Zanello Elisa, Vecchi Roberta, Zamagni Giulia, Biagi Maria Celeste, Bruno Irene, Cragnolin Elisa, Danielli Elisabetta, Paoletti Silvia, Rabusin Marco, Ronfani Luca, Pessa Valente Emanuelle
Institute for Maternal and Child Health IRCSS "Burlo Garofolo", 34137 Trieste, Italy.
Pineta del Carso Hospice, 34011 Trieste, Italy.
Healthcare (Basel). 2023 Jul 7;11(13):1971. doi: 10.3390/healthcare11131971.
There is a lack of highly reliable tools evaluating healthcare professionals' competences on Pediatric Palliative Care (PPC) and Pain Therapy (PT). The aim of this study is to document the development of an online questionnaire to assess Perceived, Wished and Actual Knowledge of healthcare workers on PPC/PT. The tool was built on the basis of the Italian Society for Palliative Care PPC Core Curriculum (CC) for physicians, nurses and psychologists. Face validity, internal consistency and the underlying structure were evaluated after a field testing in a referral hospital, Friuli-Venezia Giulia, Italy. One hundred five respondents completed the questionnaire. High internal consistency for both scales of Perceived and Wished Knowledge was found (α = 0.95 and α = 0.94, respectively). Psychologists reported higher levels of self-Perceived skills on the psychosocial needs of the child and family at the end of life ( = 0.006), mourning ( = 0.003) and ethics and deontology in PT/PC ( = 0.049). Moreover, when Actual Knowledge was tested, they also provided the highest number of correct answers ( = 0.022). No differences were found by profession for Wished Knowledge. The questionnaire showed promising psychometric properties. Our findings suggest the need of continuous training in this field and identify contents to be addressed in future training programs.
目前缺乏高度可靠的工具来评估医疗保健专业人员在儿童姑息治疗（PPC）和疼痛治疗（PT）方面的能力。本研究的目的是记录一份在线问卷的开发过程，以评估医护人员对PPC/PT的感知知识、期望知识和实际知识。该工具是基于意大利姑息治疗协会针对医生、护士和心理学家的PPC核心课程（CC）构建的。在意大利弗留利-威尼斯朱利亚的一家转诊医院进行现场测试后，对该工具的表面效度、内部一致性和潜在结构进行了评估。105名受访者完成了问卷。发现感知知识和期望知识两个量表的内部一致性都很高（分别为α = 0.95和α = 0.94）。心理学家报告说，在生命末期儿童和家庭的心理社会需求（P = 0.006）、哀悼（P = 0.003）以及PT/PC中的伦理和道义学方面，他们自我感知的技能水平更高（P = 0.049）。此外，在测试实际知识时，他们给出的正确答案数量也最多（P = 0.022）。对于期望知识，不同专业之间没有发现差异。该问卷显示出良好的心理测量特性。我们的研究结果表明，在这一领域需要持续培训，并确定未来培训项目中要涉及的内容。
