Exploring Palliative Nurses’ Perception of the ELNEC Program in Singapore: A Qualitative Study

Authors

  • Mun Leong Tang Nursing Administration, St Andrew’s Community Hospital, 529895 Singapore
  • Chen Na Lee Division of Nursing. Singapore General Hospital, 168753 Singapore
  • Hongli Sam Goh Open University Malaysia, 47301 Petaling Jaya, Selangor, Malaysia

Abstract

Introduction: The ELNEC international curriculum was developed in 2000 and translated into many different languages for nurses worldwide. Although death is a universal phenomenon, handling death and dying differs across cultures and countries. Limited studies are conducted to explore the impact of ELNEC on nursing practices in Asia.

Aim: This study explored palliative nurses' perception of the ELNEC and its impact on their nursing practices in Singapore long-term care setting

Methods: An exploratory qualitative design using individual face-to-face interviews was conducted at a community hospital in Singapore between 2018 and 2019. An interview guide comprising four open-ended questions was used to generate participants’ feedback.

Results: Three themes were generated from the content analysis: (i) lack of basic and continuing nursing education on death-related subjects; (ii) impact of ELNEC on nurses; and (iii) Perceived educational needs in palliative care.

Conclusion: The ELNEC improved death anxiety and attitudes among existing nurses working in a community palliative setting. Specific educational needs were also identified as potential areas for enhancing the ELNEC for the Singapore palliative context. This study has demonstrated the need for ELNEC role within the national nursing curriculum for both nursing students and nurses in Singapore.

Keywords:

ELNEC, End-of-Life, Palliative, Death Anxiety, Long-Term Care

Downloads

Download data is not yet available.

References

Barrere, C., & Durkin, A. (2014). Finding the right words: the experience of new nurses after ELNEC education integration into a BSN curriculum. Medsurg Nursing, 23(1), 35–53. PMID: 24707667

Cheong, C. Y., Ha, N. H. L., Tan, L. L. C., & Low, J. A. (2020). Attitudes towards the dying and death anxiety in acute care nurses–can a workshop make any difference? A mixed-methods evaluation. Palliative & Supportive Care, 18(2), 164-169. https://doi.org/10.1017/S1478951519000531.

Donne, J., Odrowaz, T., Pike, S., Youl, B., & Lo, K. (2019). Teaching palliative care to health professional students: A systematic review and meta-Analysis of randomized controlled trials. American Journal of Hospice and Palliative Medicine, 36(11), 1026-1041. https://doi.org/10.1177/1049909119859521.

Draper, E. J., Hillen, M. A., Moors, M., Ket, J. C., van Laarhoven, H. W., & Henselmans, I. (2019). Relationship between physicians’ death anxiety and medical communication and decision-making: a systematic review. Patient Education and Counseling, 102(2), 266-274. https://doi.org/10.1016/j.pec.2018.09.019

Ferrell, B., Malloy, P., & Virani, R. (2015). The end of life nursing education nursing consortium project. Annals of Palliative Medicine, 4(2), 61-69. https://doi.org/10.3978/j.issn.2224-5820.2015.04.05.

Gerhart, J., O’Mahony, S., Abrams, I., Grosse, J., Greene, M., & Levy, M. (2016). A pilot test of a mindfulness-based communication training to enhance resilience in palliative care professionals. Journal of Contextual Behavioral Science, 5(2), 89-96. https://doi.org/10.1016/j.jcbs.2016.04.003

Gillan, P. C., van der Riet, P. J., & Jeong, S. (2014). End of life care education, past and present: A review of the literature. Nurse Education Today, 34(3), 331-342. https://doi.org/10.1016/j.nedt.2013.06.009

Jones, K., Draper, J., & Davies, A. (2020). Nurses' early and ongoing encounters with the dying and the dead: A scoping review of the international literature. International Journal of Palliative Nursing, 26(6), 310-324. https://doi.org/10.12968/ijpn.2020.26.6.310

Kav, S., Brant, J. M., & Mushani, T. (2018). Perspectives in International Palliative Care. Seminars in Oncology Nursing, 34(3), 284–293. https://doi.org/10.1016/j.soncn.2018.06.009

Kozy, M. A., Shillam, C. R., Davis, A., & Lippe, M. (2017). Implementation of online education to advance competencies in palliative and end-of-life care. Innovation in Aging, 1(S1), 273. https://doi.org/10.1093/geroni/igx004.998

Li, W. W., Chhabra, J., & Singh, S. (2021). Palliative care education and its effectiveness: A systematic review. Public Health, 194, 96-108. https://doi.org/10.1016/j.puhe.2021.02.033

Malloy, P., Takenouchi, S., Kim, H. S., Lu, Y., & Ferrell, B. (2018). Providing palliative care education: Showcasing efforts of Asian nurses. Asia-Pacific Journal of Oncology Nursing, 5(1), 15-20. https://doi.org/10.4103/apjon.apjon_55_17

Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative data analysis (3rd ed.). Sage.

Mitrea, N., Mosoiu, D., Ancuta, C., Malloy, P., & Rogozea, L. (2017). The impact of the End-of Life Nursing Education Consortium International Training Program on the clinical practice of Eastern European nurses working in specialized palliative care services: A Romanian case study. Journal of Hospice & Palliative Nursing, 19(5), 424-434. https://doi.org/10.1097/NJH.0000000000000367

Nia, H. S., Lehto, R. H., Ebadi, A., & Peyrovi, H. (2016). Death anxiety among nurses and health care professionals: A review article. International Journal of Community Based Nursing and Midwifery, 4(1), 2-10. PMCID: PMC4709813

Polit, D., & Beck, C. (2020). Essentials of Nursing Research: Appraising Evidence for Nursing Practice (9th ed.). Lippincott Williams & Wilkins.

Shorey, S., André, B., & Lopez, V. (2017). The experiences and needs of healthcare professionals facing perinatal death: A scoping review. International Journal of Nursing Studies, 68, 25-39. https://doi.org/10.1016/j.ijnurstu.2016.12.007.

Smith, M. B., Macieira, T. G., Bumbach, M. D., Garbutt, S. J., Citty, S. W., Stephen, A., Ansell, M., Glover, T. L., & Keenan, G. (2018). The use of simulation to teach nursing students and clinicians palliative care and end-of-life communication: a systematic review. American Journal of Hospice and Palliative Medicine, 35(8), 1140-1154. https://doi.org/10.1177/1049909118761386

Tang, M. L., Goh, H. S., Zhang, H., & Lee, C. N. (2021). An Exploratory Study on Death Anxiety and Its Impact on Community Palliative Nurses in Singapore. Journal of Hospice and Palliative Nursing. https://doi.org/10.1097/njh.0000000000000782

Teleshova, G. (2020). Nurses’ knowledge and attitudes to palliative care. [Master’s thesis, JAMK University of Applied Sciences]. https://www.theseus.fi/bitstream/handle/10024/345427/Thesis_Teleshova_Guldana.pdf?sequence=2

Zheng, R., Lee, S. F., & Bloomer, M. J. (2016). How new graduate nurses experience patient death: A systematic review and qualitative meta-synthesis. International Journal of Nursing Studies, 53, 320-330. https://doi.org/10.1016/j.ijnurstu.2015.09.013

Downloads

Published

2022-04-01

How to Cite

Mun Leong Tang, Chen Na Lee, & Hongli Sam Goh. (2022). Exploring Palliative Nurses’ Perception of the ELNEC Program in Singapore: A Qualitative Study. The Malaysian Journal of Nursing (MJN), 13(4). Retrieved from https://ejournal.lucp.net/index.php/mjn/article/view/1519