Department of Nursing Science, University of Malaya, Kuala Lumpur, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Int Nurs Rev. 2018 Jun;65(2):200-208. doi: 10.1111/inr.12428. Epub 2018 Feb 12.
To examine the factors associated with nurses' perceptions of the quality of end-of-life care.
With increasing demand for hospitals to provide end-of-life care, the low quality of palliative care provided in hospital settings is an issue of growing concern in developing countries. Most dying patients receive their care from general nurses, irrespective of the nurses' specialty or level of training.
A structured cross-sectional questionnaire survey was conducted of 553 nurses working at a teaching hospital in Malaysia.
The mean scores for nurses' knowledge about end-of-life care, their attitudes towards end-of-life care and the perceived quality of end-of-life care were low. The factors identified as significantly associated with the quality of end-of-life care were nurses' levels of knowledge and their attitudes towards end-of-life care.
Factors that contributed to the low quality of end-of-life care were inadequate knowledge and negative attitudes. These findings may reflect that end-of-life care education is not well integrated into nursing education.
The findings of this study suggest that there is a need to increase the nurses' level of knowledge and improve their attitude towards end-of-life care in order to enhance the quality of care provided to dying patients.
Nurse managers and hospital policymakers should develop strategies to enhance nurses' level of knowledge, as well as providing adequate emotional support for nurses who care for dying patients and their families. Nurses should be proactive in increasing their knowledge and adopting more positive attitudes towards end-of-life care.
探讨与护士对临终关怀质量认知相关的因素。
随着医院对临终关怀需求的增加，发展中国家临终关怀质量低下成为日益关注的问题。大多数临终患者接受的是普通护士的护理，而不论护士的专业或培训水平如何。
对马来西亚一所教学医院的 553 名护士进行了一项横断面问卷调查。
护士对临终关怀知识、对临终关怀的态度以及临终关怀质量的平均评分较低。与临终关怀质量显著相关的因素是护士的知识水平及其对临终关怀的态度。
导致临终关怀质量低下的因素是知识不足和消极态度。这些发现可能反映出临终关怀教育尚未很好地融入护理教育中。
本研究结果表明，需要提高护士的知识水平，改善其对临终关怀的态度，以提高临终患者的护理质量。
护士管理人员和医院政策制定者应制定策略，提高护士的知识水平，并为照顾临终患者及其家属的护士提供充分的情感支持。护士应积极提高自己的知识水平，对临终关怀采取更积极的态度。
