Nurse education program on meaninglessness in terminally ill cancer patients: a randomized controlled study of a novel two-day workshop
Fostering patients' sense of meaning is an essential task for palliative care clinicians. Few studies have reported the effects on nurses of a short-term training program aimed at improving skills to relieve feelings of meaninglessness in terminally ill cancer patients. The primary aim of this...
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| Veröffentlicht in: | Journal of palliative medicine 2014-12, Vol.17 (12), p.1298-1305 |
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| container_title | Journal of palliative medicine |
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| creator | Morita, Tatsuya Tamura, Keiko Kusajima, Etsuko Sakai, Sayuri Kawa, Masako Imura, Chizuru Ichihara, Kaori Miyashita, Mitsunori Yamaguchi, Takuhiro Uchitomi, Yosuke |
| description | Fostering patients' sense of meaning is an essential task for palliative care clinicians. Few studies have reported the effects on nurses of a short-term training program aimed at improving skills to relieve feelings of meaninglessness in terminally ill cancer patients.
The primary aim of this study was to determine the impact on nurses of a novel two-day education program focusing on care that addresses patients' feelings of meaninglessness. Measured were impacts on nurses' confidence, self-reported practice, attitudes toward caring for such patients, burnout, meaning of life, and knowledge.
This study was a randomized controlled trial using the waiting list control. Intervention consisted of a two-day interactive education program. A total of 76 nurses randomly allocated to two groups completed the study. Outcome measures included confidence scale; self-reported practice scale; scales of nursing attitudes toward caring for patients who experience feelings of meaningless (willingness to help, positive appraisal, helplessness, nurse-perceived value of being, and nurse-perceived value of patients' inner power); Maslach burnout scale, Functional Assessment of Chronic Illness Therapy-Spiritual, and knowledge scale.
There were significant intervention effects in nurse-reported confidence and nurse-perceived value of patients' inner power. Nurse-reported helplessness showed marginally significant improvement after intervention (p=0.067). No significant intervention effects were observed in the self-reported practice scale; attitudes toward caring for patients (willingness to help, positive appraisal, and nurse-perceived value of being); burnout scale, meaning of life; and knowledge score. The percentages of nurses who evaluated this program as useful or very useful were 95% (understanding the conceptual framework) and 85% (helping to learn how to provide care for patients feeling meaninglessness in clinical practice).
This short-term educational intervention had a significant beneficial effect on nurses' confidence and modest effects on attitudes. |
| doi_str_mv | 10.1089/jpm.2013.0559 |
| format | Article |
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The primary aim of this study was to determine the impact on nurses of a novel two-day education program focusing on care that addresses patients' feelings of meaninglessness. Measured were impacts on nurses' confidence, self-reported practice, attitudes toward caring for such patients, burnout, meaning of life, and knowledge.
This study was a randomized controlled trial using the waiting list control. Intervention consisted of a two-day interactive education program. A total of 76 nurses randomly allocated to two groups completed the study. Outcome measures included confidence scale; self-reported practice scale; scales of nursing attitudes toward caring for patients who experience feelings of meaningless (willingness to help, positive appraisal, helplessness, nurse-perceived value of being, and nurse-perceived value of patients' inner power); Maslach burnout scale, Functional Assessment of Chronic Illness Therapy-Spiritual, and knowledge scale.
There were significant intervention effects in nurse-reported confidence and nurse-perceived value of patients' inner power. Nurse-reported helplessness showed marginally significant improvement after intervention (p=0.067). No significant intervention effects were observed in the self-reported practice scale; attitudes toward caring for patients (willingness to help, positive appraisal, and nurse-perceived value of being); burnout scale, meaning of life; and knowledge score. The percentages of nurses who evaluated this program as useful or very useful were 95% (understanding the conceptual framework) and 85% (helping to learn how to provide care for patients feeling meaninglessness in clinical practice).
