Institute of Nursing and Health Research, Ulster University, Newtownabbey, UK.
School of Nursing and Midwifery, Medical Biology Centre, Queen's University, Belfast, UK.
J Clin Nurs. 2018 Feb;27(3-4):e678-e687. doi: 10.1111/jocn.14118. Epub 2017 Dec 17.
To develop and psychometrically assess a survey instrument identifying ethical issues during palliative care provision in nursing homes.
Registered nurses and healthcare assistants have reported ethical issues in everyday palliative care provision. Identifying these issues provides evidence to inform practice development to support healthcare workers.
Cross-sectional survey of Registered nurses and healthcare assistants in nursing homes in one region of the UK.
A survey instrument, "Ethical issues in Palliative Care for Nursing homes", was developed through the findings of qualitative interviews with Registered nurses and healthcare assistants in nursing homes and a literature review. It was reviewed by an expert panel and piloted prior to implementation in a survey in 2015 with a convenience sample of 596 Registered nurses and healthcare assistants. Descriptive and exploratory factor analyses were used to assess the underlying structure of the Frequency and Distress Scales within the instrument.
Analysis of 201 responses (response rate = 33.7%) revealed four factors for the Frequency Scale and five factors for the Distress Scale that comprise the Ethical issues in Palliative Care for Nursing homes. Factors common to both scales included "Processes of care," "Resident autonomy" and "Burdensome treatment." Additionally, the Frequency Scale included "Competency," and the Distress Scale included "Quality of care" and "Communication."
The Ethical issues in Palliative Care for Nursing homes instrument has added to the palliative care knowledge base by considering the ethical issues experienced specifically by Registered nurses and healthcare assistants within the nursing home. This research offers preliminary evidence of the psychometric properties of the Ethical issues in Palliative Care for Nursing homes survey instrument.
The two largest factors highlight the need to address the organisational aspects of caring and provide training in negotiating conflicting ethical principles.
开发并心理测量评估一种调查工具，以确定养老院提供姑息治疗时的伦理问题。
注册护士和医疗保健助理在日常姑息治疗提供中报告了伦理问题。确定这些问题为支持医疗保健工作者的实践发展提供了证据。
对英国一个地区养老院的注册护士和医疗保健助理进行横断面调查。
通过对养老院注册护士和医疗保健助理的定性访谈和文献回顾，开发了一种名为“养老院姑息治疗中的伦理问题”的调查工具。它由一个专家小组进行了审查，并在 2015 年进行了一项调查，对 596 名注册护士和医疗保健助理进行了方便样本的预试验。使用描述性和探索性因子分析来评估工具中频率和困扰量表的潜在结构。
对 201 份（回应率为 33.7%）的分析显示，频率量表有四个因素，困扰量表有五个因素，构成了养老院姑息治疗中的伦理问题。两个量表共有的因素包括“护理过程”、“患者自主权”和“治疗负担”。此外，频率量表还包括“能力”，困扰量表还包括“护理质量”和“沟通”。
养老院姑息治疗中的伦理问题工具通过考虑注册护士和医疗保健助理在养老院中遇到的特定伦理问题，增加了姑息治疗知识库。这项研究提供了养老院姑息治疗中的伦理问题调查工具心理测量特性的初步证据。
两个最大的因素强调需要解决护理的组织方面，并提供谈判冲突伦理原则的培训。
