Knowledge and training among nursing students regarding the conspiracy of silence in palliative care: A participatory action research.
Nurse Educ Pract
; 79: 104086, 2024 Aug.
Article
en En
| MEDLINE
| ID: mdl-39116669
ABSTRACT
AIM:
To develop and implement specific training based on the knowledge and management of conspiracy of silence among nursing students.BACKGROUND:
Conspiracy of silence refers to the concealment of information from a patient on the family's request, under the influence of a paternalistic culture that seeks to protect the patient.DESIGN:
Participatory action research.METHODS:
Was conducted in the following stages reconnaissance (focus groups); planning, action and observation (theoretical sessions); and reflection (analysis of care plans). The focus group consisted of six fourth year and eight second-year students. The intervention was conducted with 42â¯s-year students and a total of 93â¯s-year students participated in the resolution of the clinical case. The study was conducted between October 2022 and June 2023 at the Faculty of Nursing, University of Valencia. For data analysis, the process described by Carrillo et al. (2011) was followed, involving coding and the creation of categories and subcategories.RESULTS:
The focus group deficiencies were detected in the students' learning of palliative care competence, breaking bad news and the conspiracy of silence (reconnaissance stage). Therefore, an intervention was conducted to reinforce these knowledge areas, specifically addressing the conspiracy of silence (planning, action and observation stages). The resolution of the case showed how students with training approached the situation more comprehensively, including the family and proposed activities that were consistent with managing the situation (reflection stage).CONCLUSIONS:
An active feedback process was successfully established, where the students' feedback helped create specific training on oncological palliative care and provided the students with tools to manage the conspiracy of silence. The results underscore the importance of providing students with training in palliative care and managing conspiracy of silence, through therapeutic communication training, active training or enhancing emotional intelligence. This training is essential for cultivating the attitudes and skills required to deliver high-quality palliative care.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cuidados Paliativos
/
Estudiantes de Enfermería
/
Grupos Focales
/
Bachillerato en Enfermería
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Nurse Educ Pract
Asunto de la revista:
EDUCACAO
/
ENFERMAGEM
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Reino Unido