Fairfield University School of Nursing, Fairfield, Connecticut 06824-5195, USA.
J Nurs Educ. 2010 Apr;49(4):183-9. doi: 10.3928/01484834-20090915-05.
Advanced practice nurses (APRNs) have key roles in the care of patients who are nearing death and those living with a disabling chronic disease. This article describes a mixed-method formative assessment of 36 graduate nursing students' knowledge about and attitudes toward palliative care preliminary to curricular integration of the End-of-Life Nursing Education Consortium (ELNEC) graduate core modules. Students' knowledge about palliative care was assessed using the 106-item ELNEC examination. In addition, qualitative data were gathered regarding students' definitions of palliative care, the role of the APRN in palliative care, and their definitions of a "good" and "bad" death. Results revealed students' limited knowledge about palliative care. Qualitative findings indicated that most students exclusively linked palliative care with end-of-life care and believed that the treatment they provide should have the goal of prolonging life over maintaining quality of life. Implications for curriculum design, advanced practice role development, and collaboration with community health partners are discussed.
高级执业护士（APRNs）在临近死亡的患者和患有致残性慢性疾病的患者的护理中发挥着关键作用。本文描述了对 36 名研究生护理学生在临终护理教育联盟（ELNEC）研究生核心模块课程整合之前对姑息治疗的知识和态度的混合方法形成性评估。使用 106 项 ELNEC 考试评估学生对姑息治疗的知识。此外，还收集了关于学生对姑息治疗的定义、APRN 在姑息治疗中的作用以及他们对“好”死和“坏”死的定义的定性数据。结果显示，学生对姑息治疗的知识有限。定性研究结果表明，大多数学生将姑息治疗仅与临终关怀联系起来，并认为他们提供的治疗应该以延长生命而不是维持生活质量为目标。讨论了课程设计、高级实践角色发展以及与社区卫生合作伙伴合作的影响。
