School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.
School of Nursing, Midwifery and Paramedicine NSW/ACT, Australian Catholic University, PO Box 968, North Sydney, NSW 2059, Australia.
Nurse Educ Pract. 2018 Nov;33:70-76. doi: 10.1016/j.nepr.2018.09.001. Epub 2018 Sep 17.
Nursing assistants are the largest aged care workforce providing direct care to older people in residential aged care facilities (RACF) in Australia and internationally. A palliative approach is a large component of this direct care that necessitates nursing assistants possess requisite knowledge, skills and attitudes. While training needs have been identified to enhance their practices, preservice education is variable, educational interventions have been adhoc and professional development found to be inadequate to the demands of the workplace. In addition, evaluation of nursing assistants' knowledge, skills and attitudes has lacked an instrument specifically tailored to nursing assistants' level of education and role responsibilities when providing a palliative approach. This paper reports on Phase 3 of a research study to develop such an instrument capable of assessing nursing assistants' knowledge of, skills in, and attitudes within a palliative approach. This phase assesses the usability and performance capabilities of the new instrument on a purposive sample of nursing assistants in two RACFs using the survey method. Results showed that the instrument was able to discriminate between groups of nursing assistants based on experience in role. Usability results indicated that the instrument is user friendly and time efficient.
护理助理是澳大利亚和国际上为养老院（RACF）中的老年人提供直接护理的最大老年护理人员队伍。姑息治疗方法是这种直接护理的重要组成部分，这就需要护理助理具备必要的知识、技能和态度。虽然已经确定了培训需求以提高他们的实践能力，但职前教育是多变的，教育干预措施是临时性的，专业发展被认为不足以满足工作场所的需求。此外，护理助理的知识、技能和态度的评估缺乏一种专门针对护理助理在提供姑息治疗方法时的教育水平和角色责任的工具。本文报告了一项研究的第三阶段，该研究旨在开发一种能够评估护理助理在姑息治疗方法方面的知识、技能和态度的工具。这一阶段使用调查方法，在两家养老院的护理助理中进行了一项有针对性的抽样调查，以评估新工具的可用性和性能。结果表明，该工具能够根据护理助理在角色方面的经验来区分不同的群体。可用性结果表明，该工具易于使用且节省时间。
