Enhancing oncology patient care: nurses’ knowledge, attitudes, and perceived benefits of early palliative integration - a crosssectional study
Publication Type
Original research
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Abstract
Background Palliative care aims to improve quality of life for patients with end-stage illnesses by addressing physical,
psychological, social and spiritual needs. Early referral to palliative care improves patient outcomes, quality of life and
overall survival in a variety type of cancers. This study aimed to assess knowledge, attitudes and perceived benefits of
early integration of palliative care among oncology nursing.
Methods A descriptive cross-sectional study was conducted in public, private, and educational hospitals located
in Palestine. Data were collected using paper based self-administered questionnaires from nurses working in
hematology, general oncology, and bone marrow transplantation departments.
Results Among of 128 nurses, the study revealed a moderate level of knowledge (3.64 ± 0.96), Positive attitude
(3.59 ± 1.02) and moderately recognized the perceived benefits of early palliative care (3.57 ± 1.02). A statistically
significant difference in nurses’ knowledge, attitudes and perceived benefits of early palliative care based on clinical
experience. Pearson’s correlation showed a significant positive relationship between the total knowledge and
attitudes score (r = 0.211, p < 0.001), as well as with perceived benefits total score (r = 0.567, p < 0.001). Moreover,
there was a significant positive relationship between the total attitude score and perceived benefits score (r = 0.303,
p < 0.001).
Conclusions These findings suggest that enhancing knowledge and highlighting the benefits of early palliative
care integration could foster more favorable attitudes among oncology nurses. investing in education and training to
have all nurses prepared to provide high-quality palliative care results in better patient outcomes and less suffering.
Patients with advanced cancer should be referred to the palliative care teams at an early stage of treatment in
conjunction with their treatment in order to improve patient outcomes and quality of life.
Keywords Attitudes, Early Integration, Knowledge, Palliative Care, Nurses, Oncology, Perceived benefits, Palestine.

Journal
Title
. BMC Palliative Care
Publisher
An-Najah National University
Publisher Country
Palestine
Indexing
Scopus
Impact Factor
3.1
Publication Type
Both (Printed and Online)
Volume
24
Year
2025
Pages
24:7