Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Konyang University College of Nursing, 158, Gwanjeodong-ro, Seo-gu, Daejeon, 35365, Republic of Korea.
BMC Palliat Care. 2020 Jul 11;19(1):105. doi: 10.1186/s12904-020-00581-6.
Palliative care is a patient-centred, integrated approach for improving quality of life for both patients facing life-threatening illnesses and for their families. Although there has been increased interest in palliative care for non-cancer patients, the palliative care competency of nurses who care for non-cancer patients has rarely been investigated. This study described the palliative care knowledge, attitude, confidence, and educational needs in nurses who care for patients with congestive heart failure, stroke, end-stage renal disease, and end-stage liver disease; explored the relationships between those variables; and identified factors affecting nurses' palliative care confidence.
A cross-sectional, descriptive, correlational design was employed; data collection was conducted at a tertiary hospital in Seoul, Korea. Nurses who were working in general wards and intensive care units (N = 102) completed valid and reliable self-administered questionnaires. Descriptive statistics, frequencies, independent t-tests, one-way ANOVA, Pearson's correlations, and multiple regression were conducted to analyse the data.
Nurses' palliative care knowledge level was low (9.73 ± 2.10; range = 0-20) and their attitude toward palliative care was moderate (87.97 ± 6.93, range: 30-120). Knowledge was significantly correlated with attitude (r = .29, p = .003). Nurses were highly confident in pain and symptom management but demonstrated high educational needs for managing human and material resources to provide palliative care. Previous training in hospice, palliative, and EOL care was a significant and modifiable factor that affected nurses' confidence (std. β = 0.25, p = .010).
To facilitate high-quality palliative care for non-cancer patients and families, nursing education programs should be developed to address nurses' knowledge level, confidence level, and educational needs. This study provides relevant information that can be utilised to develop palliative care educational programs for nurses who care for non-cancer patients.
姑息治疗是以患者为中心的综合方法，旨在提高面临危及生命疾病的患者及其家属的生活质量。尽管人们对非癌症患者的姑息治疗越来越感兴趣，但很少有研究调查照顾非癌症患者的护士的姑息治疗能力。本研究描述了照顾充血性心力衰竭、中风、终末期肾病和终末期肝病患者的护士的姑息治疗知识、态度、信心和教育需求；探讨了这些变量之间的关系；并确定了影响护士姑息治疗信心的因素。
采用横断面描述性相关性设计；数据收集在韩国首尔的一家三级医院进行。在普通病房和重症监护病房工作的护士（N=102）完成了有效且可靠的自我管理式问卷。采用描述性统计、频率、独立 t 检验、单因素方差分析、皮尔逊相关和多元回归分析来分析数据。
护士的姑息治疗知识水平较低（9.73±2.10；范围=0-20），对姑息治疗的态度中等（87.97±6.93，范围：30-120）。知识与态度显著相关（r=.29，p=.003）。护士在疼痛和症状管理方面非常有信心，但在管理提供姑息治疗所需的人力和物力资源方面表现出强烈的教育需求。以前接受过临终关怀、姑息治疗和生命终末期护理方面的培训是影响护士信心的重要且可改变的因素（标准β=0.25，p=.010）。
为了为非癌症患者及其家庭提供高质量的姑息治疗，应制定护理教育计划，以解决护士的知识水平、信心水平和教育需求。本研究提供了相关信息，可用于为照顾非癌症患者的护士制定姑息治疗教育计划。
