Olsson Cecilia, Kling Elisabeth, Grundel Persson Karina, Larsson Maria
Department of Health Sciences Karlstad University Karlstad Sweden.
Municipal Health and Medical Care Arvika Sweden.
Nurs Open. 2019 Sep 9;6(4):1589-1599. doi: 10.1002/nop2.364. eCollection 2019 Oct.
Aim was to describe how Registered Nurses (RNs) and assistant nurses (ANs) working in residential care homes and home care perceived quality end-of-life care after implementation of the Liverpool Care Pathway (LCP) in terms of subjective importance of care aspects and actual care given.
Descriptive cross-sectional.
Registered Nurses ( = 22; 100% response rate) and ANs ( = 120; 59% response rate) working in a Swedish municipality. Data collection with a study-specific questionnaire (50 items) about perceived reality (PR) and subjective importance (SI). Non-parametric statistics.
Implementation of the LCP ensured systematic assessment and alleviation of patients' symptoms and needs. The ANs, more than the RNs, perceived that the patients received the best possible nursing and medical care ( = .01). Both groups considered that communication with patients and families as well as the information exchange between the team members was facilitated. Areas for improvement were identified about psychological and existential support and patients and families' participation in care.
目的是描述在实施利物浦临终关怀路径（LCP）后，在养老院和家庭护理机构工作的注册护士（RN）和助理护士（AN）如何从护理方面的主观重要性和实际提供的护理角度看待优质临终关怀。
描述性横断面研究。
在瑞典一个市镇工作的注册护士（n = 22；回复率100%）和助理护士（n = 120；回复率59%）。使用一份针对该研究的问卷（50项）收集有关感知现实（PR）和主观重要性（SI）的数据。采用非参数统计方法。
LCP的实施确保了对患者症状和需求的系统评估与缓解。助理护士比注册护士更认为患者得到了尽可能好的护理和医疗照顾（p = 0.01）。两组都认为与患者及其家属的沟通以及团队成员之间的信息交流得到了促进。确定了在心理和生存支持以及患者及其家属参与护理方面有待改进的领域。
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