簡易檢索 / 詳目顯示

回結果列表
研究生： 何樂婷
Hertanti, Nuzul Sri
論文名稱： 印尼日惹基層衛生保健醫護人員安寧療護知識與態度之研究
Palliative Care Knowledge and Attitudes among Primary Care Health Professionals in Yogyakarta, Indonesia
指導教授： 高綺吟
Kao, Chi-Yin
學位類別： 碩士
Master
系所名稱： 醫學院 - 護理學系
Department of Nursing
論文出版年： 2018
畢業學年度： 106
語文別： 英文
論文頁數： 132
外文關鍵詞： Attitude, Knowledge, Palliative Care, Primary Health Care.
相關次數： 點閱：101  下載：4 
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報

    • Background: Knowledge and attitude are known to influence the quality of palliative care. However, palliative care services in primary health care units are at the early stage in Indonesia. There is a lack of studies to investigate primary care health professionals’ knowledge and attitudes regarding palliative care.
    Purpose: To explore primary care health professionals’ palliative care knowledge and attitudes.
    Methods: A descriptive correlational design with convenience sampling was conducted from August 2017 to February 2018 at 70 primary health care units in Yogyakarta, Indonesia. A total of 530 primary care health professionals working at these units were invited to participate in the study. The questionnaire included three parts, background information, palliative care knowledge, and palliative care attitudes.
    Results: A total of 516 primary care health professionals, including 143 physicians and 373 nurses completed the questionnaire survey. The mean score of knowledge was 7.83 (SD = 3.31) out of 20 possible scores and attitudes was 107.24 (SD = 7.50) out of 150 indicating limited knowledge and moderate positive attitudes toward palliative care. Primary care health professionals’ demographic characteristics, working experiences, and professional education in palliative care were associated with knowledge and attitudes. Primary care health professionals having better knowledge tended to demonstrate more positive palliative care attitudes (p < .05). Primary care health professionals with better palliative care knowledge were more likely to have comfortability to care terminally ill patients in the future (OR = 1.06, p = .035), whereas those with better attitudes toward palliative care were more likely to have comfortability to care terminally ill patients in the future (OR = 1.04, p < .001).
    Conclusions: Primary care health professionals demonstrated limited knowledge and moderate positive attitudes toward palliative care. Policy and education programs in palliative care in primary health care units should be addressed in Indonesia.
    Keywords: Attitude, Knowledge, Palliative Care, Primary Health Care.

    ORAL DEFENSE CERTIFICATE II ABSTRACT IV ACKNOWLEDGEMENTS V TABLE OF CONTENTS VI LIST OF TABLES X LIST OF FIGURES XII LIST OF APPENDICES XIII CHAPTER ONE INTRODUCTION 1 1.1 Background 1 1.2 Purpose 3 CHAPTER TWO LITERATURE REVIEW 4 2.1 Palliative Care in Primary Health Care 4 2.1.1 Definition of palliative care 4 2.1.2 Palliative care in primary health care 4 2.1.3 Palliative care in primary health care in Indonesia 7 2.1.4 The challenges of palliative care in primary health care 9 2.2 Palliative Care Knowledge 13 2.2.1 Definition of palliative care knowledge 13 2.2.2 Palliative care knowledge among health professionals 13 2.2.3 Measures of palliative care knowledge 16 2.3 Palliative Care Attitudes 18 2.3.1 Definition of palliative care attitudes 18 2.3.2 Palliative care attitudes among health professionals 18 2.3.3 Measures of palliative care attitudes 21 2.4 Factors Associated with Palliative Care Knowledge and Attitudes 24 2.4.1 Demographic characteristics 24 2.4.2 Working experiences 27 2.4.3 Professional education in palliative care 31 CHAPTER THREE METHODS 41 3.1 Study Design 41 3.2 Research Framework 41 3.3 Operational Definition 42 3.4 Setting 42 3.5 Sample 43 3.6 Measures 43 3.6.1 Background information 43 3.6.2 Palliative Care Quiz for Nursing 44 3.6.3 Frommelt Attitude Toward Care of the Dying Scale Form B 44 3.6.4 Cross-cultural adaptation process 45 3.6.5 Validity and reliability PCQN and FATCOD Form B-Indonesian version 47 3.7 Preparation for Data Collection 48 3.8 Data Collection 49 3.9 Data Analysis 50 3.10 Ethical Considerations 