Omidi Khaled, Dehghan Mahlagha, Shahrbabaki Parvin Mangolian
School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran.
Nursing Research Center, Razi School of Nursing and Midwifery, Department of Critical Care Nursing, Kerman University of Medical Sciences, Kerman, Iran.
Asia Pac J Oncol Nurs. 2020 Jun 26;7(3):287-294. doi: 10.4103/apjon.apjon_15_20. eCollection 2020 Jul-Sep.
Patients with cancer face numerous problems at the end of their lives, which makes palliative care necessary for a peaceful death. Considering the important role nurses play in the provision of end-of-life care, the present study was conducted to study the effect of a traditional training method on nurses' perception of and clinical competency in providing end-of-life care to patients with cancer in a hospital in Southeastern Iran.
This was a pilot clinical trial in which the nurses in an oncology ward were allocated to two groups, experimental ( = 24) and control ( = 33), using a table of random numbers. The experiment group received three sessions of workshop training. The nurses' perception and clinical competency were measured before and 3 months postintervention.
The results showed the perception scores in the experimental and control groups to be 171.75 ± 19.54 and 170.03 ± 17.03 before education and 176.16 ± 19.54 and 176.12 ± 16.12 postintervention, respectively. The scores of clinical competency were 98.71 ± 10.24 and 99.58 ± 12.17 before education and 101.5 ± 14.67 and 104.97 ± 12 postintervention in the experimental and control groups, respectively. According to the findings, neither of the groups showed a significant difference between pre- and post-intervention in terms of perception of or clinical competency in end-of-life care.
A traditional training method such as workshop training cannot cause long-term improvement in nurses' end-of-life care perception or clinical competency. It seems that nurses would benefit from acquiring cognitive and behavioral skills and knowledge through a more continuous form of instruction delivered through modern blended educational methods.
癌症患者在生命末期面临诸多问题，这使得姑息治疗成为安详离世的必要条件。鉴于护士在提供临终关怀方面发挥的重要作用，本研究旨在探讨传统培训方法对伊朗东南部一家医院护士在为癌症患者提供临终关怀时的认知及临床能力的影响。
这是一项试点临床试验，采用随机数字表将肿瘤病房的护士分为两组，即实验组（=24）和对照组（=33）。实验组接受了三次工作坊培训。在干预前及干预后3个月对护士的认知和临床能力进行测量。
结果显示，实验组和对照组在教育前的认知得分分别为171.75±19.54和170.03±17.03，干预后的得分分别为176.16±19.54和176.12±16.12。实验组和对照组在教育前的临床能力得分分别为98.71±10.24和99.58±12.17，干预后的得分分别为101.5±14.67和104.97±12。根据研究结果，两组在临终关怀认知或临床能力方面，干预前后均未显示出显著差异。
诸如工作坊培训这样的传统培训方法无法使护士在临终关怀认知或临床能力方面实现长期改善。似乎护士可通过现代混合式教育方法提供的更持续的教学形式来获取认知和行为技能及知识，从而从中受益。
