Kurz Jane M, Hayes Evelyn R
Temple University, USA.
Int J Nurs Educ Scholarsh. 2006;3:Article 18. doi: 10.2202/1548-923X.1189. Epub 2006 Jul 24.
There is an increased momentum to improve nurses' expertise in dealing with end of life issues via a standardized education program, ELNEC. This program has not been evaluated systematically. This quasi-experimental, longitudinal study's goal was to measure ELNEC Program's impact on registered nurses' death anxiety, death attitudes, and knowledge over time. General Systems Theory provided the foundation. Nurses completed surveys prior to and 3 times after the program. Research and control groups were similar. Research group's death anxiety scores increased immediately post- program, decreased 6 months later (t = -2.65, p = .02) and returned to pre-program levels at 12 months. Death attitudes varied. Knowledge levels improved significantly. The control group had steady increases in death anxiety scores. The program was associated with decreased death anxiety. Recommendations include timing evaluations after participants have time for reflection and planning "booster programs" to sustain effects. Future studies should include larger samples, incentives, and research method triangulation.
通过标准化教育项目“临终护理教育联盟”（ELNEC）提高护士处理临终问题专业技能的势头日益增强。该项目尚未得到系统评估。这项准实验性纵向研究的目的是衡量ELNEC项目随时间推移对注册护士死亡焦虑、死亡态度和知识的影响。一般系统理论提供了基础。护士在项目开始前及项目结束后进行了3次调查。研究组和对照组相似。研究组的死亡焦虑得分在项目结束后立即上升，6个月后下降（t = -2.65，p = .02），并在12个月时恢复到项目前水平。死亡态度各不相同。知识水平显著提高。对照组的死亡焦虑得分稳步上升。该项目与死亡焦虑的降低有关。建议包括在参与者有时间进行反思后安排评估，并规划“强化项目”以维持效果。未来的研究应包括更大的样本、激励措施和研究方法的三角验证。
