Emergency providers' knowledge and attitudes toward hospice and palliative care: A cross-sectional analysis across 35 emergency departments in the United States Journal Article


Authors: Adeyemi, O. J.; Siman, N.; Goldfeld, K. S.; Cuthel, A. M.; Bouillon-Minois, J. B.; Grudzen, C. R.; The PRIM-ER Investigators
Article Title: Emergency providers' knowledge and attitudes toward hospice and palliative care: A cross-sectional analysis across 35 emergency departments in the United States
Abstract: Background: Emergency providers' knowledge and attitudes may be a barrier to adopting hospice and palliative care practice. Objective: To assess provider characteristics associated with knowledge and attitudes toward hospice and palliative care (KAHP). Design: Cross-sectional analysis. Setting/Subjects: Emergency physicians, advanced practice providers (APPs), and nurses from 35 U.S. emergency departments (EDs) enrolled in a provider-focused intervention. Measurement: The outcome measures were the total and subscale scores of the KAHP scale. The predictor variables were age, sex, race/ethnicity, and years of practice. We reported the observed association using a linear mixed-effects regression model. Results: The mean KAHP score, rated from 10 to 50, was 36. Increased years of practice were associated with increased mean self-reported knowledge and attitudes scores among APPs and nurses. Conclusion: Understanding the provider characteristics associated with hospice and palliative care adoption in the ED may inform the development of interventions for specific providers. ClinicalTrials.gov (NCT03424109). Copyright © 2023, Mary Ann Liebert, Inc., publishers 2023.
Keywords: adult; united states; outcome assessment; palliative care; palliative therapy; attitude to health; emergency ward; emergency service, hospital; predictor variable; cross-sectional study; cross-sectional studies; health knowledge, attitudes, practice; ethnicity; hospice; race; hospice care; emergency medicine; nurse; adoption; hospices; humans; human; male; female; article; emergency physician; advanced practice provider; regression model; hospital emergency service; emergency providers' knowledge and attitudes
Journal Title: Journal of Palliative Medicine
Volume: 26
Issue: 9
ISSN: 1096-6218
Publisher: Mary Ann Liebert, Inc  
Date Published: 2023-09-01
Start Page: 1252
End Page: 1260
Language: English
DOI: 10.1089/jpm.2022.0545
PUBMED: 37262130
PROVIDER: scopus
PMCID: PMC10623080
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Corita Reilley Grudzen
    31 Grudzen