小时的姑息治疗教育课程,并在课程完成前后对他们对危重病人护理的知识、信念和态度进行了评估。结果表明,两份问卷均具有良好的内容效度和表面效度。知识和信念问卷的可靠性分别为良好(ICC 0.88,95% CI (0.73-0.94))(Cronbach alpha 0.89)和中等(ICC 0.70,95% CI (- 0.09- - 0.80))(Cronbach alpha 0.75)。此外,在完成教育计划后,学生的知识、态度和信念也有了明显改善(p < 0.05)。研究发现,自制的知识和信念问卷是评估知识和信念的有效而可靠的工具。可以在物理治疗专业学生的课程中加入有关姑息关怀的重点教育项目,以增强他们的知识、信念和态度。
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