title: The need for palliative care education, support, and reflection among rural nurses and other staff: A quantitative study.
abstract: OBJECTIVE
  Many people now die in community care, and, considering the aging population, all healthcare staff members must be prepared to provide palliative care. Our objectives were to describe the total staff working in different care organizations in a rural community in Sweden and to explore palliative care competence, to describe educational gaps and the need for support and reflection, and to determine whether there are differences in care organizations, professions, age, and gender.
  
  
  METHODS
  A 4-section 20-item questionnaire was distributed to 1686 staff (65% response rate): in nursing homes (n = 395), home care (n = 240), and group residential settings (n = 365). Registered nurses (n = 70), assistant nurses (n = 916), managers (n = 43), and paramedics (n = 33) participated. Descriptive and correlational statistics were employed.
  
  
  RESULTS
  Significant differences were found, and 40% (53% among men) lacked palliative care education, Fewer than 50% lacked education in the spiritual/existential areas, and 75% of those aged 20-66 (75% women, 55% men) needed further education. More women than men and staff aged 50-59 had an increased need to reflect.
  
  
  CONCLUSIONS
  Our study may provide guidance for managers in rural communities when planning educational interventions in palliative care for healthcare staff and may support direct education with content for specific professions.
authors.affiliation: Mid Sweden University,Department of Nursing Sciences, Östersund,Sweden.
authors.forename: Gerd
authors.initials: G
authors.lastname: Eriksson
authors.affiliation: Social Service Department,Åre Municipality,Järpen,Sweden.
authors.forename: Tina Wahlström
authors.initials: TW
authors.lastname: Bergstedt
authors.affiliation: Mid Sweden University,Department of Nursing Sciences, Östersund,Sweden.
authors.forename: Christina
authors.initials: C
authors.lastname: Melin-Johansson
mesh_terms: D000328:Adult; D000368:Aged; D000488:Allied Health Personnel / Q000193:education* / Q000523:psychology*; D002983:Clinical Competence; D004509:Education, Nursing, Continuing; D004517:Education, Professional; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009726:Nurses / Q000523:psychology*; D065126:Palliative Medicine / Q000193:education*; D019035:Rural Health Services; D011795:Surveys and Questionnaires; D013548:Sweden; D000078329:Workforce
keywords: Questionnaire design