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. 2020 Oct 7;15(10):e0238357. doi: 10.1371/journal.pone.0238357

Table 2. Distribution of nurses’ knowledge about palliative care on the PCQN scale.

No- PCQN Items Correct, n (%) Incorrect, n (%) Don’t’ know, n (%)
Theme 1: Philosophy and principle of palliative care (1.93±1.0), 20.6%
Q1 Palliative care is appropriate only in situations where there is evidence of a downhill trajectory or deterioration. (F) 258(69.4) 97 (26.1) 17(4.6)
Q9 The provision of palliative care requires emotional detachment. (F) 262(70.4) 89(23.9) 21(5.6)
Q12 The philosophy of palliative care is compatible with that of aggressive treatment. (T) 186 (50) 108(29) 78(21)
Q17 The accumulation of losses renders burnout inevitable for those who seek work in palliative care. (F) 186(50) 124 (33.3) 62(16.7)
Theme 2: Psychosocial and spiritual care (0.93±0.83), 10%
Q5 It is crucial for family members to remain at the bedside until death occurs. (F) 72(19.4) 283(76.1) 17(4.6)
Q11 Men generally reconcile their grief more quickly than women. (F) 114(30.6) 228 (61.3) 30(8.1)
Q19 The loss of a distant or contentious relationship is easier to resolve than the loss of one that is close or intimate. (F) 161(43.3) 187 (50.3) 24(6.5)
Theme 3: Management of pain and other symptoms (6.48±1.8), 69.4%
Q2 Morphine is the standard used to compare the analgesic effect of other opioids. (T) 261(70.2) 71(19.1) 40(10.8)
Q3 The extent of the disease determines the method of pain treatment.(F) 21(5.6) 333 (89.5) 18(4.8)
Q4 Adjuvant therapies are important in managing pain. (T) 331 (89) 24(6.5) 17(4.6)
Q6 During the last days of life, the drowsiness associated with electrolyte imbalance may decrease the need for sedation. (T) 259 (69.6) 83(22.3) 30(8.1)
Q7 Drug addiction is a major problem when morphine is used on a long-term basis for the management of pain. (F) 66(17.7) 282 (75.8) 24(6.5)
Q8 Individuals who are taking opioids should also follow a bowel regime. (T) 269 (72.3) 52(14) 51(13.7)
Q10 During the terminal stages of illness, drugs that can cause respiratory depression are appropriate for the treatment of severe dyspnea. (T) 162 (43.5) 177(47.6) 33 (8.9)
Q13 The use of placebos is appropriate in the treatment of some types of pain. (F) 137(36.8) 207(55.6) 28(7.5)
Q14 In high doses, codeine causes more nausea and vomiting than morphine. (T) 249 (66.9) 66(17.7) 57(15.3)
Q15 Suffering and physical pain are synonymous. (F) 187(50.3) 161(43.3) 24(6.5)
Q16 Pethidine is not an effective analgesic in the control of chronic pain. (T) 92(24.7) 173(46.5) 107(28.8)
Q18 Manifestations of chronic pain are different from those of acute pain. (T) 297(79.8) 62(16.7) 13 (3.5)
Q20 The pain threshold is lowered by anxiety or fatigue. (T) 81(21.8) 270(72.6) 21(5.6)
PCQN overall score (Mean = 9.34, SD = 2.28) Frequency (%)
    • 0–5 17(4.6)
    • 6–10 253 (68)
    • 11–15 100 (26.9)
    • 15+ 2 (0.5)