Lancaster Rachelle J, Kautzmann Cynthia, Micheal Jothi Clara J, Chandrasekaran Leena, Jambunathan Jayalakshmi, Chapin Tammy M
Associate Professor of Nursing University of Wisconsin Oshkosh College of Nursing Oshkosh WI, 54935.
University of Wisconsin Oshkosh College of Nursing.
Int J Palliat Nurs. 2017 Nov 2;23(11):558-566. doi: 10.12968/ijpn.2017.23.11.558.
Worldwide, end-of-life care is coming under increasing scrutiny as nurses struggle to balance cultural norms and legal requirements with the desires of patients and families. The purpose of this descriptive pilot study was to examine and describe nurses' attitudes when caring for dying patients in India, and whether participation in an educational conference, which included two scenario-based, low-fidelity simulations increased knowledge of end-of-life care.
Participants' attitudes were measured with the 30-item Frommelt Attitudes Toward Care of the Dying (FATCOD-B) scale. Knowledge was measured with a researcher-developed 15-item content-focused test before and after the conference.
The mean attitude scores of nurses (n=101) were M=101.45 (range 65-143, SD=15.99). Participation in the educational conference and end-of-life care simulations increased the knowledge of most nurses (P<0.05).
Conferences and low-fidelity simulation are effective methods for improving nurses' knowledge of end-of-life care in India. Improved education surrounding end of life may positively affect attitudes.
在全球范围内，临终关怀正受到越来越多的审视，因为护士们努力在文化规范、法律要求与患者及其家属的愿望之间取得平衡。这项描述性试点研究的目的是调查和描述印度护士在照顾临终患者时的态度，以及参加一次教育会议（其中包括两次基于情景的低保真模拟）是否能增加临终关怀方面的知识。
用30项的《弗罗梅尔临终关怀态度量表》（FATCOD - B）来测量参与者的态度。在会议前后，用研究人员编制的15项以内容为重点的测试来测量知识水平。
护士（n = 101）的平均态度得分是M = 101.45（范围65 - 143，标准差 = 15.99）。参加教育会议和临终关怀模拟增加了大多数护士的知识（P < 0.05）。
会议和低保真模拟是提高印度护士临终关怀知识的有效方法。围绕临终关怀的更好教育可能会对态度产生积极影响。
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