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dc.contributor.authorKorzeniewska-Eksterowicz, Aleksandra
dc.contributor.authorPrzysło, Łukasz
dc.contributor.authorKędzierska, Bogna
dc.contributor.authorStolarska, Małgorzata
dc.contributor.authorMłynarski, Wojciech
dc.description.abstractPurpose. Most undergraduate palliative care curricula omit pediatric palliative care (PPC) issues. Aim of the study was to evaluate the pilot education programme. Methods. All 391 students of Faculty of Medicine (FM) and 59 students of Division of Nursing (DN) were included in anonymous questionnaire study. Respondents were tested on their knowledge and attitude towards PPC issues before and at the end of the programme and were expected to evaluate the programme at the end. Results. For final analysis, authors qualified 375 double forms filled in correctly (320 FM and 55 DN). Before the programme, students’ knowledge assessed on 0–100-point scale was low (FM: median: 43.35 points; 25%–75%: (40p–53.3p); DN: 26.7p; 13.3p–46.7p), and, in addition, there were differences (P<0.001) between both faculties. Upon completion of the programme, significant increase of the level of knowledge in both faculties was noted (FM: 80p; 73.3–100; DN: 80p; 66.7p–80p). Participation in the programme changed declared attitudes towards some aspects of withholding of special procedures, euthanasia, and abortion. Both groups of students positively evaluated the programme. Conclusions. This study identifies medical students’ limited knowledge of PPC. Educational intervention changes students’ attitudes to the specific end-of-life issues. There is a need for palliative care curricula evaluation.pl_PL
dc.description.sponsorshipThe programme has been awarded and 90% financed by the Foundation for the Development of the Education System, Measure V Edition, Development of the Polish Higher Education Institution. Since August 2009, the project has been completed with the support granted by Iceland, Liechtenstein, and Norway by means of cofinancing from the European Economic Area Financial Mechanism and the Norwegian Financial Mechanism, as a part of the Scholarship and Training Fund. Sponsor was not involved in the conduct of the study or development of the submission.pl_PL
dc.publisherHindawi Publishing Corporationpl_PL
dc.relation.ispartofseriesThe Scientific World Journal;2013
dc.rightsUznanie autorstwa 3.0 Polska*
dc.titleThe Impact of Pediatric Palliative Care Education on Medical Students’ Knowledge and Attitudespl_PL
dc.contributor.authorAffiliationDepartment of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodzpl_PL
dc.contributor.authorAffiliationHome Hospice for Children of Lodz Regionpl_PL
dc.contributor.authorAffiliationInstitute of Psychology, University of Lodzpl_PL
dc.referencesJ. Luczak, M. Okupny, and L. Wieczorek-Cuske, “The program of palliative medicine and care in the curriculum of sixth-year medical students in Poland,” Journal of Palliative Care, vol. 8, no. 2, pp. 39–43, 1992pl_PL
dc.referencesM. S. Ellman, J. R. Rosenbaum, E. Cherlin, and M. Bia, “Effectiveness of an integrated ward-based program in preparing medical students to care for patients at the end of life,” The American Journal of Hospice and Palliative Medicine, vol. 26, no. 1, pp. 18–23, 2009pl_PL
dc.referencesS. R. Mason and J. E. Ellershaw, “Undergraduate training in palliative medicine: is more necessarily better?” Palliative Medicine, vol. 24, no. 3, pp. 306–309, 2010pl_PL
dc.referencesS. R. Mason and J. E. Ellershaw, “Preparing for palliative medicine; evaluation of an education programme for fourth year medical undergraduates,” Palliative Medicine, vol. 22, no. 6, pp. 687–692, 2008pl_PL