51 CHAPTER FOUR RESULTS 53 4.1 Background Information 53 4.2 Palliative Care Knowledge 56 4.3 Palliative Care Attitudes 58 4.4 Association between Primary Care Health Professionals’ Background Information Variables, Palliative Care Knowledge, and Palliative Care Attitudes 62 4.5 Association between Physicians’ Background Information Variables, Palliative Care Knowledge, and Palliative Care Attitudes 65 4.6 Association between Nurses’ Background Information Variables, Palliative Care Knowledge, and Palliative Care Attitudes 67 4.7 Differences of Palliative Care Knowledge and Palliative Care Attitudes According to Primary Care Health Professionals’ Background Information Variables 70 4.8 Differences of Palliative Care Knowledge and Palliative Care Attitudes According to Physicians’ Background Information Variables 74 4.9 Differences of Palliative Care Knowledge and Palliative Care Attitudes According to Nurses’ Background Information Variables 76 4.10 Variables Influencing Participants’ Comfortability to Care Terminally Ill Patients in the Future 80 CHAPTER FIVE DISCUSSIONS AND CONCLUSIONS 82 5.1 A Summary of Main Findings 82 5.2 Limited Knowledge but Moderate Attitudes toward Palliative Care among Primary Care Health Professionals in Yogyakarta 83 5.3 Factors Associated with Palliative Care Knowledge and Attitudes among Primary Care Health Professionals in Yogyakarta 89 5.4 Better Palliative Care Knowledge and Attitudes and More Comfortability to Care Terminally Ill Patients in the Future among Primary Care Health Professionals in Yogyakarta 91 5.5 Challenges, Strengths, and Limitations 92 5.5.1 Challenges 92 5.5.2 Strengths 92 5.5.3 Limitations 93 5.6 Implications 93 5.7 Conclusions 94 REFERENCES 95 APPENDICES 112 Appendix 3.1 Demographic and Professional Data Sheet 112 Appendix 3.2 Palliative Care Quiz for Nursing 116 Appendix 3.3 Permission using PCQN 118 Appendix 3.4 Frommelt Attitude Toward Care of the Dying Scale (FATCOD) Form B 119 Appendix 3.5 Permission using FATCOD Form B 123 Appendix 3.6 IRB Approval 124 Appendix 3.7 Research Permit of Yogyakarta Province Government 125 Appendix 3.8 Research Permit of Five Regencies in Yogyakarta Province 126 Appendix 3.9 Consent Form 131

    Abudari, G., Zahreddine, H., Hazeim, H., Al Assi, M., & Emara, S. (2014). Knowledge of and attitudes towards palliative care among multinational nurses in Saudi Arabia. International Journal of Palliative Nursing, 20(9), 435-441.
    Afifah, I. (2015, September). Pelatihan paliatif segarkan perkembangan perawatan paliatif. Dinas Kesehatan Kota Surabaya. Retrieved from http://dinkes.surabaya.go.id/portal/berita/pelatihan-paliatif-segarkan-perkembangan-perwatan-paliatif/
    Airlangga University. (2012, February). Dua decade memperjuangkan sentuhan paliatif penderita kanker. Fakultas Kedokteran Universitas Airlangga. Retrieved from http://fk.unair.ac.id/archives/2012/02/24/dua-dekade-memperjuangkan-sentuhan-paliatif-penderita-kanker.html
    Al Qadire, M. (2014). Knowledge of palliative care: An online survey. Nurse Education Today, 34(5), 714-718.
    Ali, W. G. M., & Ayoub, N. S. (2010). Nurses’ attitudes toward caring for dying patient in Mansoura university hospitals. Journal of Medicine and Biomedical Sciences, 1(1), 16-23.
    Anggraeni, M. D., & Ekowati, W. (2011). Family role in the achievement of post radical mastectomy self integrity patients. International Journal Public Health Research, 1, 163-168.
    Arslan, D., Akca, N. K., Simsek, N., & Zorba, P. (2014). Student nurses’ attitudes toward dying patients in central Anatolia. International Journal of Nursing Knowledge, 25(3), 183-188.
    Association of Indonesian Nurses Education Center [AINEC]. (2016). Kurikulum Inti Pendidikan Ners Indonesia 2015. Jakarta: Author.
    Ayed, A., Sayej, S., Harazneh, L., Fashafsheh, I., & Eqtait, F. (2015). The nurses' knowledge and attitudes towards the palliative care. Journal of Education and Practice, 6(4), 91-99.
    Azevedo, C., Rates, C. M. P., Pessalacia, J. D. R., & da Mata, L. R. F. (2016). Prospects for palliative care in primary healthcare: A descriptive study. Online Brazilian Journal of Nursing, 15(4), 683-93.
