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强化护理教育课程对护士在癌症患者护理方面的知识、信心、态度及感知技能的影响。

Impact of an intensive nursing education course on nurses' knowledge, confidence, attitudes, and perceived skills in the care of patients with cancer.

作者信息

Steginga Suzanne K, Dunn Jeffrey, Dewar Anne Marie, McCarthy Alexandra, Yates Patsy, Beadle Geoff

机构信息

Queensland Cancer Fund, Brisbane, Queensland, Australia.

出版信息

Oncol Nurs Forum. 2005 Mar 5;32(2):375-81. doi: 10.1188/04.ONF.375-381.

Abstract

PURPOSE/OBJECTIVES: To evaluate the impact of a cancer nursing education course on RNs.

DESIGN

Quasi-experimental, longitudinal, pretest/post-test design, with a follow-up assessment six weeks after the completion of the nursing education course.

SETTING

Urban, nongovernment, cancer control agency in Australia.

SAMPLE

53 RNs, of whom 93% were female, with a mean age of 44.6 years and a mean of 16.8 years of experience in nursing; 86% of the nurses resided and worked in regional areas outside of the state capital.

METHODS

Scales included the Intervention With Psychosocial Needs: Perceived Importance and Skill Level Scale, Palliative Care Quiz for Nurses, Breast Cancer Knowledge, Preparedness for Cancer Nursing, and Satisfaction With Learning. Data were analyzed using multiple analysis of variance and paired t tests.

MAIN RESEARCH VARIABLES

Cancer nursing-related knowledge, preparedness for cancer nursing, and attitudes toward and perceived skills in the psychosocial care of patients with cancer and their families.

FINDINGS

Compared to nurses in the control group, nurses who attended the nursing education course improved in their cancer nursing-related knowledge, preparedness for cancer nursing, and attitudes toward and perceived skills in the psychosocial care of patients with cancer and their families. Improvements were evident at course completion and were maintained at the six-week follow-up assessment.

CONCLUSIONS

The nursing education course was effective in improving nurses' scores on all outcome variables.

IMPLICATIONS FOR NURSING

Continuing nursing education courses that use intensive mode timetabling, small group learning, and a mix of teaching methods, including didactic and interactive approaches and clinical placements, are effective and have the potential to improve nursing practice in oncology.

摘要

目的/目标:评估一门癌症护理教育课程对注册护士的影响。

设计

准实验性、纵向、前测/后测设计,在护理教育课程结束六周后进行随访评估。

地点

澳大利亚城市的非政府癌症控制机构。

样本

53名注册护士,其中93%为女性,平均年龄44.6岁,平均护理经验16.8年;86%的护士居住并工作在州首府以外的地区。

方法

量表包括《心理社会需求干预:感知重要性和技能水平量表》、《护士姑息治疗测验》、《乳腺癌知识》、《癌症护理准备情况》以及《学习满意度》。数据采用多因素方差分析和配对t检验进行分析。

主要研究变量

癌症护理相关知识、癌症护理准备情况以及对癌症患者及其家属心理社会护理的态度和感知技能。

研究结果

与对照组护士相比,参加护理教育课程的护士在癌症护理相关知识、癌症护理准备情况以及对癌症患者及其家属心理社会护理的态度和感知技能方面均有所提高。课程结束时改善明显,并在六周随访评估中得以维持。

结论

该护理教育课程在提高护士所有结局变量得分方面是有效的。

对护理工作的启示

采用密集课程安排、小组学习以及多种教学方法(包括讲授法、互动法和临床实习)的继续护理教育课程是有效的,并且有潜力改善肿瘤护理实践。

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