This short-term educational intervention had a significant beneficial effect on nurses' confidence and modest effects on attitudes.</description><identifier>ISSN: 1096-6218</identifier><identifier>EISSN: 1557-7740</identifier><identifier>DOI: 10.1089/jpm.2013.0559</identifier><identifier>PMID: 25225952</identifier><language>eng</language><publisher>United States</publisher><subject>Attitude of Health Personnel ; Female ; Humans ; Inservice Training ; Japan ; Male ; Neoplasms - psychology ; Nurse-Patient Relations ; Nursing Staff, Hospital - education ; Nursing Staff, Hospital - psychology ; Program Evaluation ; Surveys and Questionnaires ; Terminally Ill</subject><ispartof>Journal of palliative medicine, 2014-12, Vol.17 (12), p.1298-1305</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c348t-6e0bc7723ea118011fd90f8532b0f7f28799742329a10ea37c1b0ef5118c191d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25225952$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morita, Tatsuya</creatorcontrib><creatorcontrib>Tamura, Keiko</creatorcontrib><creatorcontrib>Kusajima, Etsuko</creatorcontrib><creatorcontrib>Sakai, Sayuri</creatorcontrib><creatorcontrib>Kawa, Masako</creatorcontrib><creatorcontrib>Imura, Chizuru</creatorcontrib><creatorcontrib>Ichihara, Kaori</creatorcontrib><creatorcontrib>Miyashita, Mitsunori</creatorcontrib><creatorcontrib>Yamaguchi, Takuhiro</creatorcontrib><creatorcontrib>Uchitomi, Yosuke</creatorcontrib><title>Nurse education program on meaninglessness in terminally ill cancer patients: a randomized controlled study of a novel two-day workshop</title><title>Journal of palliative medicine</title><addtitle>J Palliat Med</addtitle><description>Fostering patients' sense of meaning is an essential task for palliative care clinicians. Few studies have reported the effects on nurses of a short-term training program aimed at improving skills to relieve feelings of meaninglessness in terminally ill cancer patients.
The primary aim of this study was to determine the impact on nurses of a novel two-day education program focusing on care that addresses patients' feelings of meaninglessness. Measured were impacts on nurses' confidence, self-reported practice, attitudes toward caring for such patients, burnout, meaning of life, and knowledge.
This study was a randomized controlled trial using the waiting list control. Intervention consisted of a two-day interactive education program. A total of 76 nurses randomly allocated to two groups completed the study. Outcome measures included confidence scale; self-reported practice scale; scales of nursing attitudes toward caring for patients who experience feelings of meaningless (willingness to help, positive appraisal, helplessness, nurse-perceived value of being, and nurse-perceived value of patients' inner power); Maslach burnout scale, Functional Assessment of Chronic Illness Therapy-Spiritual, and knowledge scale.
There were significant intervention effects in nurse-reported confidence and nurse-perceived value of patients' inner power. Nurse-reported helplessness showed marginally significant improvement after intervention (p=0.067). No significant intervention effects were observed in the self-reported practice scale; attitudes toward caring for patients (willingness to help, positive appraisal, and nurse-perceived value of being); burnout scale, meaning of life; and knowledge score. The percentages of nurses who evaluated this program as useful or very useful were 95% (understanding the conceptual framework) and 85% (helping to learn how to provide care for patients feeling meaninglessness in clinical practice).
This short-term educational intervention had a significant beneficial effect on nurses' confidence and modest effects on attitudes.</description><subject>Attitude of Health Personnel</subject><subject>Female</subject><subject>Humans</subject><subject>Inservice Training</subject><subject>Japan</subject><subject>Male</subject><subject>Neoplasms - psychology</subject><subject>Nurse-Patient Relations</subject><subject>Nursing Staff, Hospital - education</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Program Evaluation</subject><subject>Surveys and Questionnaires</subject><subject>Terminally Ill</subject><issn>1096-6218</issn><issn>1557-7740</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1TAQRq2Kqn-w7BZ5ySaXGTuOY3aoAlqpohu6jnydSZvi2MFOWl1egNeur1rYshjNtzjfSKPD2DnCBqE1Hx_maSMA5QaUMgfsBJXSldY1vCkZTFM1AttjdprzA0ApgDpix0IJoYwSJ-zP9zVl4tSvzi5jDHxO8S7ZiZc4kQ1juPOUcyjDx8AXStMYrPc7PnrPnQ2OEp9LlcKSP3HLkw19nMbf1HMXw5Ki9yXmZe13PA4FCPGRPF-eYtXbHX-K6We-j_NbdjhYn-nd6z5jt1-__Li4rK5vvl1dfL6unKzbpWoItk5rIckitoA49AaGVkmxhUEPotXG6FpIYSwCWakdboEGVWCHBnt5xj683C1__lopL900Zkfe20BxzR22CLJBVav_o43UqqmFbgtavaAuxZwTDd2cxsmmXYfQ7TV1RVO319TtNRX-_evpdTtR_4_-60U-A9iJj7U</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Morita, Tatsuya</creator><creator>Tamura, Keiko</creator><creator>Kusajima, Etsuko</creator><creator>Sakai, Sayuri</creator><creator>Kawa, Masako</creator><creator>Imura, Chizuru</creator><creator>Ichihara, Kaori</creator><creator>Miyashita, Mitsunori</creator><creator>Yamaguchi, Takuhiro</creator><creator>Uchitomi, Yosuke</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201412</creationdate><title>Nurse