    Back, A. L., & Curtis, J. R. (2001). When does primary care turn into palliative care?. Western Journal of Medicine, 175(3), 150-151.
    Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191.
    Bhatnagar, S., & Patel, A. (2018). Effectiveness of the certificate course in essentials of palliative care program on the knowledge in palliative care among the participants: A cross-sectional interventional study. Indian Journal of Palliative Care, 24(1), 86-92. doi:10.4103/IJPC.IJPC_116_17
    Bland, J. M., & Altman, D. G. (1997). Statistics notes: Cronbach's alpha. British Medical Journal, 314(7080), 572.
    Block, S. D., Bernier, G. M., Crawley, L. M., Farber, S., Kuhl, D., Nelson, W., ... & Ury, W. (1998). Incorporating palliative care into primary care education. Journal of General Internal Medicine, 13(11), 768-773.
    Braun, M., Gordon, D., & Uziely, B. (2010). Associations between oncology nurses' attitudes toward death and caring for dying patients. Oncology Nursing Forum, 37(1), E43-E49.
    Brazil, K., Brink, P., Kaasalainen, S., Kelly, M. L., & McAiney, C. (2012). Knowledge and perceived competence among nurses caring for the dying in long-term care homes. International Journal of Palliative Nursing, 18(2), 77-83.
    Bruera, E., Higginson, I., Von Gunten, C. F., & Morita, T. (2015). Textbook of palliative medicine and supportive care (2nd ed.). Florida: CRC Press.
    Budkaew, J., & Chumworathayi, B. (2013). Knowledge and attitudes toward palliative terminal cancer care among Thai generalists. Asian Pacific Journal of Cancer Prevention, 14(10), 6173-6180.
    Cameron, B. L., & Salas, A. S. (2009). Understanding the provision of palliative care in the context of primary health care: Qualitative research findings from a pilot study in a community setting in Chile. Journal of Palliative Care, 25(4), 275-283.
    Canto, M. E., Cánaves, J. L., Xamena, J. M., & de Lluch Bauzá Amengual, M. (2000). Management of terminal cancer patients: Attitudes and training needs of primary health care doctors and nurses. Supportive Care in Cancer, 8(6), 464-471.
    Carroll, G., Brisson, D. P. H., Ross, M. M., & Labbé, R. (2005). The French version of the palliative care quiz for nursing (PCQN-F): Development and evaluation. Journal of Palliative Care, 21(1), 27-34.
    Cevik, B., & Kav, S. (2013). Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nursing, 36(6), E58-E65. doi:10.1097/NCC.0b013e318276924c
    Chover-Sierra, E., Martínez-Sabater, A., & Lapeña-Moñux, Y. R. (2017a). An instrument to measure nurses' knowledge in palliative care: Validation of the Spanish version of Palliative Care Quiz for Nurses. PloS One, 12(5), e0177000. doi:10.1371/journal.pone.0177000 PMID: 28545037
    Chover-Sierra, E., Martínez-Sabater, A., & Lapeña-Moñux, Y. (2017b). Knowledge in palliative care of nursing professionals at a Spanish hospital. Revista Latino-Americana de Enfermagem, 25, e2847. doi:10.1590/1518-8345.1610.2847
    Clark, K., Curry, T., & Byfieldt, N. (2015). The effect of a care bundle on nursing staff when caring for the dying. International Journal of Palliative Nursing, 21(8), 392-398.
    Cumming, M., Boreland, F., & Perkins, D. (2012). Do rural primary health care nurses feel equipped for palliative care?. Australian Journal of Primary Health, 18(4), 274-283.
    De Lima, L., Wenk, R. D., Rajagopal, M. R., Mosoiu, D., Gwyther, L., & Bruera, E. (2011). Palliative care in developing countries. In Emanuel, L. L., & Librach, S. L, Palliative care core skills and clinical competencies (2nd ed.) (pp. 680-695). America: Elsevier Saunders.
    De Maeseneer, J., Willems, S., De Sutter, A., Van de Geuchte, I., & Billings, M. (2007). Primary health care as a strategy for achieving equitable care: A literature review commissioned by the Health Systems Knowledge Network (Rep.). Retrieved from http://www.who.int/social_determinants/resources/csdh_media/primary_health_care_2007_en.pdf?ua=1
    de Paula Paz, C. R., Reis Pessalacia, J. D., Campos Pavone Zoboli, E. L., Ludugério de Souza, H., Ferreira Granja, G., & Cabral Schveitzer, M. (2016). New demands for primary health care in Brazil: Palliative care. Investigación y Educación en Enfermería, 34(1), 46-57.
