针对在内外科病房工作的肿瘤护士的临终关怀教育项目的实施与评估：一项准实验研究。
Implementation and evaluation of an end-of-life care education program for oncology nurses working in medical-surgical wards: A quasi-experimental study.
作者信息
Jeong Misuk, Song Chieun, Park Sora
机构信息
Department of Pediatric Palliative Care, Chonnam National University Hwasun Hospital, Jeollanam-do, South Korea322Seoyang-ro, Hwasun-eup, Hwasun-gun, Jeollanam-do, 58128, South Korea.
Department of Nursing, Nambu University 1, Nambudae-gil, Gwangsan-gu, Gwangju, 62771, South Korea.
出版信息
Heliyon. 2023 Mar 8;9(4):e14096. doi: 10.1016/j.heliyon.2023.e14096. eCollection 2023 Apr.
BACKGROUND
The issue of a good death for cancer patients is becoming more prevalent. Hence, nurses' end-of-life work performance and stress levels in medical-surgical wards can significantly impact the quality of life of cancer patients and their caregivers. This study aimed to develop an end-of-life care education program for nurses taking care of cancer patients in medical-surgical ward and verify the program's preliminary effect.
METHOD
Quasi-experimental research using a one-group pretest-posttest design was carried out for this study. The end-of-life care manual for nurses in general wards were developed through expert validation. Initial in-person and follow-on online self-education sessions were conducted based on the end-of-life care manual. A total of 70 nurses participated in the end-of-life care education program. End-of-life care stress and end-of-life care performance were measured as preliminary program effects. An online survey was conducted before the initial in-person education and after the follow-up online education.
RESULTS
The end-of-life care education program effectively improved general ward nurses' end-of-life care performance. This performance was improved in the physical and psychological domains. However, this program did not improve the nurses' performance in end-of-life care in the spiritual domain. Furthermore, it did not effectively reduce the stress on end-of-life care, indicating that improvements should be made.
CONCLUSIONS
The improvement of effective end-of-life care education programs for nurses caring for cancer patients in general wards is required. Most importantly, efforts at the hospital organization level are necessary to reduce the stress of end-of-life care by improving the working environment. Additionally, it is necessary to conduct preemptive tailored intervention programs for nurses, such as a resilience improvement program.
背景
癌症患者善终的问题日益普遍。因此，护士在外科病房的临终护理工作表现和压力水平会对癌症患者及其护理人员的生活质量产生重大影响。本研究旨在为外科病房照顾癌症患者的护士制定临终关怀教育计划，并验证该计划的初步效果。
方法
本研究采用单组前后测设计的准实验研究。通过专家验证制定了普通病房护士临终关怀手册。基于临终关怀手册开展了初步的面对面和后续的在线自我教育课程。共有70名护士参加了临终关怀教育计划。将临终关怀压力和临终关怀表现作为计划的初步效果进行测量。在初步面对面教育前和后续在线教育后进行了在线调查。
结果
临终关怀教育计划有效提高了普通病房护士的临终关怀表现。在身体和心理领域，这种表现得到了改善。然而，该计划并未提高护士在临终关怀精神领域的表现。此外，它也没有有效减轻临终关怀的压力，表明仍需改进。
结论
需要为普通病房照顾癌症患者的护士改进有效的临终关怀教育计划。最重要的是，医院组织层面需要努力改善工作环境，以减轻临终关怀的压力。此外，有必要为护士开展预防性的量身定制干预计划，如复原力提升计划。
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