dc.referencesJ. F. Hammel, A. M. Sullivan, S. D. Block, and R. Twycross, “End-of-life and palliative care education for final-year medical students: a comparison of Britain and the United States,” Journal of Palliative Medicine, vol. 10, no. 6, pp. 1356–1366, 2007pl_PL
dc.referencesJ. Gibbins, R. McCoubrie, J. Maher, B. Wee, and K. Forbes, “Recognizing that it is part and parcel of what they do: teaching palliative care to medical students in the UK,” Palliative Medicine, vol. 24, no. 3, pp. 299–305, 2010pl_PL
dc.referencesS. Yazdani, E. Evan, D. Roubinov, P. J. Chung, and L. Zeltzer, “A longitudinal method of teaching pediatric palliative care to interns: preliminary findings regarding changes in interns' comfort level,” Palliative and Supportive Care, vol. 8, no. 1, pp. 35–40, 2010pl_PL
dc.referencesM. Roth, D. Wang, M. Kim, and K. Moody, “An assessment of the current state of palliative care education in pediatric hematology/oncology fellowship training,” Pediatric Blood and Cancer, vol. 53, no. 4, pp. 647–651, 2009pl_PL
dc.referencesO. J. Z. Sahler, G. Frager, M. Levetown, F. G. Cohn, and M. A. Lipson, “Medical education about end-of-life care in the pediatric setting: principles, challenges, and opportunities,” Pediatrics, vol. 105, no. 3, pp. 575–584, 2000pl_PL
dc.referencesY. Kato, M. Akiyama, F. Itoh, and H. Ida, “A study investigating the need and impact of pediatric palliative care education on undergraduate medical students in Japan,” Journal of Palliative Medicine, vol. 14, no. 5, pp. 560–562, 2011pl_PL
dc.referencesJ. D. Schiffman, L. J. Chamberlain, L. Palmer, N. Contro, B. Sourkes, and T. C. Sectish, “Introduction of a pediatric palliative care curriculum for pediatric residents,” Journal of Palliative Medicine, vol. 11, no. 2, pp. 164–170, 2008pl_PL
dc.referencesT. Dangel, S. Fowler-Kerry, M. Karwacki, and J. Bereda, “An evaluation of a home palliative care programme for children,” Ambulatory Child Health, vol. 6, no. 2, pp. 101–114, 2000pl_PL
dc.referencesA. Korzeniewska, Ł. Przysło, E. Filipiak, and M. Stolarska, “Home hospice for children of Lodz region: experiences in first year of activity,” Pediatria Polska, vol. 81, no. 11, pp. 806–811, 2006pl_PL
dc.referencesT. Dangel, M. Murawska, W. Marciniak, and K. Dangel, “Pediatric palliative home care in Poland (2010),” Medycyna Paliatywna, vol. 3, pp. 129–150, 2011pl_PL
dc.referencesA Guide to the Developement of Children’s Palliative Care Services, Association for Children’s Palliative Care, 3rd edition, 2009pl_PL
dc.referencesK. Porter-Williamson, C. F. von Gunten, K. Garman, L. Herbst, H. G. Bluestein, and W. Evans, “Improving knowledge in palliative medicine with a required hospice rotation for third-year medical students,” Academic Medicine, vol. 79, no. 8, pp. 777–782, 2004pl_PL
dc.referencesI. C. Fineberg, N. S. Wenger, and L. Forrow, “Interdisciplinary education: evaluation of a palliative care training intervention for pre-professionals,” Academic Medicine, vol. 79, no. 8, pp. 769–776, 2004pl_PL
dc.referencesA. M. Sullivan, A. G. Warren, M. D. Lakoma, K. R. Liaw, D. Hwang, and S. D. Block, “End-of-life care in the curriculum: a national study of medical education deans,” Academic Medicine, vol. 79, no. 8, pp. 760–768, 2004pl_PL
dc.referencesC. Schiessl, J. Gärtner, S. Wildfeuer, et al., “Pain management in international curricula for undergraduate education in palliative medicine. A palliative education assessment tool (PEAT) analysis,” Schmerz, vol. 26, no. 2, pp. 200–205, 2012pl_PL
