Mohlman Wendy L, Dassel Kara, Supiano Katherine P, Caserta Michael
J Gerontol Nurs. 2018 Jun 1;44(6):41-48. doi: 10.3928/00989134-20180327-01. Epub 2018 Apr 23.
In previous work, the current researchers examined attitudes and experiences of certified nursing assistants (CNAs) providing end-of-life (EOL) care in an assisted living facility (ALF). Results showed that 70% of participating CNAs felt unprepared to provide EOL care, largely due to not having received prior EOL care education within their schools or workplaces. Therefore, the goal of the current study was to implement and evaluate EOL and postmortem education to ALF CNAs. A focus group of 14 CNAs within an ALF was provided EOL education pertaining to the physiological and psychological changes observed in patients nearing EOL and postmortem care. Immediately following training, CNAs participated in a 30-minute focus group in which they discussed their experiences and educational needs regarding EOL care. Responses were recorded, transcribed, and analyzed for common themes using descriptive qualitative inquiry. All participants reported that CNA programs need to place greater emphasis on teaching EOL care, and 80% desired continuing education on EOL care through their employers. There is a need for CNAs to receive EOL care education to understand the psychological and physical signs and symptoms associated with the dying process to provide best practices in postmortem care. [Journal of Gerontological Nursing, 44(6), 41-48.].
在之前的研究中，当前的研究人员调查了在一家辅助生活设施（ALF）中提供临终关怀（EOL）的注册护理助理（CNA）的态度和经历。结果显示，70%参与研究的CNA觉得自己没有准备好提供临终关怀，这主要是因为他们在学校或工作场所没有接受过之前的临终关怀教育。因此，当前这项研究的目标是为ALF的CNA实施并评估临终关怀和死后护理教育。为ALF内的一个由14名CNA组成的焦点小组提供了与临终患者观察到的生理和心理变化以及死后护理相关的临终关怀教育。培训结束后，CNA立即参加了一个30分钟的焦点小组，在小组中他们讨论了自己在临终关怀方面的经历和教育需求。使用描述性定性探究方法记录、转录并分析了这些回答，以找出共同主题。所有参与者都表示，CNA培训项目需要更加强调教授临终关怀，80%的人希望通过雇主获得临终关怀方面的继续教育。CNA需要接受临终关怀教育，以了解与死亡过程相关的心理和身体体征及症状，从而在死后护理中提供最佳实践。[《老年护理杂志》，44(6)，41 - 48。]
