Kada O, Janig H, Pinter G, Cernic K, Likar R
Studiengang Gesundheits- und Pflegemanagement, FH Kärnten, Hauptplatz 12, 9560, Feldkirchen, Österreich.
Institut für Psychologie, Alpen-Adria Universität Klagenfurt, Klagenfurt, Österreich.
Schmerz. 2017 Aug;31(4):383-390. doi: 10.1007/s00482-016-0184-8.
Nursing homes are confronted more and more with palliative care patients, which present a challenge for nursing and medical personnel. Deficits in the palliative care of geriatric patients have been repeatedly demonstrated and many nursing home residents, especially those suffering from dementia, are undersupplied regarding pain management.
The present study was carried out to measure the knowledge and self-efficacy of nursing staff in the province of Carinthia (Austria) regarding palliative care of nursing home residents.
A total of 330 nursing personnel were surveyed using the Bonn test for knowledge in palliative care (BPW), which measures knowledge and self-efficacy in nursing home personnel. In addition to descriptive analyses, the effects of the professional group (registered nurses vs. nursing assistants) and working experience were tested.
On average a little more than half of the knowledge items were answered correctly. Nurses' self-efficacy was high. Registered nurses exhibited more knowledge and higher self-efficacy compared to nursing assistants. Effects of working experience could only be demonstrated regarding self-efficacy.
The results are to a large extent in line with results from Germany and indicate the necessity of interventions for improving nurses' knowledge as a major basis for adequate palliative care in nursing home residents.
养老院越来越多地面临姑息治疗患者，这给护理和医务人员带来了挑战。老年患者姑息治疗方面的不足已被反复证明，许多养老院居民，尤其是患有痴呆症的居民，在疼痛管理方面供应不足。
本研究旨在衡量奥地利克恩顿州护理人员在养老院居民姑息治疗方面的知识和自我效能感。
使用姑息治疗知识的波恩测试（BPW）对总共330名护理人员进行了调查，该测试衡量养老院工作人员的知识和自我效能感。除了描述性分析外，还测试了专业组（注册护士与护理助理）和工作经验的影响。
平均而言，略多于一半的知识项目回答正确。护士的自我效能感较高。与护理助理相比，注册护士表现出更多的知识和更高的自我效能感。工作经验的影响仅在自我效能感方面得到体现。
结果在很大程度上与德国的结果一致，表明有必要进行干预以提高护士的知识，这是为养老院居民提供充分姑息治疗的主要基础。