dc.referencesJ. A. Paice, C. Erickson-Hurt, B. Ferrell et al., “Providing pain and palliative care education internationally,” Journal of Supportive Oncology, vol. 9, no. 4, pp. 129–133, 2011pl_PL
dc.referencesJ. W. Childers and R. M. Arnold, “‘I feel uncomfortable 'calling a patient out'’: educational needs of palliative medicine fellows in managing opioid misuse,” Journal of Pain and Symptom Management, vol. 43, no. 2, pp. 253–260, 2012pl_PL
dc.referencesJ. Ousager and H. Johannessen, “Humanities in undergraduate medical education: a literature review,” Academic Medicine, vol. 85, no. 6, pp. 988–998, 2010pl_PL
dc.referencesC. A. Moyer, L. Arnold, J. Quaintance et al., “What factors create a humanistic doctor? A nationwide survey of fourth-year medical students,” Academic Medicine, vol. 85, no. 11, pp. 1800–1807, 2010pl_PL
dc.referencesD. Bell and V. Crawford, “‘murder or mercy?’ An innovative module helping UK medical students to articulate their own ethical viewpoints regarding end-of-life decisions,” Southern Medical Journal, vol. 104, no. 10, pp. 676–681, 2011pl_PL
dc.referencesJ. J. Fins, “The humanities and the future of bioethics education,” Cambridge Quarterly of Healthcare Ethics, vol. 19, no. 4, pp. 518–521, 2010pl_PL
dc.referencesB. A. M. Hesselink, H. R. W. Pasman, G. van der Wal, M. B. M. Soethout, and B. D. Onwuteaka-Philipsen, “Education on end-of-life care in the medical curriculum: students' opinions and knowledge,” Journal of Palliative Medicine, vol. 13, no. 4, pp. 381–387, 2010pl_PL
dc.referencesP. C. Gruber, C. D. Gomersall, G. M. Joynt et al., “Changes in medical students' attitudes towards end-of-life decisions across different years of medical training,” Journal of General Internal Medicine, vol. 23, no. 10, pp. 1608–1614, 2008pl_PL
dc.referencesK. E. Clemens, E. Klein, B. Jaspers, and E. Klaschik, “Attitudes toward active euthanasia among medical students at two German universities,” Supportive Care in Cancer, vol. 16, no. 6, pp. 539–545, 2008pl_PL
dc.referencesM. Karlsson, P. Strang, and A. Milberg, “Attitudes toward euthanasia among Swedish medical students,” Palliative Medicine, vol. 21, no. 7, pp. 615–622, 2007pl_PL
dc.referencesJ. D. Boudreau, “Physician-assisted suicide and euthanasia: can you even imagine teaching medical students how to end their patients' lives?” Permanente Journal, vol. 15, no. 4, pp. 79–84, 2011pl_PL
dc.referencesA. Á. del Río and M. L. Marván, “On euthanasia: Exploring psychological meaning and attitudes in a sample of Mexican physicians and medical students,” Developing World Bioethics, vol. 11, no. 3, pp. 146–153, 2011pl_PL
dc.referencesW. J. Stronegger, C. Schmölzer, É. Rásky, and W. Freidl, “Changing attitudes towards euthanasia among medical students in Austria,” Journal of Medical Ethics, vol. 37, no. 4, pp. 227–229, 2011pl_PL
dc.referencesW. Leppert, J. Łuczak, and P. Góralski, “Selected problems of palliative care and euthanasia in physicians and medical students views,” Advances in Palliative Medicine, vol. 4, no. 2, pp. 67–76, 2005pl_PL
dc.referencesA. Mierzecki, K. Rekawek, J. Swiatkowski et al., “Evaluation of attitude towards euthanasia expressed by first year medical students from Szczecin, Greifswald and Lund medical faculties,” Annales Academiae Medicae Stetinensis, vol. 54, no. 1, pp. 164–169, 2008pl_PL
dc.referencesL. Reczek, “Student medycyny Śląskiej Akademii Medycznej wobec problemu eutanazji,” Psychoonkologia, vol. 2, pp. 37–50, 1998pl_PL
dc.referencesJ. Enderle, Z. Fizia, and A. Guzy, “Próba porównania stosunku do eutanazjiwśród studentów studiów medycznych i niemedycznych,” Annales Academiae Medicae Stetinensis, vol. 34 suppl, pp. 261–267, 2002pl_PL
