Department of System Management in Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Japan.
Division of Gerontological Nursing, Faculty of Nursing and Medical Care, KEIO University, Kanagawa, Japan.
Int J Older People Nurs. 2020 Sep;15(3):e12309. doi: 10.1111/opn.12309. Epub 2020 Feb 27.
To evaluate how a structured interactive two-day education programme for clinical nurses on end-of-life (EOL) care for older people affects nurses' attitudes and knowledge.
Non-randomised controlled trial.
Nurses were recruited separately for intervention and control groups. The intervention group assisted older patients with EOL care and recruited patients for the programme. To prevent sampling bias, control group nurses were recruited from a facility with numerous EOL care opportunities. The intervention was a two-day educational programme. Using valid and reliable scales, we evaluated the attitudes (total score range: 26-130) and knowledge (total score range: 0-51) of the intervention group four times (pretraining, post-training, 3 months, 6 months) and the control group three times (baseline, 3 months, 6 months) between January 2016 and April 2017. Analysis of covariance examined both groups' score changes at 3 and 6 months while adjusting for confounding factors.
Participants were 338 nurses caring primarily for older people (intervention group: 164; control group: 174); 142 responded at all measurement points. The change in mean value of the attitude scale from baseline to 3 months (differences in the groups' attitude scores = 7.33; 95% CI = 2.43-12.24; p = .004) and 6 months (differences in groups' attitude scores = 5.77; 95% CI = 0.17-11.37; p = .044) was greater in the intervention group. Moreover, the mean knowledge scale score change from baseline to 3 months was greater in the intervention group (differences in groups' knowledge scores = 5.74; 95% CI = 4.07 to 7.39; p < .001). There was no evidence of a change in this score between baseline and 6 months.
The programme improved nurses' medium- to long-term attitudes and knowledge. Thus, it may help nurses enhance the quality of care they provide.
A two-day educational program improves nurses' medium- to long-term attitudes and knowledge on end-oflife care. For quality end-of-life care for older people, a structured and evidence-based educational program should be provided to nursing staff.
评估针对老年人临终关怀的临床护士为期两天的结构化互动教育计划如何影响护士的态度和知识。
非随机对照试验。
分别为干预组和对照组招募护士。干预组协助老年临终患者，并招募患者参加该计划。为了防止抽样偏差，对照组护士从一个有许多临终关怀机会的机构招募。干预措施是为期两天的教育计划。使用有效和可靠的量表，我们在 2016 年 1 月至 2017 年 4 月期间四次评估干预组（培训前、培训后、3 个月、6 个月）和对照组（基线、3 个月、6 个月）的态度（总分范围：26-130）和知识（总分范围：0-51），并分析了混杂因素。协方差分析考察了两组在 3 个月和 6 个月时的评分变化。
参与者为 338 名主要照顾老年人的护士（干预组 164 名；对照组 174 名）；有 142 名在所有测量点均有应答。从基线到 3 个月（组间态度评分差异=7.33；95%CI=2.43-12.24；p=.004）和 6 个月（组间态度评分差异=5.77；95%CI=0.17-11.37；p=.044）时，干预组的态度量表平均值的变化更大。此外，从基线到 3 个月时，干预组的知识量表评分变化平均值更大（组间知识评分差异=5.74；95%CI=4.07-7.39；p<.001）。在基线和 6 个月之间，没有证据表明该评分发生了变化。
该方案改善了护士的中长期态度和知识。因此，它可能有助于护士提高他们提供的护理质量。
为期两天的教育计划可改善护士对临终关怀的中长期态度和知识。为了提供高质量的老年人临终关怀，应向护理人员提供结构化和基于证据的教育计划。
