Granrud Marie Dahlen, Grøndahl Vigdis Abrahamsen, Helgesen Ann Karin, Bååth Carina, Olsson Cecilia, Tillfors Maria, Melin-Johansson Christina, Österlind Jane, Larsson Maria, Hov Reidun, Sandsdalen Tuva
Department of Social Sciences and Guidance, Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.
Department of Nursing, Health and Laboratory Science, Faculty of Health, Welfare and Organization, Østfold University College, Halden, Norway.
J Multidiscip Healthc. 2023 Sep 27;16:2893-2903. doi: 10.2147/JMDH.S419442. eCollection 2023.
The provision of high-quality palliative care is challenging, especially during a pandemic like COVID-19. The latter entailed major consequences for health care systems and health care personnel (HCP) in both specialist and community health care services, in Norway and worldwide. The aim of this study was to explore how the HCP perceived the quality of palliative care in nursing homes, medical care units, and intensive care units during the COVID-19 pandemic.
This study had a cross-sectional design. A total of 290 HCP from Norway participated in the study (RR = 25.8%) between October and December 2021. The questionnaire comprised items concerning respondents' demographics and quality of care, the latter measured by the short form of the Quality from the Patient's Perspective-Palliative Care instrument, adapted for HCP. The STROBE checklist was used.
This study shows that the HCP scored subjective importance as higher in all dimensions, items and single items than their perception of the actual care received. This could indicate a need for improvement in all areas. Information about medication, opportunity to participate in decisions about medical and nursing care and continuity regarding receiving help from the same physician and nurse are examples of areas for improvement.
Study results indicate that HCP from nursing homes, medical care units, and intensive care units perceived that quality of palliative care provided was not in line with what they perceived to be important for the patient. This indicate that it was challenging to provide high-quality palliative care during the COVID-19 pandemic.
提供高质量的姑息治疗具有挑战性，尤其是在像 COVID-19 这样的大流行期间。后者给挪威乃至全球的专科和社区医疗服务中的医疗保健系统及医护人员（HCP）带来了重大影响。本研究的目的是探讨在 COVID-19 大流行期间，医护人员如何看待养老院、医疗护理单元和重症监护病房中姑息治疗的质量。
本研究采用横断面设计。2021 年 10 月至 12 月期间，共有 290 名来自挪威的医护人员参与了该研究（回复率 = 25.8%）。问卷包括有关受访者人口统计学和护理质量的项目，后者通过从患者角度衡量姑息治疗质量的简表进行测量，并针对医护人员进行了改编。使用了 STROBE 清单。
本研究表明，医护人员在所有维度、项目和单项上对主观重要性的评分高于他们对实际接受护理的感知。这可能表明所有领域都需要改进。关于药物的信息、参与医疗和护理决策的机会以及从同一位医生和护士那里获得帮助的连续性等都是需要改进的领域的例子。
研究结果表明，养老院、医疗护理单元和重症监护病房的医护人员认为所提供的姑息治疗质量与他们认为对患者重要的方面不一致。这表明在 COVID-19 大流行期间提供高质量的姑息治疗具有挑战性。