dc.referencesV. Kontaxakis, K. G. Paplos, B. J. Havaki-Kontaxaki, et al., “Attitudes on euthanasia and physician-assisted suicide among medical students in Athens,” Psychiatrike, vol. 20, no. 4, pp. 305–311, 2009pl_PL
dc.referencesA. Balaguer, A. Martín-Ancel, D. Ortigoza-Escobar, J. Escribano, and J. Argemi, “The model of palliative care in the perinatal setting: a review of the literature,” BMC Pediatrics, vol. 12, article 25, 2012pl_PL
dc.referencesC. Wool, “Systematic review of the literature: parental outcomes after diagnosis of fetal anomaly,” Advances in Neonatal Care, vol. 11, no. 3, pp. 182–192, 2011pl_PL
dc.referencesR. Steele, “Medical students' attitudes to abortion: a comparison between Queen's University Belfast and the University of Oslo,” Journal of Medical Ethics, vol. 35, no. 6, pp. 390–394, 2009pl_PL
dc.referencesM. Ben Natan and O. Melitz, “Nurses' and nursing students' attitudes towards late abortions,” International Nursing Review, vol. 58, no. 1, pp. 68–73, 2011pl_PL
dc.referencesG. H. Hagen, C. Ø. Hage, M. Magelssen, and P. Nortvedt, “Medisinstudenters holdninger til selvbestemt abort,” Tidsskrift for den Norske Laegeforening, vol. 131, no. 18, pp. 1768–1771, 2011pl_PL
dc.referencesR. L. Elliott, M. Chowdhury, L. Wilson, F. C. Dane, and S. Williams, “Does religion affect medical students' attitudes toward ethical dilemmas?” Journal of the Medical Association of Georgia, vol. 101, no. 2, pp. 22–23, 2012pl_PL
dc.referencesR. D. de Medeiros, G. D. de Azevedo, E. A. A. de Oliveira et al., “Opinion of medical and law students of Federal University of Rio Grande do Norte about abortion in Brazil,” Revista Brasileira de Ginecologia e Obstetricia, vol. 34, no. 1, pp. 16–21, 2012pl_PL
dc.referencesR. D. de Medeiros, G. D. de Azevedo, E. A. A. de Oliveira et al., “Opinion of medical and law students of Federal University of Rio Grande do Norte about abortion in Brazil,” Revista Brasileira de Ginecologia e Obstetricia, vol. 34, no. 1, pp. 16–21, 2012pl_PL
dc.referencesK. N. Michelson, A. D. Ryan, B. Jovanovic, and J. Frader, “Pediatric residents' and fellows' perspectives on palliative care education,” Journal of Palliative Medicine, vol. 12, no. 5, pp. 451–457, 2009pl_PL
dc.referencesJ. A. Billings and S. Block, “Palliative care in undergraduate medical education: status report and future directions,” Journal of the American Medical Association, vol. 278, no. 9, pp. 761–763, 1997pl_PL
dc.referencesC. Coles, “Undergraduate education and palliative care,” Palliative Medicine, vol. 10, no. 2, pp. 93–98, 1996pl_PL
dc.referencesM. Lloyd-Williams and N. Dogra, “Caring for dying patients: what are the attitudes of medical students?” Supportive Care in Cancer, vol. 11, no. 11, pp. 696–699, 2003pl_PL
dc.referencesD. Bell and V. Crawford, “‘murder or mercy?’ an innovative module helping UK medical students to articulate their own ethical viewpoints regarding end-of-life decisions,” Southern Medical Journal, vol. 104, no. 10, pp. 676–681, 2011pl_PL
dc.referencesY. Kizawa, S. Tsuneto, K. Tamba, et al., “Development of a nationwide consensus syllabus of palliative medicine for undergraduate medical education in Japan: a modified Delphi method,” Palliative Medicine, vol. 26, no. 5, pp. 744–752, 2012pl_PL
dc.referencesE. M. Wittenberg-Lyles, J. Goldsmith, S. L. Ragan, and S. Sanchez-Reilly, “Medical students' views and ideas about palliative care communicatio training,” The American Journal of Hospice and Palliative Medicine, vol. 27, no. 1, pp. 38–49, 2010pl_PL

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Uznanie autorstwa 3.0 Polska
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