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Strengthening palliative care in primary health centres through knowledge enhancement (SPARK) for nurses in
Martina Sinta Kristanti1, Suis Galischa Wati2, Sri Setiyarini3
1Associate Professor, Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Background:
Nurses working in primary health centres have limited access to palliative care education.
Aim:
To evaluate the effectiveness of an online palliative care learning programme for primary health centre nurses in Indonesia.
Methods:
A randomised controlled trial with a parallel design was conducted at four time points (pre-post, 4 and 8 weeks). The intervention group received online modules, videos and five group meetings; the control group received only e-modules. Double-blinded randomisation with consecutive sampling was used.
Results:
A total of 61 primary health centre nurses participated (intervention=34; control=27) from Java, Bali, Sumatra, Kalimantan and Sulawesi. The control group had higher knowledge scores at 8 weeks. Perceived difficulty was significantly lower in the intervention group immediately post-intervention, with no significant group differences in reported practice perceptions.
Conclusions:
The SPARK programme reduced perceived difficulty and supported reported practice among primary health centre nurses, offering a promising online education model for similar health systems.
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