Parajuli Jyotsana, Hupcey Judith
Authors' Affiliation: College of Nursing, The Pennsylvania State University, University Park.
Cancer Nurs. 2021;44(5):E311-E322. doi: 10.1097/NCC.0000000000000817.
Patients with cancer have high symptom burden and unmet needs and therefore can benefit from palliative care. Oncology nurses are consistent providers of care to patients with cancer and can provide palliative care to these patients. However, oncology nurses' knowledge on palliative care has not been systematically evaluated.
To synthesize the current state of the science of oncology nurses' knowledge on palliative care.
A systematic literature search was completed using PubMed, Cumulative Index of Nursing and Allied Health Literature, and PsycINFO databases using the following key words: (oncology nurs*) AND (knowledge OR attitude OR belief OR perception) and (palliative care OR supportive care OR terminal care OR end-of-life care OR hospice). The quality of identified studies was rated on a 7-point scale using Fineout-Overholt's hierarchy of evidence.
Twenty studies from 10 different countries were identified and synthesized for this review. Seventeen studies were quantitative, whereas 3 were qualitative studies. Results revealed that oncology nurses lacked knowledge on several aspects of palliative care.
Overall oncology nurses did not possess adequate knowledge on palliative care. Factors influencing oncology nurses' knowledge on palliative care included nurses' sociodemographic factors, educational status, years of experience, palliative care education/training, and clinical setting.
This review provides evidence on gaps of oncology nurses' knowledge on palliative care and helps inform the design of interventions targeted toward enhancing oncology nurses' knowledge on palliative care.
癌症患者症状负担重且需求未得到满足，因此可从姑息治疗中受益。肿瘤学护士是癌症患者护理的持续提供者，能够为这些患者提供姑息治疗。然而，肿瘤学护士对姑息治疗的知识尚未得到系统评估。
综合肿瘤学护士姑息治疗知识的科学现状。
使用PubMed、护理及相关健康文献累积索引和PsycINFO数据库，通过以下关键词进行系统文献检索：（肿瘤学护士*）AND（知识或态度或信念或认知）AND（姑息治疗或支持性护理或终末期护理或临终护理或临终关怀）。使用Fineout-Overholt的证据等级在7分制上对纳入研究的质量进行评分。
本综述共纳入并综合了来自10个不同国家的20项研究。17项为定量研究，3项为定性研究。结果显示，肿瘤学护士在姑息治疗的几个方面缺乏知识。
总体而言，肿瘤学护士对姑息治疗的知识不足。影响肿瘤学护士姑息治疗知识的因素包括护士的社会人口学因素、教育程度、工作年限、姑息治疗教育/培训以及临床环境。
本综述为肿瘤学护士姑息治疗知识的差距提供了证据，并有助于为旨在提高肿瘤学护士姑息治疗知识的干预措施设计提供参考。
