Table 5.
Differences in the awareness about the structure and clinical process of PCO, continuity of care, work burden and satisfaction after PCO between oncologists and nurses
| Oncologists N = 39 |
Nurses N = 131 |
P value | |||
|---|---|---|---|---|---|
| Do you agree with the following statements about the structure of the process of care of PCO? | |||||
| All cancer centers must have PC services. | Strongly agree/agree | 37(94.9%) | 127(96.9%) | 0.122* | |
| Strongly disagree/disagree | 2(5.1%) | 3(2.3%) | |||
| Cancer patients should be seen by PMT even if they are on anti-tumor therapies. | Strongly agree/agree | 31(88.4%) | 115(87.8%) | < 0.001 | |
| Strongly disagree/disagree | 6(15.4%) | 8(6.1%) | |||
| Integrating all units of oncology with PC services has great impact on overall patients’ care and QoL. | Strongly agree/agree | 34(91.3%) | 122(93.1%) | < 0.001* | |
| Strongly disagree/disagree | 2(5.1%) | 3(2.3%) | |||
| Process of PCO integration should take place in a structured way through departmental organizations, regular meeting and cases discussion | Strongly agree/agree | 37(94.9%) | 123(93.9%) | 0.028* | |
| Strongly disagree/disagree | 2(5.1%) | 4(4.2%) | |||
| Professional communication between oncology staff and PMT is essential for patient’ care. | Strongly agree/agree | 34(91.3%) | 115(87.8%) | < 0.001 | |
| Strongly disagree/disagree | 6(15.4%) | 9(6.9%) | |||
| Case discussion between PMT and oncologists increased oncologists’ experience in holistic care. | Strongly agree/agree | 34(91.3%) | 121(92.4%) | < 0.001* | |
| Strongly disagree/disagree | 2(5.1%) | 3(2.3%) | |||
| Regarding discharge planning and continuity of care | |||||
| Adequate quantities of symptom control medications provided during discharge | Strongly agree/agree | 39(100%) | 131(100%) | 0.832* | |
| Strongly disagree/disagree | 00 | 00 | |||
| Follow-up plan provided during discharge | Strongly agree/agree | 37(94.9%) | 125(95.4%) | 0.736 | |
| Strongly disagree/disagree | 00 | 00 | |||
| After hours support provide | Strongly agree/agree | 36(92.3%) | 118(90%) | 0.922* | |
| Strongly disagree/disagree | 2(5.1%) | 13(9.9%) | |||
| Preferred place of care discussed and facilitated | Strongly agree/agree | 35(89.7%) | 119(90.8%) | 0.743* | |
| Strongly disagree/disagree | 00 | 00 | |||
| Do you agree with the following statements regarding work burden after PCO integration? | |||||
| The length of oncologists’ visits to patients during rounds is reduced | Strongly agree/agree | 30 (76.9%) | 74(56.5%) | 0.005 | |
| Strongly disagree/disagree | 7(17.9%) | 47(35.9%) | |||
| Number of patients’ calls are less | Strongly agree/agree | 29(74.3%) | 75(57.3%) | 0.048 | |
| Strongly disagree/disagree | 5(12.7%) | 48(36.7%) | |||
| Number of nurses’ calls to the oncologists are less | Strongly agree/agree | 28(71.8%) | 114(87%) | 0.097* | |
| Strongly disagree/disagree | 4(10.3%) | 11(8.4%) | |||
| Number of patients’ visits to causality are less | Strongly agree/agree | 25(64.1%) | 46(35.3%) | < 0.001 | |
| Strongly disagree/disagree | 5(12.9%) | 8(6.2%) | |||
| Number of psychiatric and ICU consultations are less | Strongly agree/agree | 27(69.2%) | 77(58.7%) | 0.001* | |
| Strongly disagree/disagree | 3(7.7%) | 25(19.1%) | |||
| Duty hours became less stressful | Strongly agree/agree | 27(69.2%) | 69(52.7%) | < 0.001 | |
| Strongly disagree/disagree | 1(2.6%) | 51(38.9%) | |||
| I became more confident in dealing with patients’ symptoms | Strongly agree/agree | 38(97.4%) | 118(90%) | 0.700* | |
| Strongly disagree/disagree | 1(2.6%) | 8(6.2%) | |||
| Do you agree with the following statements about the role of PC? | |||||
| I likely to refer my patient to PMT when cancer is first diagnosed. | Strongly agree/agree | 14(35.9%) | 93(71%) | < 0.001 | |
| Strongly disagree/disagree | 24(61.6%) | 32(24.45%) | |||
| I have an ethical obligation to provide EoL care to my patient with terminal cancer rather than PMT. | Strongly agree/agree | 25(89.7%) | 124(94.75%) | 0.003* | |
| Strongly disagree/disagree | 3(7.7%) | 7(5.4%) | |||
| I only refer my patient to PCC at the time of impending death | Strongly agree/agree | 7(18%) | 47(35.8%) | 0.222 | |
| Strongly disagree/disagree | 32(82.1%) | 84(64.1%) | |||
| Referring my patient to PMT makes me lose hope | Strongly agree/agree | 6(15.4%) | 46(35.2%) | 0.012 | |
| Strongly disagree/disagree | 32(82.1%) | 72(54.9%) | |||
| I believe the response of PMT to referrals is slow. | Strongly agree/agree | 9(23%) | 30(22.95%) | ||
| Strongly disagree/disagree | 28(71.5%) | 95(72.5%) | |||
| I think the criteria of PC referral is so restrictive to meet my patient’ needs. | Strongly agree/agree | 30(82.9%) | 103(78.6%) | 0.967 | |
| Strongly disagree/disagree | 9(23.1%) | 28(21.4%) | |||
| I believe there is a need to educate patients, caregivers and even healthcare providers about the potential benefits of PC | Strongly agree/agree | 25(64.1%) | 123(93.9%) | < 0.001 | |
| Strongly disagree/disagree | 12(30.7%) | 8(6.1%) | |||
| To what extent are you satisfied with ….? | |||||
| Availability of PC services | Very satisfied/ satisfied | 36(92.35%) | 112(85.5%) | 0.224* | |
| Very dissatisfied/dissatisfied | 0 | 7(5.4%) | |||
| Accessibility of PC services | Very satisfied/ satisfied | 35(89.7%) | 118(83.2%) | 0.083* | |
| Very dissatisfied/dissatisfied | 4(10.3%) | 22(16.8%) | |||
| Acceptability of PC services | Very satisfied/ satisfied | 34(87.2%) | 107(81.7%) | 0.328* | |
| Very dissatisfied/dissatisfied | 0 | 0 | |||
| Continuity of PC services | Very satisfied/ satisfied | 34(87.2%) | 114(87.1%) | 0.503 | |
| Very dissatisfied/dissatisfied | 1(2.6%) | 1(0.8%) | |||
| Quality of PC services | Very satisfied/ satisfied | 33(84.6%) | 115(87.8%) | 0.096 | |
| Very dissatisfied/dissatisfied | 6(14.4%) | 16(12.2%) | |||
| Cost impact of PC services | Very satisfied/ satisfied | 27(69.2%) | 115(87.8%) | 0.045 | |
| Very dissatisfied/dissatisfied | 3(7.7%) | 3(2.3%) | |||
| The overall services provided by PMT | Very satisfied/ satisfied | 37(94.9%) | 119(90.8%) | 0.112 | |
| Very dissatisfied/dissatisfied | 0 | 3(2.3%) | |||
* Fisher test was used