临终关怀护理教育联盟对在非姑息治疗环境中工作的印度护士的知识、态度和实践(KAP)的长期影响:KAP-GAP 分析。

Mayank Gupta, Gegal Pruthi, Karamjot Singh
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引用次数: 0

摘要

背景:临终关怀护理教育联盟(ELNEC)计划旨在使护士掌握姑息治疗和临终关怀的知识和技能。虽然该计划提高了印度护士对姑息治疗和临终关怀的知识和态度,但其对护士的知识、态度和临床实践的长期影响仍不得而知。本研究旨在评估 ELNEC 对印度护士的知识、态度和实践的长期影响。方法:对 2021 年 9 月完成 ELNEC 的一家三级医疗机构的执业护士进行为期 18 个月的跟踪调查。数据收集时间为2023年4月至6月,问卷内容包括人口统计学、护士姑息治疗问答(PCQN)、Frommelt临终关怀态度量表B表(FATCOD-B),以及为了解ELNEC对临床实践的影响而开发和验证的临床实践问卷。定量和定性数据分别采用社会科学统计软件包和主题分析法进行评估。18个月的随访PCQN和FATCOD-B得分与ELNEC前(基线)和ELNEC后的即时得分进行了比较。结果:在 108 名护士中,69 人做出了回应,回应率为 63.8%。随访 PCQN 平均得分为 9.03 ± 2.58;明显高于ELNEC 前的得分(8.45 ± 1.88),但低于ELNEC 后的得分(10.2 ± 1.88)。随着时间的推移,人们对临终关怀的态度有所下降,但在临终关怀价值和临终关怀方面仍持积极态度。对开放性问题回答的主题分析表明,ELNEC激励护士从事姑息治疗和护理慢性临终疾病患者(n = 52,75.3%),改善了她们的护理实践(n = 60,86.9%),并帮助提高了她们的沟通技巧(n = 51,73.9%)。参与者(n = 55,79.7%)强调定期进行姑息关怀培训,以加强其知识和技能。结论与基线相比,ELNEC能长期改善执业护士的姑息关怀知识、临床实践和沟通技能,并激励她们从事姑息关怀工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-Term Impact of the End-of-Life Care Nursing Education Consortium on Knowledge, Attitudes, and Practice (KAP) of Indian Nurses Working in Non-Palliative Care Settings: A KAP-GAP Analysis.

Background: The End-of-life Care Nursing Education Consortium (ELNEC) program aims to equip nurses with knowledge and skills in palliative and end-of-life care. While this program improves knowledge and attitudes of Indian nurses regarding palliative care and end-of-life care, its long-term impact on their knowledge, attitude, and clinical practice remains unknown. This study aims to assess ELNEC's long-term impact on knowledge, attitude, and practice of Indian nurses. Methods: A 18-month follow-up survey of practicing nurses at a tertiary care institute who completed ELNEC in September 2021. Data was collected between April-June 2023 via a questionnaire covering demographics, Palliative Care Quiz for Nurses (PCQN), Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B) and a clinical practice questionnaire developed and validated to access impact of ELNEC on clinical practice. Quantitative and qualitative data were assessed using Statistical package for social sciences and thematic analysis respectively. The 18-month follow-up PCQN and FATCOD-B scores were compared with the pre-ELNEC (baseline) and immediate post-ELNEC scores. Results: Out of 108 nurses, 69 responded with a response rate of 63.8%. The mean follow-up PCQN score was 9.03 ± 2.58; significantly higher than the pre-ELNEC (8.45 ± 1.88) but lower than the immediate post-ELNEC scores (10.2 ± 1.88). Attitudes toward end-of-life care declined over time but remained positive in the end-of-life care value and care of the dying. Thematic analysis of responses to open questions revealed that ELNEC motivated nurses to work in palliative care and care for patients with chronic life-limiting illnesses (n = 52, 75.3%), improved their nursing practice (n = 60, 86.9%), and helped enhance their communication skills (n = 51, 73.9%). Participants (n = 55, 79.7%) emphasized on regular palliative care training to reinforce their knowledge and skills. Conclusion: Compared with baseline, ELNEC leads to long-term improvement in practicing nurses' palliative care knowledge, clinical practice, communication skills and motivates them to work in palliative care.

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