    Department of Health. (2008). End of life care strategy: Promoting high quality care for all adults at the end of life. London: Author.
    Dowell, D., Haegerich, T. M., Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain-United States, 2016. JAMA, 315(15), 1624-1645. doi:10.1001/jama.2016.1464
    Doyle, D., & Woodruff, R. (2013). The IAHPC manual of palliative care (3rd ed.). Retrieved from https://hospicecare.com/uploads/2013/9/The%20IAHPC%20Manual%20of%20Palliative%20Care%203e.pdf
    Dunn, K. S., Otten, C., & Stephens, E. (2005). Nursing experience and the care of dying patients. Oncology Nursing Forum, 32(1), 97-104. doi:10.1188/05.ONF.97-104
    Effendy, C. (2015). The quality of palliative care for patients with cancer in Indonesia (Doctoral dissertation, Radboud University Nijmegen, 2015). Nijmegen, Netherland: Radboud Universiteit Nijmegen.
    Effendy, C., Vernooij-Dassen, M., Setiyarini, S., Kristanti, M. S., Tejawinata, S., Vissers, K., & Engels, Y. (2015). Family caregivers’ involvement in caring for a hospitalized patient with cancer and their quality of life in a country with strong family bonds. Psycho-Oncology, 24(5), 585-591.
    Effendy, C., Vissers, K., Osse, B. H., Tejawinata, S., Vernooij-Dassen, M., & Engels, Y. (2015). Comparison of problems and unmeet needs of patients with advanced cancer in a European country and an Asian country. Pain Practice, 15(5), 433-440. doi:10.1111/papr.12196
    Faull, C., de Caestecker, S., Nicholson, A., & Black, F. (2012). Handbook of palliative care (3rd ed.). Hoboken, New Jersey: John Wiley & Sons, Inc.
    Ferine, M., Rahayu, G. R., & Claramita, M. (2017). Identifying doctors' problems in breaking bad news: An Initial step in developing recommendations for the curriculum. The Indonesian Journal of Medical Education, 6(2), 108-115.
    Ferrell, B. R., Virani, R., & Malloy, P. (2006). Evaluation of the end-of-life nursing education consortium project in the USA. International Journal of Palliative Nursing, 12(6), 269-276.
    Frommelt, K. H. M. (2003). Attitudes toward the care of terminally ill: An educational intervention. American Journal of Hospice and Palliative Care, 20(1), 13–19.
    Gardiner, C., Gott, M., Ingleton, C., Hughes, P., Winslow, M., & Bennett, M. I. (2012). Attitudes of health care professionals to opioid prescribing in end-of-life care: A qualitative focus group study. Journal of Pain and Symptom Management, 44(2), 206-214.
    Ghasemi, A., & Zahediasl, S. (2012). Normality tests for statistical analysis: A guide for non-statisticians. International Journal of Endocrinology and Metabolism, 10(2), 486-489.
    Goodridge, D., & Duggleby, W. (2010). Using a quality framework to assess rural palliative care. Journal of Palliative Care, 26(3), 141-150.
    Groot, M. M., Vernooij-Dassen, M. J., Verhagen, S. C., Crul, B. J., & Grol, R. P. (2007). Obstacles to the delivery of primary palliative care as perceived by GPs. Palliative Medicine, 21(8), 697-703.
    Health Care Chaplaincy. (2013). A dictionary of patients’ spiritual and cultural values for health care professionals. Retrieved from http://www.healthcarechaplaincy.org/userimages/doc/Cultural_Sensitivity_Dictionary_from_HealthCare_Chaplaincy_Jan_2013.pdf
    Henoch, I., Browall, M., Melin-Johansson, C., Danielson, E., Udo, C., Sundler, A. J., ... & Strang, S. (2014). The Swedish version of the Frommelt Attitude Toward Care of the Dying Scale: Aspects of validity and factors influencing nurses’ and nursing students’ attitudes. Cancer Nursing, 37(1), E1-E11.
    Hermsen, M. A., & ten Have, H. A. (2003). Moral problems in palliative care practice: A qualitative study. Medicine, Health Care, and Philosophy, 6(3), 263-272.
    Hinton, P.R., Brownlow, C., McMurray, I., Cozens, B. (2004). SPSS explained. New York: Routledge.
