The effect of end-of-life care awareness education on the knowledge, attitudes and behaviours of intensive care nurses: A randomized controlled trial.

IF 3 3区医学 Q1 NURSING

Nursing in Critical Care Pub Date : 2025-03-01 Epub Date: 2024-10-22 DOI:10.1111/nicc.13192

Fırat Demir, Cansu Polat Dunya, İlknur Özkan

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引用次数: 0

Abstract

Background: Education in end-of-life care (EoLC) is essential for improving the knowledge, attitudes and behaviours of intensive care nurses.

Aim: This study aimed to evaluate the effect of online awareness education, based on the End-of-Life Nursing Education Consortium, on the knowledge levels, attitudes and behaviours of intensive care nurses.

Study design: This single-centre randomized controlled study. This study was performed in a tertiary intensive care unit in a university-affiliated hospital. Seventy-six intensive care nurses were selected and equally randomized. In the education, the group was given an EoLC awareness education programme on an online platform as 40-60-min sessions once a week for 4 weeks. The descriptive Information Form, EoLC Knowledge Test and the Nurses' Attitudes and Behaviours towards the EoLC Scale were used. In the study, intensive care nurses' knowledge, attitude and behaviour levels towards EoLC were evaluated before and after 4 weeks (±3 days) following the education.

Results: When the mean post-education scores of the nurses in the education group were compared with the control group, it was found that their mean scores on the EoLC Knowledge Test (p = .001, Cohen's d = 1.354, 95% CI = 3.240-6.549), the attitude sub-dimension (p = .001, Cohen's d = 1.520, 95% CI = 4.510-7.858), the behaviour sub-dimension (p = .001, Cohen's d = 1.425, 95% CI = 3.206-6.214) and the total attitude and behaviour (p = .001, Cohen's d = 1.927, 95% CI = 8.408-13.643) were statistically significantly higher than those of the control group.

Conclusion: This study showed that EoLC awareness education positively affected nurses' knowledge, attitudes and behaviours. Accordingly, planning EoLC awareness education online at regular intervals may be recommended for intensive care nurses.

Relevance to clinical practice: Intensive care nurses may be given online EoLC awareness education to positively affect their knowledge, attitudes and behaviours about EoLC. Online EoLC education can be effective in terms of reaching a large number of nurses, time and cost.

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临终关怀意识教育对重症监护护士的知识、态度和行为的影响：随机对照试验。

背景：目的：本研究旨在评估基于生命末期护理教育联盟的在线认知教育对重症监护护士的知识水平、态度和行为的影响：本研究为单中心随机对照研究。研究地点：一所大学附属医院的三级重症监护病房。研究选取了 76 名重症监护护士，并对其进行了随机分组。在教育过程中，该组护士接受了在线平台上的 EoLC 意识教育课程，每周一次，每次 40-60 分钟，共持续 4 周。研究中使用了描述性信息表、EoLC 知识测试和护士对 EoLC 的态度和行为量表。研究评估了重症监护护士在接受教育前后 4 周（±3 天）对 EoLC 的认知、态度和行为水平：将教育组与对照组护士接受教育后的平均得分进行比较，发现他们在 EoLC 知识测试（p = .001，Cohen's d = 1.354，95% CI = 3.240-6.549）、态度子维度（p = .001，Cohen's d = 1.520，95% CI = 4.510-7.858）、行为次维度（p = .001，Cohen's d = 1.425，95% CI = 3.206-6.214）以及态度和行为总分（p = .001，Cohen's d = 1.927，95% CI = 8.408-13.643）均显著高于对照组：本研究表明，EoLC 意识教育对护士的知识、态度和行为有积极影响。因此，建议重症监护护士定期规划在线 EoLC 意识教育：与临床实践的相关性：可对重症监护护士进行在线EoLC意识教育，以积极影响其对EoLC的认识、态度和行为。在线 EoLC 教育在覆盖大量护士、时间和成本方面都很有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing in Critical Care NURSING-

CiteScore

6.00

自引率

13.30%

发文量

109

审稿时长

>12 weeks

期刊介绍： Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice