Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey.
Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey.
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DOI：
10.1097/01.naj.0000694336.19444.5a
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发表时间：
2020-08
期刊：
影响因子：
--
通讯作者：
Stephens C
中科院分区：
文献类型：
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作者：
Bui N;Halifax E;David D;Hunt L;Uy E;Ritchie C;Stephens C
近70%的养老院居民有资格接受姑息治疗，但很少有人在临终关怀之外接受正式的姑息治疗。关于养老院工作人员的态度、知识、技能和与姑息治疗相关的行为，我们知之甚少。我们对来自14家养老院的146名养老院工作人员（包括临床和非临床工作人员）进行了一项改进的调查，测量他们对死亡的态度。养老院的工作人员普遍表示，照顾临终者感到很舒服，但有一半的人认为生命的终结是一段非常痛苦的时期。疼痛控制（63%）、孤独（52%）和抑郁（48%）是这些患者最重要的问题，在使用强效止痛药和在生命结束时使用饲管方面存在矛盾心理。确定的改善姑息治疗的首要优先事项包括更多的家庭参与（43%），疼痛控制（50%）和其他症状管理（37%）方面的教育和培训，以及在其设施中使用姑息治疗小组（35%）。研究结果表明，需要更多的姑息治疗培训和教育，这些培训和教育应建立在现有工作人员对姑息治疗的知识、技能和态度的基础上。调查结果表明，大多数工作人员需要更多关于姑息治疗的教育和培训。
Nearly 70% of nursing home residents are eligible for palliative care, yet few receive formal palliative care outside of hospice. Little is known about nursing home staff attitudes, knowledge, skills, and behaviors related to palliative care. We administered a modified survey measuring attitudes toward death to 146 nursing home staff members, including both clinical and nonclinical staff, from 14 nursing homes. Nursing home staff generally reported feeling comfortable caring for the dying, but half believed the end of life is a time of great suffering. Pain control (63%), loneliness (52%), and depression (48%) were the most important issues identified with regard to these patients, and there was ambivalence about the use of strong pain medications and the utility of feeding tubes at the end of life. Top priorities identified for improving palliative care included greater family involvement (43%), education and training in pain control (50%) and in management of other symptoms (37%), and use of a palliative care team (35%) at their facility. Findings show there is a need for more palliative care training and education, which should be built on current staff knowledge, skills, and attitudes toward palliative care. Findings indicate that most staff need more education and training regarding palliative care.