    Hu, W. Y., Chiu, T. Y., Dai, Y. T., Chang, M., Jaing, T. H., & Chen, C. Y. (2003). Nurses' willingness and the predictors of willingness to provide palliative care in rural communities of Taiwan. Journal of Pain and Symptom Management, 26(2), 760-768.
    Hughes, P. M., Parker, C., Payne, S., Ingleton, M. C., & Noble, B. (2006). Evaluating an education programme in general palliative care for community nurses. International Journal of Palliative Nursing, 12(3), 123-131.
    Hui, D., Nooruddin, Z., Didwaniya, N., Dev, R., De La Cruz, M., Kim, S. H., ... & Bruera, E. (2014). Concepts and definitions for “actively dying,”“end of life,”“terminally ill,”“terminal care,” and “transition of care”: A systematic review. Journal of Pain and Symptom Management, 47(1), 77-89.
    Huijer, H. A.-S., Dimassi, H., & Abboud, S. (2009). Perspectives on palliative care in Lebanon: Knowledge, attitudes, and practices of medical and nursing specialties. Palliative and Supportive Care, 7(03), 339-347.
    Iranmanesh, S., Dargahi, H., & Abbaszadeh, A. (2008). Attitudes of Iranian nurses toward caring for dying patients. Palliative and Supportive Care, 6(4), 363.
    Iranmanesh, S., Razban, F., Tirgari, B., & Zahra, G. (2014). Nurses' knowledge about palliative care in Southeast Iran. Palliative and Supportive Care, 12(03), 203-210.
    Johnston, B.M. (2005). Introduction to palliative care: Overview of nursing developments. In Lugton, J., & McIntyre, R, Palliative care the nursing role (2nd ed.) (pp. 1-28). London: Elsevier Churchill Livingstone.
    Kassa, H., Murugan, R., Zewdu, F., Hailu, M., & Woldeyohannes, D. (2014). Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia. BioMed Central Palliative Care, 13(1), 6.
    Kim, B. H., Kim, H. S., Yu, S. J., Choi, S. E., Jung, Y., & Kwon, S. H. (2012). Evaluation of end-of-life nursing education consortium-geriatric train-the-trainer program in Korea. Korean Journal of Adult Nursing, 24(4), 390-397. doi:10.7475/kjan.2012.24.4.390
    Kim, H. S., Kim, B. H., Yu, S. J., Kim, S., Park, S. H., Choi, S., & Jung, Y. (2011). The effect of an end-of-life nursing education consortium course on nurses' knowledge of hospice and palliative care in Korea. Journal of Hospice and Palliative Nursing, 13(4), 222-229.
    Knapp, C. A., Madden, V., Wang, H., Kassing, K., Curtis, C., Sloyer, P., & Shenkman, E. A. (2009). Paediatric nurses' knowledge of palliative care in Florida: A quantitative study. International Journal of Palliative Nursing, 15(9), 432-439.
    Lange, M., Thom, B., & Kline, N. E. (2008). Assessing nurses' attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncology Nursing Forum, 35(6), 955-959. doi:10.1188/08.ONF.955-959
    Lubimir, K. T., & Wen, A. B. (2011). Towards cultural competency in end-of-life communication training. Hawaii Medical Journal, 70(11), 239.
    Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-386.
    Marcucci, F. C., Cabrera, M. A., Perilla, A. B., Brun, M. M., de Barros, E. M. L., Martins, V. M., ... & Yates, P. (2016). Identification and characteristics of patients with palliative care needs in Brazilian primary care. BioMed Central Palliative Care, 15(1), 51. doi:10.1186/s12904-016-0125-4
    Maria, K., Evanthia, V., Petros, K. A., & Dimitris, N. (2016). Assessment of knowledge and associated factors towards palliative care among Greek nurses. World Journal of Social Science Research, 3(3), 381-395.
    Martina, D. (2017, October). Revisiting palliative care in Indonesia: How far are we?. ASCO Connection. Retrieved from https://connection.asco.org/magazine/asco-international/revisiting-palliative-care-indonesia-how-far-are-we
    Marwati. (2011, August). Developing palliative care in Indonesia. Universitas Gadjah Mada. Retrieved from http://www.ugm.ac.id/en/newsPdf/6732-developing.palliative.care.in.indonesia
    Mason, B., Buckingham, S., Finucane, A., Hutchison, P., Kendall, M., McCutcheon, H., ... & Murray, S. A. (2015). Improving primary palliative care in Scotland: Lessons from a mixed methods study. BioMed Central Family Practice, 16(176), 1-8.
