School of Nursing & Midwifery, Gold Coast Campus, Griffith University, Gold Coast, Qld Australia.
School of Nursing & Midwifery, Gold Coast Campus, Griffith University, Gold Coast, Qld Australia; Patient Centred Health Services, Menzies Health Institute Queensland, Griffith University, Gold Coast, Qld, Australia; Department of Emergency Medicine, Gold Coast Hospital and Health Service, Gold Coast, Qld, Australia.
Australas Emerg Care. 2022 Jun;25(2):161-166. doi: 10.1016/j.auec.2021.09.001. Epub 2021 Nov 17.
An ageing population and increasing chronicity of illness will likely contribute to increasing presentations to the emergency department (ED) by patients at the end-of-life (EOL). This study aimed to identify the self-reported EOL care practices of emergency care nurses and the factors influencing EOL care.
An online survey was distributed to Australian emergency care nurses in August, 2020. Statistical analyses were undertaken to identify the most frequently undertaken EOL practices and factors influencing practice.
There were 178 responses to the survey (response rate 11.3%). The most frequently reported EOL practices were environmental modification (M=4.4/5, SD=0.4) and information sharing practices (M=4.4/5, SD=0.4). Emotional support practices were the least frequently reported practices by emergency care nurses (M=3.6/5, SD=0.9). Participants reported a lack of resources (M=2.4/5, SD=0.8) and opportunities to gain end-of-life care knowledge (M=2.9/5, SD=0.9). However, a generally positive attitude towards EOL care was indicated as participants reported strong agreement to palliative values (M=4.6/5, SD=0.4).
Results of this study suggest that most frequently reported EOL care practices of emergency care nurses require the least emotional engagement. The findings can inform areas of knowledge development and resources for emergency care nurses.
人口老龄化和慢性病的增加可能会导致生命末期患者到急诊科就诊的人数增加。本研究旨在确定急诊护理护士自我报告的临终关怀实践以及影响临终关怀实践的因素。
2020 年 8 月，向澳大利亚急诊护理护士在线分发了一份调查问卷。进行了统计分析，以确定最常进行的临终关怀实践和影响实践的因素。
共有 178 人对调查做出了回应（回应率为 11.3%）。报告最频繁的临终关怀实践是环境调整（M=4.4/5，SD=0.4）和信息共享实践（M=4.4/5，SD=0.4）。情感支持实践是急诊护理护士报告最少的实践（M=3.6/5，SD=0.9）。参与者报告资源缺乏（M=2.4/5，SD=0.8）和获得临终关怀知识的机会（M=2.9/5，SD=0.9）。然而，参与者对临终关怀的态度普遍较为积极，他们对姑息治疗的价值观表示强烈认同（M=4.6/5，SD=0.4）。
本研究的结果表明，急诊护理护士报告的最常见的临终关怀实践需要的情感投入最少。研究结果可以为急诊护理护士的知识发展和资源提供信息。
