Schneider Nils, Amelung Volker Eric, Buser Kurt
Medizinische Hochschule Hannover, Abteilung für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung (OE 5410), Carl-Neuberg-Strasse 1, D-30625 Hannover.
Pflege. 2006 Dec;19(6):356-62. doi: 10.1024/1012-5302.19.6.356.
Experts criticise heavily the current situation of palliative care in the home care setting in Germany. They claim that the education in palliative care of all involved professional groups should be improved and specialized services should be adjusted. Only few is known in this context about the perspectives and attitudes of nursing staff, who is significantly involved in palliative care. Therefore, interviews with executive stuff of home care nursing services in the Federal State of Brandenburg were performed in the context of an evaluative opinion survey. 88 of 100 planned interviews took place. The nursing services estimated the current situation predominantly good. This does not support the experts' opinions found in the literature. Nevertheless, the respondents saw serious needs for improvements, in particular concerning psycho-social issues. Although palliative patients numerically seem to be in the background of every day work life, great interest in further qualification and new concepts of care was shown. So far, only few home care nursing services employ palliative care-trained staff.
专家们严厉批评了德国居家护理环境中姑息治疗的现状。他们声称，所有相关专业群体在姑息治疗方面的教育都应得到改善，专业服务也应进行调整。在这方面，对于在姑息治疗中发挥重要作用的护理人员的观点和态度了解甚少。因此，在一项评估性意见调查中，对勃兰登堡州居家护理服务的管理人员进行了访谈。计划的100次访谈中有88次得以进行。护理服务机构对当前状况的评价大多良好。这与文献中专家的观点不符。然而，受访者认为存在严重的改进需求，尤其是在心理社会问题方面。尽管从数量上看，姑息治疗患者似乎处于日常工作的背景之中，但他们对进一步提升资质和新的护理理念表现出了浓厚兴趣。到目前为止，只有少数居家护理服务机构雇佣了接受过姑息治疗培训的员工。
