Palliative care competencies of nurses in primary care.

Pauli J Lamppu, Pirita Forsius, Teija Hammar, Juho T Lehto, Minna Hökkä
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Abstract

Background: Competency in palliative care is necessary to support the adequate quality of care of patients.

Aim: To describe the self-evaluated level of competence of clinical nursing staff and supervisors' evaluations of staff competence in non-specialist palliative care settings.

Methods: A web-based questionnaire provided a cross-sectional nationwide sample of answers.

Findings: A total of 587 answers were analysed. Clinical nurses rated their competence lowest in the themes of communication and advance care planning (ACP). ACP was among the lowest scoring themes for supervisors' evaluations of staff competence. Similarly, the highest scoring themes for both groups included the theme evaluating symptom care and assessment. In this theme, competencies related to psychological and existential suffering scored lowest.

Conclusion: This study provides an overview of nurses' PC competencies and highlighted some of the weaknesses they recognise. These shortcomings include evaluating and treating psychological and existential suffering, legal aspects of decision making and competencies related to ACP.

初级保健护士的姑息治疗能力。
背景:在姑息治疗能力是必要的,以支持足够的护理质量的病人。目的:探讨临床护理人员自我评价的能力水平和主管对非专科姑息护理人员能力的评价。方法:基于网络的问卷调查提供了全国范围内的横断面样本答案。调查结果:共分析了587份答案。临床护士在沟通和提前护理计划(ACP)的主题中评价他们的能力最低。在主管对工作人员能力的评价中,非加太是得分最低的主题之一。同样,两组得分最高的主题包括评估症状护理和评估的主题。在这一主题中,与心理和生存痛苦相关的能力得分最低。结论:本研究提供了护士PC能力的概述,并强调了他们认识到的一些弱点。这些缺点包括评价和治疗心理和存在的痛苦、决策的法律方面以及与非加太计划有关的能力。
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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