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[西班牙初级医疗保健护士姑息治疗基础培训需求评估]

[Assessment of basic training needs in palliative care in primary healthcare nurses in Spain].

作者信息

García-Salvador Isidro, Chisbert-Alapont Encarna, Antonaya Campos Amparo, Casaña Mohedo Jorge, Hurtado Navarro Clara, Fernández Peris Silvia, Bonías López José, de la Rica Escuín María Luisa

机构信息

Enfermería, Servicio de Oncología, Departamento de Salud Dr. Peset, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España.

Enfermería, Servicio de Hematología, Departamento de Salud La Fe, Valencia, España; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (Fisabio), Valencia, España; Grupo de Investigación INCUE, Departamento de Salud Dr. Peset, Valencia, España.

出版信息

Aten Primaria. 2022 May;54(5):102344. doi: 10.1016/j.aprim.2022.102344. Epub 2022 Apr 27.

Abstract

AIM

Asses training, perception of readiness and training needs in palliative care (PC) theoretical and practical of primary care nurses in Spain, through descriptive cross-sectional study.

DESIGN

Descriptive cross-sectional study.

SETTING

Primary care nurses in Spain with online access.

PARTICIPANTS

Primary care nurses in Spain, January and February 2021. 344 responses, 339 met the inclusion criteria.

MAIN NEASUREMENTS

Sociodemographic variables, PC training, training needs were analyzed. Through Google Forms online questionnaire and INCUE Instrument. Descriptive analyses were performed and the results were compared using the exact symmetry test and the Mann-Whitney test.

RESULTS

82,6% women, with an average age of 45.5years. 86.1% of the nurses had training in PC, been basic in the 45.4%. Only 40.5% feel quite or very prepared to take care for palliative patients. Nurses demanded more training in psycho-emotional and grief and coping with losses. 83.76% passed the theoretical block compared to 43.36% of the practical, detecting higher training needs in the last (P<.001). The passed rates varied depending on the educational level.

CONCLUSIONS

Nursing training in PC in primary care continues to be deficient, especially in practical application. Targeted training is necessary to have an impact on the care of people with palliative needs and their families.

摘要

目的

通过描述性横断面研究,评估西班牙初级护理护士在姑息治疗(PC)理论和实践方面的培训、对准备情况的认知以及培训需求。

设计

描述性横断面研究。

背景

可在线访问的西班牙初级护理护士。

参与者

2021年1月和2月的西班牙初级护理护士。共收到344份回复,339份符合纳入标准。

主要测量指标

分析社会人口统计学变量、PC培训及培训需求。通过谷歌表单在线问卷和INCUE工具进行。进行描述性分析,并使用精确对称性检验和曼-惠特尼检验比较结果。

结果

82.6%为女性,平均年龄45.5岁。86.1%的护士接受过PC培训,其中45.4%为基础培训。只有40.5%的护士认为自己相当或非常有准备照顾姑息治疗患者。护士们要求在心理情感、悲伤及应对丧失方面接受更多培训。理论部分通过率为83.76%,而实践部分为43.36%,后者的培训需求更高(P<0.001)。通过率因教育水平而异。

结论

初级护理中PC的护理培训仍然不足,尤其是在实际应用方面。有针对性的培训对于改善对有姑息治疗需求的患者及其家庭的护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c74a/9062674/cd1630083470/fx1.jpg

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