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Knowledge of and Barriers to Palliative Care Perceived by Healthcare Providers before and after Promotion of the Patient Autonomy Act: A Cross-Sectional Study

Author

Listed:
  • I-Hui Chen

    (School of Nursing, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan)

  • Shu-Fen Kuo

    (School of Nursing, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan)

  • Yen-Kuang Lin

    (Graduate Institute of Athletics and Coaching Science, National Taiwan Sport University, Taoyuan 33301, Taiwan)

  • Tsai-Wei Huang

    (School of Nursing, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan
    Cochrane Taiwan, Taipei Medical University, Taipei 11031, Taiwan
    Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan
    Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan)

Abstract

This study was designed to investigate healthcare providers’ knowledge of palliative care and perceptions of palliative care barriers before and after promoting the Patient Autonomy Act (PAA). A convenience sample was recruited, including 277 healthcare providers in 2013 and 222 healthcare providers in 2018. Multivariate linear regression analyses were used to identify predictors of knowledge of and perceived barriers to palliative care. A principal component analysis was carried out to identify the most appropriate factorial structure for the contents of knowledge and perceived barriers to palliative care. Three factors related to knowledge of palliative care were identified in both 2013 and 2018 data: ‘policy, regulation, and promotion’, ‘philosophy and treatments’, and ‘myths and misunderstandings’. Study findings for the two periods were similar. As for barriers to providing palliative care, three factors were identified for 2013: ‘quality care’, ‘difficulties’ and ‘communication’, and for 2018, ‘information’, ‘attitudes’ and ‘quality care’ were identified. Study findings differed between the two periods. Policies can better reinforce mitigating strategies—including opportunities for education, shared decision making, and changes in institutions and care systems. Additionally, assessing barriers creates important opportunities for further research to address the most critical aspects in improving end-of-life care for patients and their families.

Suggested Citation

  • I-Hui Chen & Shu-Fen Kuo & Yen-Kuang Lin & Tsai-Wei Huang, 2022. "Knowledge of and Barriers to Palliative Care Perceived by Healthcare Providers before and after Promotion of the Patient Autonomy Act: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3884-:d:778777
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    References listed on IDEAS

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    1. Li‐Shan Ke & Xiaoyan Huang & Margaret O'Connor & Susan Lee, 2015. "Nurses' views regarding implementing advance care planning for older people: a systematic review and synthesis of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(15-16), pages 2057-2073, August.
    2. Carla Reigada & Carlos Centeno & Edna Gonçalves & Maria Arantzamendi, 2021. "Palliative Care Professionals’ Message to Others: An Ethnographic Approach," IJERPH, MDPI, vol. 18(10), pages 1-7, May.
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    Cited by:

    1. Lavinia Bianco & Salvatore Raffa & Paolo Fornelli & Rita Mancini & Angela Gabriele & Francesco Medici & Claudia Battista & Stefania Greco & Giuseppe Croce & Aldo Germani & Simona Petrucci & Paolo Anib, 2022. "From Survey Results to a Decision-Making Matrix for Strategic Planning in Healthcare: The Case of Clinical Pathways," IJERPH, MDPI, vol. 19(13), pages 1-30, June.

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