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为长期护理中的临终关怀做准备:综合评论。

Preparing nurses for palliative care in long term care: An integrative review.

机构信息

School of Nursing, Massachusetts College of Pharmacy and Health Sciences, Boston, 179 Longwood Avenue, Boston, MA 02115, United States of America.

出版信息

J Prof Nurs. 2024 Jul-Aug;53:131-139. doi: 10.1016/j.profnurs.2024.05.011. Epub 2024 May 28.

DOI:10.1016/j.profnurs.2024.05.011
PMID:38997192
Abstract

BACKGROUND

With the aging population, there is an increased need for nurses with competence in chronic illness and palliative care management particularly in long-term care settings. The incorporation of palliative care education in nursing curricula has been explored previously.

PURPOSE

This review aimed to appraise the current literature on the state of palliative care education in academia and how it impacts the preparedness of nurses to enter long-term care post-graduation. There has not been an integrative review exploring curriculum-based palliative care education for long-term care.

METHOD

This review was guided by the method of Whittemore and Knafl using critical appraisal tools. The CINAHL, Cochrane, EBSCO, ERIC, Journals@Ovid, Medline, PsycINFO, and ScienceDirect databases were searched for peer-reviewed literature from 2017 to 2022.

RESULTS

Sixteen items met the search criteria for appraisal, and 11 items were retained for discussion.

CONCLUSION

There is a gap in nursing curricula in preparing nurses for the situations faced by long-term care nurses. Long-term care nurses develop strong bonds with residents and families and often lack time, space, and resources to cultivate the confidence and competence as palliative situations arise. More research is needed to determine the best placement in nursing programs for palliative-based long-term care education.

摘要

背景

随着人口老龄化,对具备慢性病和姑息治疗管理能力的护士的需求日益增加,特别是在长期护理环境中。此前已经探讨过将姑息治疗教育纳入护理课程。

目的

本综述旨在评估姑息治疗教育在学术界的现状,以及它如何影响护士毕业后进入长期护理的准备情况。目前还没有综合综述探讨基于课程的姑息治疗教育在长期护理中的应用。

方法

本综述以 Whittemore 和 Knafl 的方法为指导,使用批判性评价工具。从 2017 年到 2022 年,在 CINAHL、Cochrane、EBSCO、ERIC、Journals@Ovid、Medline、PsycINFO 和 ScienceDirect 数据库中搜索同行评审文献。

结果

有 16 项符合评价标准,其中 11 项被保留用于讨论。

结论

护理课程在培养护士应对长期护理护士所面临情况方面存在差距。长期护理护士与居民和家属建立了深厚的关系,但往往缺乏时间、空间和资源来培养在出现姑息情况时的信心和能力。需要进一步研究确定姑息为基础的长期护理教育在护理课程中的最佳位置。

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