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增强重症护理护士的能力:弥合姑息治疗中的知识差距。

Empowering critical care nurses: bridging knowledge gaps in palliative care.

作者信息

Almahrizi Halima A, Alaloul Fawwaz, Al Mamari Ohood K, Rani Esther K, Al Mahrizi Zayoon A, Al Harthy Salma A, Al-Naamani Zakariya

机构信息

Medical City for Military and Security Services School, Ministry of Defense, Muscat, Oman.

College of Nursing, Sultan Qaboos University, PC 123, P.O. Box 66, Muscat, Sultanate of Oman.

出版信息

BMC Nurs. 2025 Aug 28;24(1):1127. doi: 10.1186/s12912-025-03699-1.

Abstract

PURPOSE

This study examines the knowledge of palliative care among critical care nurses in Oman.

BACKGROUND

Despite the growing recognition of palliative care's importance, evidence indicates a pervasive deficiency in nurses' understanding of its core principles, particularly in areas such as symptom management, communication strategies, and the psychological and spiritual dimensions of care.

METHOD

Utilizing a cross-sectional survey methodology, we assessed the knowledge of 131 ICU nurses at an academic teaching hospital in Oman using the Palliative Care Quiz for Nursing.

RESULTS

The findings indicated substantial knowledge deficits, with an overall mean knowledge score of 8.89 out of 20. Notably, the highest mean score of 6.62 was associated with managing pain and other symptoms based on 13 identified items assessed. In contrast, the lowest mean score of 1.02 was observed in understanding the philosophy and principles of palliative care, as assessed by four items.

CONCLUSION

The results reveal significant knowledge deficits among critical care nurses that may adversely affect patient care quality. Moreover, the study considers Oman's cultural and religious context, where expatriate healthcare professionals may encounter challenges in aligning palliative care practices with the patient population's beliefs and expectations.

CLINICAL IMPLICATIONS

Addressing the knowledge gaps in palliative care among critical care nurses is essential for improving patients' quality of life and overall satisfaction with care during critical illness. This encompasses not only the effective management of symptoms and treatment side effects but also a focus on emotional, psychological, and social needs, ultimately fostering a more holistic approach to critical care nursing in Oman.

摘要

目的

本研究调查阿曼重症监护护士对姑息治疗的了解情况。

背景

尽管人们越来越认识到姑息治疗的重要性,但有证据表明,护士对其核心原则的理解普遍不足,尤其是在症状管理、沟通策略以及护理的心理和精神层面等领域。

方法

采用横断面调查方法,我们使用《护理姑息治疗测验》对阿曼一家学术教学医院的131名重症监护病房护士的知识水平进行了评估。

结果

研究结果表明存在大量知识缺陷,20分的总分平均知识得分为8.89分。值得注意的是,根据所评估的13个确定项目,管理疼痛和其他症状的平均得分最高,为6.62分。相比之下,通过四个项目评估,对姑息治疗理念和原则的理解平均得分最低,为1.02分。

结论

结果显示重症监护护士存在明显的知识缺陷,这可能对患者护理质量产生不利影响。此外,该研究考虑了阿曼的文化和宗教背景,外籍医疗保健专业人员在使姑息治疗实践与患者群体的信仰和期望保持一致方面可能会遇到挑战。

临床意义

解决重症监护护士在姑息治疗方面的知识差距对于提高患者在重症疾病期间的生活质量和对护理的总体满意度至关重要。这不仅包括有效管理症状和治疗副作用,还包括关注情感、心理和社会需求,最终在阿曼促进更全面的重症监护护理方法。

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