Home care nurses more positive about the palliative care that is provided and their own competence than hospital nurses: a nationwide survey.
Home care nurses more positive about the palliative care that is provided and their own competence than hospital nurses: a nationwide survey.
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DOI：
10.1186/s12904-021-00866-4
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发表时间：
2021-10-28
影响因子：
3.1
通讯作者：
Francke AL
中科院分区：
文献类型：
--
作者：
Joren CY;de Veer AJE;de Groot K;Francke AL
人们往往宁愿呆在家里，直到生命的尽头，但住院是很常见的。在以前的研究中，丧亲家属被发现对医院的姑息治疗不太积极。然而，不知道从医院护士和家庭护理护士的角度来看，家庭护理和医院之间姑息治疗的内容和质量有何不同，以及如何改善这些环境中的姑息治疗。在医院和家庭护理护士中进行了一项调查，这些护士是从全国护理人员小组中招募的，并通过社交媒体和在线通讯进行公开呼吁。预先设计的在线调查包括关于所提供的姑息治疗、这种治疗的质量以及受访者认为自己在提供姑息治疗方面的能力的问题。问卷由229名家庭护理护士和106名医院护士完成。护理人员提供的姑息治疗主要集中在生理和心理领域，较少集中在社会和精神领域。较高比例的家庭护理护士说，他们提供的护理在这些领域比医院护士。总体而言，70%的护士评价姑息治疗的质量为非常好到优秀。家庭护理护士的这一比例（76.4%）高于医院护士（59.4%）。此外，与医院护士（84.7%）相比，家庭护理护士（94.4%）表示他们在很大程度上有能力提供姑息治疗。与其他领域的能力相比，物理领域的能力被认为更好。护士们建议更加重视专业间的协作和沟通，及时识别姑息治疗阶段和提前制定护理计划，为姑息治疗患者提供更多的时间。虽然姑息治疗的质量被护士评为非常好到优秀，但仍然可以改进，特别是在医院的姑息治疗方面。虽然病人往往宁愿死在家里，而不是在医院，仍然有相当数量的人死在医院，因此医院护士也必须接受培训，能够提供高质量的姑息治疗。
People often prefer to stay at home until the end of life, but hospital admissions are quite common. In previous research bereaved relatives were found to be less positive about palliative care in hospital. However, it was not known how the content and quality of palliative care differ between home care and hospitals from the perspectives of hospital nurses and home care nurses and how palliative care in these settings could be improved. A survey was held among hospital and home care nurses, recruited from a nationwide Nursing Staff Panel and through open calls on social media and in an online newsletter. The pre-structured online survey included questions on the palliative care provided, the quality of this care and the respondent’s perceived competence in providing palliative care. The questionnaire was completed by 229 home care nurses and 106 hospital nurses. Most nurses provided palliative care in the physical and psychological domains, fewer provided care in the social and spiritual domains. A higher percentage of home care nurses stated that they provided care in these domains than hospital nurses. Overall, 70% of the nurses rated the quality of palliative care as very good to excellent. This percentage was higher among home care nurses (76.4%) than hospital nurses (59.4%). Moreover, a higher percentage of home care nurses (94.4%) stated they felt competent to a great extent to provide palliative care compared to hospital nurses (84.7%). Competencies regarding the physical domain were perceived as better compared to the competencies concerning the other domains. The nurses recommended paying more attention to inter-professional collaboration and communication, timely identification of the palliative phase and advance care planning, and more time available for palliative care patients. Although the quality of palliative care was rated as very good to excellent by nurses, improvements can still be made, particularly regarding palliative care in hospitals. Although patients often prefer to die at home rather than in hospital, still a considerable number of people do die in hospital; therefore hospital nurses must also be trained and be able to provide high-quality palliative care.
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影响因子：
3.1
作者：
Gomes B;Calanzani N;Gysels M;Hall S;Higginson IJ
通讯作者：
Higginson IJ
影响因子：
3.1
作者：
de Boer, Dolf;Hofstede, Jolien M.;Francke, Anneke L.
通讯作者：
Francke, Anneke L.
影响因子：
2.8
作者：
Brinkman-Stoppelenburg, A.;Boddaert, M.;van der Heide, A.
通讯作者：
van der Heide, A.
DOI：
10.1177/1049909111425228
发表时间：
2012-09-01
影响因子：
1.9
作者：
Pinzon, Luis Carlos Escobar;Claus, Matthias;Weber, Martin
通讯作者：
Weber, Martin
影响因子：
105.7
作者：
Gott, Merryn;Ingleton, Christine;Gardiner, Clare
通讯作者：
Gardiner, Clare