蒙古护士对姑息治疗的知识、态度和自我效能感：一项横断面描述性研究。
Knowledge, attitude and self-efficacy towards palliative care among nurses in Mongolia: A cross-sectional descriptive study.
机构信息
Department of Nursing, Chosun University, Gwangju, Korea.
Graduate School, Chosun University, Gwangju, Korea.
出版信息
PLoS One. 2020 Jul 23;15(7):e0236390. doi: 10.1371/journal.pone.0236390. eCollection 2020.
BACKGROUND
Nurses have a primary role in providing palliative and end-of-life (EOL) care. Their knowledge of EOL care, attitudes toward care of the dying, and palliative care self-efficacy are important in care delivery. Little is known regarding palliative care preparedness among Mongolian nurses. This study examines palliative care knowledge, attitude towards death and dying, and self-efficacy among Mongolian nurses, and examines predictors of self-efficacy.
METHODS
A cross-sectional descriptive study was conducted. Participants were 141 nurses employed at the National Cancer Center in Mongolia. Data was collected using a self-administered questionnaire.
RESULTS
The median score for the knowledge of palliative care was 8.0/20. "Psychosocial and spiritual care" was the lowest score on the palliative care knowledge subscale. The mean score for attitude toward care of the dying was 69.1%, indicating positive attitudes. The mean score for the palliative care self-efficacy was 33.8/48. Nurses reported low self-efficacy toward communicating with dying patients and their families, and managing delirium. Palliative care knowledge and duration of experience as an oncology nurse significantly predicted self-efficacy toward palliative care, accounting for 14.0% of the variance.
CONCLUSIONS
Palliative education for nurses should address the knowledge gaps in EOL care and focus in increasing palliative care self-efficacy. Considering palliative care knowledge and nursing experience as an oncology nurse were significant predictors of self-efficacy toward palliative care, more effort is needed to fill the knowledge gaps in EOL care among nurses, especially for less experienced nurses.
背景
护士在提供姑息治疗和临终关怀（EOL）方面发挥着主要作用。他们对 EOL 护理的知识、对临终关怀的态度以及姑息治疗自我效能感在护理提供中很重要。关于蒙古护士的姑息治疗准备情况知之甚少。本研究检查了蒙古护士的姑息治疗知识、对死亡和濒死的态度以及自我效能感，并检查了自我效能感的预测因素。
方法
这是一项横断面描述性研究。参与者是在蒙古国家癌症中心工作的 141 名护士。使用自我管理问卷收集数据。
结果
姑息治疗知识的中位数评分为 8.0/20。“心理社会和精神关怀”是姑息治疗知识子量表中得分最低的项目。临终关怀态度的平均得分为 69.1%，表明态度积极。姑息治疗自我效能感的平均得分为 33.8/48。护士报告在与临终患者及其家属沟通以及处理意识混乱方面自我效能感较低。姑息治疗知识和作为肿瘤护士的工作经验时长显著预测姑息治疗的自我效能感，占方差的 14.0%。
结论
应该为护士提供姑息治疗教育，以解决 EOL 护理知识差距问题，并重点提高姑息治疗自我效能感。考虑到姑息治疗知识和作为肿瘤护士的护理经验是姑息治疗自我效能感的重要预测因素，因此需要更加努力地填补护士在 EOL 护理方面的知识差距，尤其是对于经验较少的护士。
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