    Mason, S., & Ellershaw, J. (2008). Preparing for palliative medicine; evaluation of an education programme for fourth year medical undergraduates. Palliative Medicine, 22(6), 687-692.
    Mastroianni, C., Piredda, M., Taboga, C., Mirabella, F., Marfoli, E., Casale, G., ... & De Marinis, M. G. (2015). Frommelt Attitudes Toward Care of the Dying Scale Form B: Psychometric testing of the Italian version for students. OMEGA-Journal of Death and Dying, 70(3), 227-250.
    Matsui, M., & Braun, K. (2010). Nurses' and care workers' attitudes toward death and caring for dying older adults in Japan. International Journal of Palliative Nursing, 16(12), 593-598. doi:10.12968/ijpn.2010.16.12.593
    McCormick, E., Chai, E., & Meier, D. E. (2012). Integrating palliative care into primary care. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine, 79(5), 579-585.
    Merrill, J., Lorimor, R., Thornby, J., & Woods, A. (1998). Caring for terminally ill persons: Comparative analysis of attitudes (thanatophobia) of practicing physicians, student nurses, and medical students. Psychological Reports, 83(1), 123-128.
    Ministry of Health. (2007). Keputusan Menteri Kesehatan Republik Indonesia Nomor: 812/Menkes/SK/VII/2007 tentang kebijakan perawatan paliatif. Jakarta: Kementerian Kesehatan Republik Indonesia.
    Ministry of Health. (2013). Pedoman teknis pelayanan paliatif kanker. Jakarta: Direktur Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan Kementerian Kesehatan Republik Indonesia.
    Ministry of Health. (2014). Peraturan Kementerian Kesehatan Republik Indonesia Nomor 75 Tahun 2014 tentang pusat kesehatan masyarakat. Jakarta: Kementerian Kesehatan Republik Indonesia.
    Ministry of Health. (2015). Profil kesehatan Kota Surabaya tahun 2015. Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. Retrieved from http://www.pusdatin.kemkes.go.id/
    Ministry of Health. (2016). Data dasar Puskesmas kondisi Desember 2015. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia.
    Ministry of Health. (2017, October). Profil Dinas Kesehatan Kota Surabaya. Dinas Kesehatan Kota Surabaya. Retrieved from http://dinkes.surabaya.go.id/portalv2/profil/profil-dinas-kesehatan-kota-surabaya/
    Miyashita, M., Nakai, Y., Sasahara, T., Koyama, Y., Shimizu, Y., Tsukamoto, N., & Kawa, M. (2007). Nursing autonomy plays an important role in nurses' attitudes toward caring for dying patients. American Journal of Hospice and Palliative Medicine, 24(3), 202-210.
    Murray, S. A., Boyd, K., Sheikh, A., Thomas, K., Higginson, I. J. (2004). Developing primary palliative care: People with terminal conditions should be able to die at home with dignity [Editorial]. British Medical Journal, 329, 1056-1057.
    Murray, S. A., Firth, A., Schneider, N., Van den Eynden, B., Gomez-Batiste, X., Brogaard, T., ... & Downing, J. (2015). Promoting palliative care in the community: Production of the primary palliative care toolkit by the European Association of Palliative Care Taskforce in primary palliative care. Palliative Medicine, 29(2), 101-111.
    Mutto, E. M., Errázquin, A., Rabhansl, M. M., & Villar, M. J. (2010). Nursing education: The experience, attitudes, and impact of caring for dying patients by undergraduate Argentinian nursing students. Journal of Palliative Medicine, 13(12), 1445-1450.
    Nakanishi, M., & Miyamoto, Y. (2016). Palliative care for advanced dementia in Japan: Knowledge and attitudes. British Journal of Nursing, 25(3), 146-155.
    Nakazawa, Y., Miyashita, M., Morita, T., Umeda, M., Oyagi, Y., & Ogasawara, T. (2009). The palliative care knowledge test: Reliability and validity of an instrument to measure palliative care knowledge among health professionals. Palliative Medicine, 23(8), 754-766.
    Neergaard, M. A., Olesen, F., Jensen, A. B., & Sondergaard, J. (2008). Palliative care for cancer patients in a primary health care setting: Bereaved relatives' experience, a qualitative group interview study. BioMed Central Palliative Care, 7(1), 1-8.
    Nguyen, L. T., Yates, P., & Osborne, Y. (2014). Palliative care knowledge, attitudes and perceived self-competence of nurses working in Vietnam. International Journal of Palliative Nursing, 20(9), 448-456.
    O'Neill, B., & Fallon, M. 1997. ABC of palliative care: Principles of palliative care and pain control. British Medical Journal, 315, 801-804.
