多护理环境下理想姑息治疗的障碍：护士的观点
Barriers to ideal palliative care in multiple care settings: the nurses' point of view.
作者信息
Uitdehaag Madeleen J, Stellato Rebecca K, Lugtig Peter, Olden Thirza, Teunissen Saskia
机构信息
Associate Professor Palliative Care, Research Group Nursing, Saxion University of Applied Science, Deventer/Enschede, the Netherlands.
Assistant Professor, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
出版信息
Int J Palliat Nurs. 2019 Jun 2;25(6):294-305. doi: 10.12968/ijpn.2019.25.6.294.
BACKGROUND
Nurses and certified nursing assistants (CNA) have a crucial role in 24/7 continuity of palliative care for many vulnerable patients and families, however, their perspective has been largely omitted in reported barriers to palliative care.
AIM
To describe barriers to ideal palliative care that are specific to nurses and CNAs working in all care settings.
METHODS
A cross-sectional, online survey was distributed to members of the Dutch Nurses' Association.
FINDINGS
Almost 50% of the participating 2377 nurses and CNAs experienced more than five barriers to ideal palliative care in their work situation; nurses and CNAs employed in regional hospitals, mental healthcare and nursing home settings encountered more barriers than those working in other settings.
CONCLUSION
The three most common barriers were: lack of proactive care planning, lack of internal consultation possibilities and lack of assessment of care recipients' preferences and needs for a seamless transition to another setting.
背景
护士和注册护理助理（CNA）在为许多弱势患者及其家庭提供全天候姑息治疗的连续性方面发挥着关键作用，然而，在报告的姑息治疗障碍中，他们的观点在很大程度上被忽略了。
目的
描述在所有护理环境中工作的护士和CNA所特有的理想姑息治疗障碍。
方法
向荷兰护士协会成员发放了一份横断面在线调查问卷。
结果
在参与调查的2377名护士和CNA中，近50%的人在工作中遇到了超过五个影响理想姑息治疗的障碍；在地区医院、精神卫生保健机构和养老院工作的护士和CNA比在其他环境中工作的人遇到更多障碍。
结论
三个最常见的障碍是：缺乏积极的护理计划、缺乏内部咨询机会以及缺乏对护理接受者偏好和需求的评估，以实现无缝过渡到另一个环境。
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