1 Department of Family Medicine and Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
2 Department of Medical Oncology, Ghent University Hospital, Ghent, Belgium.
Palliat Med. 2018 Oct;32(9):1487-1497. doi: 10.1177/0269216318785295. Epub 2018 Jul 4.
The provision of high-quality palliative care in nursing homes (NHs) is a major challenge and places demands on the knowledge and skills of the staff.
This study assesses the palliative care knowledge of staff in NHs in Europe.
Cross-sectional study using structured survey Setting/participants: Nurses and care assistants working in 322 representative samples of NHs in Belgium, the Netherlands, England, Finland, Poland and Italy. Palliative care knowledge is measured with the Palliative Care Survey. Scores on the scales range between 0 and 1; higher scores indicate more knowledge.
A total of 3392 NH-staff were given a questionnaire, and 2275 responded (67%). Knowledge of basic palliative care issues ranged between 0.20 in Poland (95% confidence interval (CI) 0.19; 0.24) and 0.61 in Belgium (95% CI 0.59; 0.63), knowledge of physical aspects that can contribute to pain ranged between 0.81 in Poland (95% CI 0.79; 0.84) and 0.91 in the Netherlands (95% CI 0.89; 0.93), and knowledge of psychological reasons that can contribute to pain ranged between 0.56 in England (95% CI 0.50; 0.62) and 0.87 in Finland (95% CI 0.83; 0.90). Factors associated with knowledge were country, professional role and having undertaken formal training in palliative care.
Knowledge of nurses and care assistants concerning basic palliative care issues appears to be suboptimal in all participating countries, although there is substantial heterogeneity. Education of nursing staff needs to be improved across, but each country may require its own strategy to address the unique and specific knowledge gaps.
在养老院（NHs）提供高质量的姑息治疗是一个主要挑战，这对员工的知识和技能提出了要求。
本研究评估了欧洲 NH 工作人员的姑息治疗知识。
使用结构调查的横断面研究
设置/参与者：在比利时、荷兰、英国、芬兰、波兰和意大利的 322 个 NH 代表性样本中工作的护士和护理助理。姑息治疗知识用姑息治疗调查来衡量。量表上的分数范围在 0 到 1 之间；分数越高表示知识越多。
共向 3392 名 NH 工作人员发放问卷，2275 人（67%）做出回应。基本姑息治疗问题的知识范围在波兰为 0.20（95%置信区间[CI] 0.19；0.24）和比利时为 0.61（95% CI 0.59；0.63），能导致疼痛的身体方面的知识范围在波兰为 0.81（95% CI 0.79；0.84）和荷兰为 0.91（95% CI 0.89；0.93），能导致疼痛的心理原因的知识范围在英格兰为 0.56（95% CI 0.50；0.62）和芬兰为 0.87（95% CI 0.83；0.90）。与知识相关的因素包括国家、专业角色和接受过姑息治疗的正规培训。
所有参与国家的护士和护理助理在基本姑息治疗问题方面的知识似乎都不理想，尽管存在很大的异质性。护理人员的教育需要在所有国家都得到改善，但每个国家可能都需要自己的策略来解决独特的和特定的知识差距。