    Paice, J. A. (2018). Management of pain at end of life. In Essentials of Pain Medicine (4th ed.) (pp. 309-314). Retrieved from https://doi.org/10.1016/B978-0-323-40196-8.00035-8
    Pan, H. H., Shih, H. L., Wu, L. F., Hung, Y. C., Chu, C. M., & Wang, K. Y. (2017). Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: A cross-sectional study. BioMed Central Palliative Care, 16(1), 42.
    Parrish, M., Kinderman, A., & Rabow, M. (2015). Weaving palliative care into primary care: A guide for community health centers. Retrieved from https://www.chcf.org/wp-content/uploads/2017/12/PDF-WeavingPalliativeCarePrimaryCare.pdf
    Pelayo, M., Cebrián, D., Areosa, A., Agra, Y., Izquierdo, J. V., & Buendía, F. (2011). Effects of online palliative care training on knowledge, attitude and satisfaction of primary care physicians. BioMed Central Family Practice, 12(1), 37.
    Peng, J. K., Chiu, T. Y., Hu, W. Y., Lin, C. C., Chen, C. Y., & Hung, S. H. (2013). What influences the willingness of community physicians to provide palliative care for patients with terminal cancer? Evidence from a nationwide survey. Japanese Journal of Clinical Oncology, 43(3), 278-285.
    Plichta, S. B., & Kelvin, E. A. (2013). Munro's statistical methods for health care research (6th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
    Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
    Prem, V., Karvannan, H., Kumar, S. P., Karthikbabu, S., Syed, N., Sisodia, V., & Jaykumar, S. (2012). Study of nurses' knowledge about palliative care: A quantitative cross-sectional survey. Indian Journal of Palliative Care, 18(2), 122-127.
    Putranto, R., Mudjaddid, E., Shatri, H., Adli, M., & Martina, D. (2017). Development and challenges of palliative care in Indonesia: Role of psychosomatic medicine. BioPsychoSocial Medicine, 11(1), 29. doi:10.1186/s13030-017-0114-8
    Raudonis, B. M., Kyba, F. C., & Kinsey, T. A. (2002). Long-term care nurses' knowledge of end-of-life care. Geriatric Nursing, 23(6), 296-301.
    Razban, F., Iranmanesh, S., & Rafiei, H. (2013). Nurses’ attitudes toward palliative care in south-east Iran. International Journal of Palliative Nursing, 19(8), 403-410.
    Rini, A. K. (2011). Implementasi program paliatif: Studi deskriptif tentang implementasi program paliatif di Puskesmas Balongsari, Tandes, Surabaya (Undergraduate’s thesis, Airlangga University, Indonesia). Abstract retrieved from http://repository.unair.ac.id/17211/
    Robinson, C. A., Pesut, B., Bottorff, J. L., Mowry, A., Broughton, S., & Fyles, G. (2009). Rural palliative care: A comprehensive review. Journal of Palliative Medicine, 12(3), 253-258.
    Robinson, K., Sutton, S., Gunten, C. F. V., Ferris, F. D., Molodyko, N., Martinez, J., & Emanuel, L. L. (2004). Assessment of the education for physicians on end-of-life care (EPEC™) project. Journal of Palliative Medicine, 7(5), 637-645.
    Rochmawati, E., Wiechula, R., & Cameron, K. (2016). Current status of palliative care services in Indonesia: A literature review. International Nursing Review, 63(2), 180–190.
    Ronaldson, S., Hayes, L., Carey, M., & Aggar, C. (2008). A study of nurses’ knowledge of a palliative approach in residential aged care facilities. International Journal of Older People Nursing, 3(4), 258-267.
    Ross, M. M., McDonald, B., & McGuinness, J. (1996). The Palliative Care Quiz for Nursing (PCQN): The development of an instrument to measure nurses' knowledge of palliative care. Journal of Advanced Nursing, 23(1), 126-137. doi:10.1111/j.1365-2648.1996.tb03106.x
    Saleh, M. S., Danantosa, T., & Kusumawardhani, C. (2008). Perawatan paliatif di Puskesmas Balongsari Surabaya: Upaya mendekatkan layanan rawat jalan kepada pasien kanker stadium lanjut. Indonesian Journal of Cancer, 2(1), 27-29.
