College of Nursing, Chengdu University of Traditional Chinese Medicine, No.1166 Liutai Road, Wenjiang District, Chengdu City, Sichuan Province 611137, China.
College of Nursing, Chengdu University of Traditional Chinese Medicine, No.1166 Liutai Road, Wenjiang District, Chengdu City, Sichuan Province 611137, China.
Nurse Educ Today. 2022 Dec;119:105570. doi: 10.1016/j.nedt.2022.105570. Epub 2022 Sep 23.
To synthesize nursing students' knowledge and attitudes about end-of-life care and to identify strategic directions for optimizing end-of-life care education.
A meta-analysis of observational studies.
PubMed, Web of Science, EMBASE, CINAHL, PsycINFO, MEDLINE, CNKI, and WANFANG 8 electronic databases in English and Chinese were systematically searched from inception until 10 April 2022.
Two reviewers independently screened literature and extracted data using structured tables. The Agency for Healthcare Research and Quality (AHRQ) was used to appraise the methodological quality of included studies. The study outcomes were synthesized using a meta-analysis.
26 cross-sectional studies of medium or high quality from 13 countries met the eligibility criteria, involving 9749 nursing students. In our review, nursing students demonstrated insufficient knowledge about end-of-life care, with a pooled mean score of 7.50 (95 % CI: 6.55-8.45); of these, knowledge about philosophy and principles, psychosocial and spiritual care, and pain and symptom management were all deficient, with pooled mean scores of 1.49 (95 % CI: 0.78-2.21), 1.00 (95 % CI: 0.35-1.65), and 3.44 (95 % CI: 2.25-4.63), respectively. Conversely, nursing students showed positive attitudes toward end-of-life care, with a pooled mean score of 102.97 (95 % CI: 99.43-106.51). The subgroup analysis revealed that male nursing students had lower pooled mean scores for end-of-life care knowledge and attitudes.
There is a mismatch between nursing students' knowledge and attitudes about end-of-life care, they have a positive attitude but lack the necessary knowledge. Male nursing students seem to have a greater deficit of knowledge and a relatively conservative attitude toward end-of-life care. These findings may provide a significant reference for nursing educators to adjust educational strategies promptly.
综合护理学生对临终关怀的知识和态度，并确定优化临终关怀教育的战略方向。
观察研究的荟萃分析。
英文和中文的 PubMed、Web of Science、EMBASE、CINAHL、PsycINFO、MEDLINE、CNKI 和 WANFANG 8 电子数据库系统检索，检索时间从建库至 2022 年 4 月 10 日。
两名审查员独立筛选文献并使用结构化表格提取数据。采用美国医疗保健研究与质量局（AHRQ）对纳入研究的方法学质量进行评价。使用荟萃分析综合研究结果。
从 13 个国家的 26 项中高质量的横断面研究符合纳入标准，共纳入 9749 名护理学生。在本综述中，护理学生对临终关怀的知识掌握不足，平均综合得分为 7.50（95%CI：6.55-8.45）；其中，哲学和原则、心理社会和精神关怀以及疼痛和症状管理方面的知识均有欠缺，平均综合得分为 1.49（95%CI：0.78-2.21）、1.00（95%CI：0.35-1.65）和 3.44（95%CI：2.25-4.63）。相反，护理学生对临终关怀持积极态度，平均综合得分为 102.97（95%CI：99.43-106.51）。亚组分析显示，男护生对临终关怀知识和态度的平均综合得分较低。
护理学生对临终关怀的知识和态度存在不匹配现象，他们态度积极，但缺乏必要的知识。男护生对临终关怀的知识似乎存在更大的不足，对临终关怀的态度也相对保守。这些发现可能为护理教育者提供重要参考，以便及时调整教育策略。
