重症监护护士开展姑息治疗的信心。

Confidence in carrying out palliative care among intensive care nurses.

作者信息

Ko Eunjeong, Lowie Samantha, Ni Ping

机构信息

School of Social Work, San Diego State University, San Diego, California, USA.

Outpatient Behavioral Health, Vista Hill Foundation, San Diego, California, USA.

出版信息

Nurs Crit Care. 2023 Jan;28(1):13-20. doi: 10.1111/nicc.12735. Epub 2021 Dec 10.

DOI:10.1111/nicc.12735

PMID:34889484

Abstract

BACKGROUND

Nurses in intensive care units (ICUs) play a crucial role in providing palliative care. Effective provision of palliative care in the ICU requires nurses' active engagement, yet little is known about the confidence for palliative care that ICU nurses hold in China.

AIM

To explore confidence in performing palliative care among ICU nurses in China and factors related to nurses' level of confidence.

STUDY DESIGN

A cross-sectional design was implemented.

METHODS

This study utilized convenience sampling to recruit ICU nurses from nine hospitals in Wuhan, China. Data were collected via an online survey. Multiple regression was conducted to identify the predictors of the ICU nurses' confidence in performing palliative care.

RESULTS

A total of 231 ICU nurses participated in the study, resulting in a response rate of 78% (231/296). Participants reported a relatively low level of confidence for carrying out palliative care (mean score = 2.60 ± 0.53; range = 1-4). Nurses who had more positive attitudes toward palliative care communication (P < .001), higher levels of formal training on palliative care (P < .001), more years of working as an ICU nurse (P < .05) and those working in integrated ICU (P < .001) showed a higher level of confidence in carrying out palliative care.

CONCLUSION

Participants' lack of confidence in performing palliative care makes for increased challenges, particularly in uncertainty about family assessments, palliative care discussions and lack of palliative care training. Strengthening palliative care curricula in nursing education and professional training is imperative to enhance ICU nurses' confidence.

RELEVANCE TO CLINICAL PRACTICE

Strengthening palliative care education and training, particularly in relation to palliative care communication, is critical. Implementing and tailoring culturally relevant palliative care call for attention to practice and for policy changes in palliative care delivery in China.

摘要

背景

重症监护病房（ICU）的护士在提供姑息治疗中发挥着关键作用。在ICU有效提供姑息治疗需要护士的积极参与，但在中国，对于ICU护士在姑息治疗方面的信心了解甚少。

目的

探讨中国ICU护士对实施姑息治疗的信心以及与护士信心水平相关的因素。

研究设计

采用横断面设计。

方法

本研究采用便利抽样法，从中国武汉的9家医院招募ICU护士。通过在线调查收集数据。进行多元回归分析以确定ICU护士对实施姑息治疗信心的预测因素。

结果

共有231名ICU护士参与了本研究，回复率为78%（231/296）。参与者报告在开展姑息治疗方面的信心水平相对较低（平均得分 = 2.60 ± 0.53；范围 = 1 - 4）。对姑息治疗沟通态度更积极（P < 0.001）、接受姑息治疗正规培训水平更高（P < 0.001）、担任ICU护士年限更长（P < 0.05）以及在综合ICU工作的护士（P < 0.001）在开展姑息治疗方面表现出更高的信心水平。