    Sandiputra, R. (2017, February). Dinkes diminta terapkan layanan perawatan paliatif. Berita Jakarta. Retrieved from http://www.beritajakarta.id/read/41892/dinkes_diminta_terapkan_layanan_perawatan_paliatif
    Sarhill, N., LeGrand, S., Islambouli, R., Davis, M. P., & Walsh, D. (2001). The terminally ill Muslim: Death and dying from the Muslim perspective. American Journal of Hospice and Palliative Medicine, 18(4), 251-255.
    Sato, K., Inoue, Y., Umeda, M., Ishigamori, I., Igarashi, A., Togashi, S., . . . & Oki, J. (2014). A Japanese region-wide survey of the knowledge, difficulties and self-reported palliative care practices among nurses. Japanese Journal of Clinical Oncology, 44(8), 718-728.
    Shields, L., & Hartati, L. E. (2003). Nursing and health care in Indonesia. Journal of Advanced Nursing, 44(2), 209-216.
    Soebadi, R., & Tejawinata, S. (1996). Indonesia: Status of cancer pain and palliative care. Journal of Pain and Symptom Management, 12(2), 112-115.
    Stjernswärd, J., Ferris, F. D., Khleif, S. N., Jamous, W., Treish, I. M., Milhem, M., ... & Alwan, A. (2007). Jordan palliative care initiative: A WHO demonstration project. Journal of Pain and Symptom Management, 33(5), 628-633.
    Suri. (2017, Maret). Rencanakan layanan palliative care di Puskesmas. ‘Aisyiyah Gerakan Perempuan Muslim Berkemajuan. Retrieved from http://www.aisyiyah.or.id/id/berita/rencanakan-layanan-paliatif-care-di-puskesmas-pp-aisyiyah-dan-unisa-gelar-diskusi-terbatas.html
    Tait, V., Higgs, M., Magann, L., Dixon, J., Davis, J. M., & Fernandez, R. (2015). Attitudes of nonpalliative care nurses towards palliative care. International Journal of Palliative Care, 2015. Retrieved from http://dx.doi.org/10.1155/2015/469174
    Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach's alpha. International Journal of Medical Education, 2, 53-55. doi:10.5116/ijme.4dfb.8dfd
    Tavakol, M., Murphy, R., & Torabi, S. (2008). Educating doctors about breaking bad news: An Iranian perspective. Journal of Cancer Education, 23(4), 260-263.
    Wang, L. P., Li, Y. J., Yan, W. Z., & Li, G. M. (2016). Development and psychometric testing Chinese version of the Frommelt Attitude Toward Care of the Dying Scale, Form B in nurses and nursing students. Journal of Cancer Education, 31(1), 123-130.
    Wang, X. S., Di, L. J., Reyes-Gibby, C. C., Guo, H., Liu, S. J., & Cleeland, C. S. (2004). End-of-life care in urban areas of China: A survey of 60 oncology clinicians. Journal of Pain and Symptom Management, 27(2), 125-132. doi:10.1016/j.jpainsymman.2003.06.002
    Wilson, O., Avalos, G., & Dowling, M. (2016). Knowledge of palliative care and attitudes towards nursing the dying patient. British Journal of Nursing, 25(11), 600-605.
    Witjaksono, M. A., Sutandiyo, N., & Suardi, D. (2014). Regional support for palliative care in Indonesia. Ehospice. Retrieved April 14, 2017, from http://www.ehospice.com/
    World Health Organization. (2002). WHO definition of palliative care. World Health Organization. Retrieved May 15, 2017, from http://www.who.int/cancer/palliative/definition/en/
    World Health Organization. (2014). Infographics on palliative care. World Health Organization. Retrieved May 27, 2017, from http://www.who.int/ncds/management/palliative-care/pc-infographics/en/
    World Health Organization. (2015a). Infographics on palliative care. World Health Organization. Retrieved May 23, 2017, from http://www.who.int/ncds/management/palliative-care/pc-infographics/en/
    World Health Organization. (2015b). Palliative care. World Health Organization. Retrieved April 4, 2017, from http://www.who.int/mediacentre/factsheets/fs402/en/
    World Health Organization. (2016). Planning and implementing palliative care services: A guide for programme managers. Retrieved from http://apps.who.int/iris/bitstream/10665/250584/1/9789241565417-eng.pdf
    Worldwide Palliative Care Alliance. (2014). Global atlas of palliative care at the end of life. Retrieved from http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf
    Zahedi, F. (2011). The challenge of truth telling across cultures: A case study. Journal of Medical Ethics and History of Medicine, 4, 11. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713926/pdf/jmehm-4-11.pdf

    下載圖示 校內：2021-06-23公開
    校外：2022-06-23公開
    QR CODE