Achora Susan, Labrague Leodoro Jabien
Susan Achora, DLitt et Phil, MSN, RN, is lecturer, Department of Adult Health and Critical Care, College of Nursing, Sultan Qaboos University, Muscat, Oman. Leodoro Jabien Labrague, DM, MAN, RN, is lecturer, Department of Fundamentals and Administration, College of Nursing, Sultan Qaboos University, Muscat, Oman.
J Hosp Palliat Nurs. 2019 Feb;21(1):29-37. doi: 10.1097/NJH.0000000000000481.
To effectively participate in provision of palliative care, nurses need to possess a combination of knowledge, skills, and positive attitudes in equal measure in a way that is sensitive and meaningful and in a dynamic manner. The aim of this review was to examine nurses' knowledge and attitudes about palliative care, to identify gaps to improve care of patients and families facing death. An integrative review method guided this review. After implementation of a search strategy, data from 26 studies were analyzed and synthesized. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the studies. Data were extracted using a common table, and themes were generated from the available peer-reviewed studies using narrative synthesis. Findings revealed knowledge deficit but favorable attitudes toward palliative care among nurses. Education and the clinical experience of nurses in palliative care influenced their knowledge and attitudes toward palliative care. There is a need for mandatory inclusion of basic palliative care content in nursing school curricula and more in-depth postgraduate curricula. In clinical practice, there is a need to reinforce palliative care education by creating expert nurse support networks to model excellence in palliative care.
为了有效地参与临终关怀服务，护士需要具备知识、技能和积极态度的综合素养，且要以一种敏感且有意义的动态方式达到均衡。本综述的目的是研究护士对临终关怀的知识和态度，找出改善面临死亡的患者及其家属护理的差距。本综述采用综合综述方法。实施检索策略后，对26项研究的数据进行了分析和综合。使用混合方法评估工具来评估研究的方法学质量。通过通用表格提取数据，并使用叙述性综合从现有的同行评审研究中生成主题。研究结果显示，护士存在知识缺陷，但对临终关怀持有积极态度。护士在临终关怀方面的教育和临床经验影响了他们对临终关怀的知识和态度。护理学校课程有必要强制纳入基础临终关怀内容，研究生课程也需要更深入的内容。在临床实践中，有必要通过创建专家护士支持网络来强化临终关怀教育，以树立临终关怀的卓越典范。
