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重症监护护士对终末期疾病临终关怀的知识:水平和相关因素。

Knowledge of Critical Care Nurses about End-of-Life Care towards Terminal Illnesses: Levels and Correlating Factors.

机构信息

Adult Health Nursing, Faculty of Nursing, 84977Al-Zaytoonah University of Jordan, Amman, Jordan.

Mental Health Nursing, Faculty of Nursing, 108564Isra University, Amman-Jordan.

出版信息

Inquiry. 2022 Jan-Dec;59:469580221080036. doi: 10.1177/00469580221080036.

Abstract

INTRODUCTION

The preparedness of nurses in relation to providing palliative care is not always adequate, indeed, it is sometimes unsatisfactory; this may be caused by lack of knowledge and limited experience in end-of-life care (EOLC). Thus, this study purposed to assess the levels of registered nurses' knowledge about EOLC, examine the relationships between EOLC knowledge and some demographic variables, and explore predictors of EOLC knowledge.

METHODS

A cross-sectional design survey was conducted with Jordanian registered nurses in critical care units (N = 175) in different heath sectors in Jordan. The End-of Life Professional Caregiver Survey (EPCS) was used.

RESULTS

Findings showed that nurses had moderate/quite a lot of knowledge about EOLC. The cultural and ethical values was the highest subscale of knowledge about EOLC , while effective care delivery subscale was the lowest one (. Knowledge about EOLC was correlated with age ( P work experience ( P training course in palliative or EOLC P . The main predictor of EPCS was training courses in palliative or EOLC P .

CONCLUSION

The nurses need to enhance their knowledge about EOLC and correlating factors should be taken into consideration when developing any intervention program. Nurses need palliative care training courses; also more attention is required in palliative care education particularly in clinical skills in effective care delivery.

摘要

简介

护士在提供姑息治疗方面的准备情况并不总是充分的,实际上,有时甚至是不令人满意的;这可能是由于缺乏临终关怀(EOLC)方面的知识和有限的经验所致。因此,本研究旨在评估注册护士对 EOLC 的知识水平,考察 EOLC 知识与某些人口统计学变量之间的关系,并探讨 EOLC 知识的预测因素。

方法

采用横断面设计,对约旦不同卫生部门重症监护病房的 175 名约旦注册护士进行了调查。采用《临终专业护理人员调查》(EPCS)。

结果

研究结果表明,护士对 EOLC 具有中等/相当多的知识。文化和伦理价值观是 EOLC 知识的最高子量表,而有效护理提供子量表则是最低的一个。EOLC 知识与年龄(P<.001)、工作经验(P<.001)和培训课程(P<.001)呈正相关。EPCS 的主要预测因素是姑息或 EOLC 培训课程(P<.001)。

结论

护士需要提高他们对 EOLC 的知识,在制定任何干预计划时应考虑相关因素。护士需要姑息治疗培训课程;还需要特别关注姑息治疗教育,包括有效的护理提供方面的临床技能。

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