education program on meaninglessness in terminally ill cancer patients: a randomized controlled study of a novel two-day workshop</title><author>Morita, Tatsuya ; Tamura, Keiko ; Kusajima, Etsuko ; Sakai, Sayuri ; Kawa, Masako ; Imura, Chizuru ; Ichihara, Kaori ; Miyashita, Mitsunori ; Yamaguchi, Takuhiro ; Uchitomi, Yosuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-6e0bc7723ea118011fd90f8532b0f7f28799742329a10ea37c1b0ef5118c191d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Attitude of Health Personnel</topic><topic>Female</topic><topic>Humans</topic><topic>Inservice Training</topic><topic>Japan</topic><topic>Male</topic><topic>Neoplasms - psychology</topic><topic>Nurse-Patient Relations</topic><topic>Nursing Staff, Hospital - education</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Program Evaluation</topic><topic>Surveys and Questionnaires</topic><topic>Terminally Ill</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morita, Tatsuya</creatorcontrib><creatorcontrib>Tamura, Keiko</creatorcontrib><creatorcontrib>Kusajima, Etsuko</creatorcontrib><creatorcontrib>Sakai, Sayuri</creatorcontrib><creatorcontrib>Kawa, Masako</creatorcontrib><creatorcontrib>Imura, Chizuru</creatorcontrib><creatorcontrib>Ichihara, Kaori</creatorcontrib><creatorcontrib>Miyashita, Mitsunori</creatorcontrib><creatorcontrib>Yamaguchi, Takuhiro</creatorcontrib><creatorcontrib>Uchitomi, Yosuke</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morita, Tatsuya</au><au>Tamura, Keiko</au><au>Kusajima, Etsuko</au><au>Sakai, Sayuri</au><au>Kawa, Masako</au><au>Imura, Chizuru</au><au>Ichihara, Kaori</au><au>Miyashita, Mitsunori</au><au>Yamaguchi, Takuhiro</au><au>Uchitomi, Yosuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nurse education program on meaninglessness in terminally ill cancer patients: a randomized controlled study of a novel two-day workshop</atitle><jtitle>Journal of palliative medicine</jtitle><addtitle>J Palliat Med</addtitle><date>2014-12</date><risdate>2014</risdate><volume>17</volume><issue>12</issue><spage>1298</spage><epage>1305</epage><pages>1298-1305</pages><issn>1096-6218</issn><eissn>1557-7740</eissn><abstract>Fostering patients' sense of meaning is an essential task for palliative care clinicians. Few studies have reported the effects on nurses of a short-term training program aimed at improving skills to relieve feelings of meaninglessness in terminally ill cancer patients.
The primary aim of this study was to determine the impact on nurses of a novel two-day education program focusing on care that addresses patients' feelings of meaninglessness. Measured were impacts on nurses' confidence, self-reported practice, attitudes toward caring for such patients, burnout, meaning of life, and knowledge.
This study was a randomized controlled trial using the waiting list control. Intervention consisted of a two-day interactive education program. A total of 76 nurses randomly allocated to two groups completed the study. Outcome measures included confidence scale; self-reported practice scale; scales of nursing attitudes toward caring for patients who experience feelings of meaningless (willingness to help, positive appraisal, helplessness, nurse-perceived value of being, and nurse-perceived value of patients' inner power); Maslach burnout scale, Functional Assessment of Chronic Illness Therapy-Spiritual, and knowledge scale.
There were significant intervention effects in nurse-reported confidence and nurse-perceived value of patients' inner power. Nurse-reported helplessness showed marginally significant improvement after intervention (p=0.067). No significant intervention effects were observed in the self-reported practice scale; attitudes toward caring for patients (willingness to help, positive appraisal, and nurse-perceived value of being); burnout scale, meaning of life; and knowledge score. The percentages of nurses who evaluated this program as useful or very useful were 95% (understanding the conceptual framework) and 85% (helping to learn how to provide care for patients feeling meaninglessness in clinical practice).
This short-term educational intervention had a significant beneficial effect on nurses' confidence and modest effects on attitudes.</abstract><cop>United States</cop><pmid>25225952</pmid><doi>10.1089/jpm.2013.0559</doi><tpages>8</tpages></addata></record> |
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| ispartof | Journal of palliative medicine, 2014-12, Vol.17 (12), p.1298-1305 |
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| subjects | Attitude of Health Personnel Female Humans Inservice Training Japan Male Neoplasms - psychology Nurse-Patient Relations Nursing Staff, Hospital - education Nursing Staff, Hospital - psychology Program Evaluation Surveys and Questionnaires Terminally Ill |
| title | Nurse education program on meaninglessness in terminally ill cancer patients: a randomized controlled study of a novel two-day workshop |
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