Australian long-term care personnel’s knowledge and attitudes regarding palliative care for people with advanced dementia

IF 2.4 3区社会学 Q2 GERONTOLOGY

Dementia-International Journal of Social Research and Practice Pub Date : 2019-11-10 DOI:10.1177/1471301219886768

T. Luckett, G. Luscombe, J. Phillips, E. Beattie, L. Chenoweth, P. Davidson, S. Goodall, D. Pond, G. Mitchell, M. Agar

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引用次数: 6

Abstract

This study aimed to describe Australian long-term care (LTC) personnel’s knowledge and attitudes concerning palliative care for residents with advanced dementia, and explore relationships with LTC facility/personnel characteristics. An analysis was undertaken of baseline data from a cluster randomised controlled trial of facilitated family case conferencing for improving palliative care of LTC residents with advanced dementia (the ‘IDEAL Study’). Participants included any LTC personnel directly involved in residents’ care. Knowledge and attitudes concerning palliative care for people with advanced dementia were measured using the questionnaire on Palliative Care for Advanced Dementia. Univariate and multivariate analyses explored relationships between personnel knowledge/attitudes and facility/personnel characteristics. Of 307 personnel in the IDEAL Study, 290 (94.5%) from 19/20 LTCFs provided sufficient data for inclusion. Participants included 9 (2.8%) nurse managers, 59 (20.5%) registered nurses, 25 (8.7%) enrolled nurses, 187 (64.9%) assistants in nursing/personal care assistants and 9 (3.1%) care service employees. In multivariate analyses, a facility policy not to rotate personnel through dementia units was the only variable associated with more favourable overall personnel knowledge and attitudes. Other variables associated with favourable knowledge were a designation of nursing manager or registered or enrolled nurse, and having a preferred language of English. Other variables associated with favourable attitudes were tertiary level of education and greater experience in dementia care. Like previous international research, this study found Australian LTC personnel knowledge and attitudes regarding palliative care for people with advanced dementia to be associated with both facility and personnel characteristics. Future longitudinal research is needed to better understand the relationships between knowledge and attitudes, as well as between these attributes and quality of care.

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澳大利亚长期护理人员对晚期痴呆患者姑息治疗的知识和态度

本研究旨在描述澳洲长期照护(LTC)人员对晚期痴呆患者姑息治疗的知识和态度，并探讨与LTC设施/人员特征的关系。对促进家庭病例会议以改善晚期痴呆LTC患者姑息治疗的聚类随机对照试验(“IDEAL研究”)的基线数据进行了分析。参与者包括任何直接参与居民护理的LTC人员。采用《晚期痴呆患者姑息治疗问卷》对晚期痴呆患者姑息治疗的知识和态度进行测量。单变量和多变量分析探讨了人员知识/态度与设施/人员特征之间的关系。在IDEAL研究的307名人员中，来自19/20个ltcf的290名(94.5%)提供了足够的数据纳入。研究对象包括护理经理9名(2.8%)、注册护士59名(20.5%)、注册护士25名(8.7%)、护理助理/个人护理助理187名(64.9%)和护理服务人员9名(3.1%)。在多变量分析中，不通过痴呆症病房轮换人员的设施政策是与更有利的总体人员知识和态度相关的唯一变量。其他与有利知识相关的变量是指定的护理经理或注册或注册护士，以及首选的语言是英语。与积极态度相关的其他变量是高等教育程度和更多的痴呆症护理经验。与以往的国际研究一样，本研究发现澳大利亚LTC人员对晚期痴呆患者姑息治疗的知识和态度与设施和人员特征有关。未来的纵向研究需要更好地理解知识和态度之间的关系，以及这些属性和护理质量之间的关系。

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

Dementia-International Journal of Social Research and Practice GERONTOLOGY-

CiteScore

5.60

自引率

12.50%

发文量

114

期刊介绍： Dementia acts as a major forum for social research of direct relevance to improving the quality of life and quality of care for people with dementia and their families. For the first time an international research journal is available for academics and practitioners that has as its primary paradigm the lived experience of dementia.