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護理人員對生命末期照護知識與態度-以中部某區域教學醫院為例

Knowledge and Attitudes of Clinical Nurses Regarding End-of-Life Care: Survey in a Regional Hospital in Central Taiwan

摘要


In the past decade, palliative-care training and education have focused mainly on the needs of cancer patients and their families. Palliative care of terminally ill cancer patients involves holistic treatment, including the physical, psychosocial, spiritual and social aspects of care. No consensus has emerged, however, regarding palliative care for of non-cancer patients. This study was conducted to determine the knowledge and attitudes of clinical nurses regarding the general topic of end-of-life (EOL) care in order to guide future education and promote high-quality clinical nursing. This cross-sectional study consisted of a survey of clinical nurses at a regional teaching hospital in central Taiwan. A self-reported questionnaire including items on basic data as well as the nurses' knowledge and attitudes regarding EOL care was distributed to 500 nurses. Of the 500 questionnaires distributed, 411 were returned. The number of fully completed questionnaires was 353. Most respondents reported feeling inadequately prepared for the tasks of EOL care. Knowledge and attitudes regarding EOL care were related to department, seniority, length of palliative-care training, and experiences of EOL care. The nurses' knowledge of EOL care was well correlated to their attitudes about such care. Although the need for palliative care in illnesses other than cancer has been increasingly accepted, clinical nurses have inadequate knowledge of EOL care. Medical institutions should offer more educational courses designed to increase nurses' EOL care abilities and encourage positive attitudes toward EOL care so that dying patients and their families can receive the best possible holistic care.

並列摘要


In the past decade, palliative-care training and education have focused mainly on the needs of cancer patients and their families. Palliative care of terminally ill cancer patients involves holistic treatment, including the physical, psychosocial, spiritual and social aspects of care. No consensus has emerged, however, regarding palliative care for of non-cancer patients. This study was conducted to determine the knowledge and attitudes of clinical nurses regarding the general topic of end-of-life (EOL) care in order to guide future education and promote high-quality clinical nursing. This cross-sectional study consisted of a survey of clinical nurses at a regional teaching hospital in central Taiwan. A self-reported questionnaire including items on basic data as well as the nurses' knowledge and attitudes regarding EOL care was distributed to 500 nurses. Of the 500 questionnaires distributed, 411 were returned. The number of fully completed questionnaires was 353. Most respondents reported feeling inadequately prepared for the tasks of EOL care. Knowledge and attitudes regarding EOL care were related to department, seniority, length of palliative-care training, and experiences of EOL care. The nurses' knowledge of EOL care was well correlated to their attitudes about such care. Although the need for palliative care in illnesses other than cancer has been increasingly accepted, clinical nurses have inadequate knowledge of EOL care. Medical institutions should offer more educational courses designed to increase nurses' EOL care abilities and encourage positive attitudes toward EOL care so that dying patients and their families can receive the best possible holistic care.

被引用紀錄


陸慧蓮、江慧珠、吳泓彥、林梅香(2021)。護理人員對末期腎病安寧照護認知之探討健康科技期刊7(2),13-25。https://doi.org/10.6979%2fTJHS.202103_7(2).0002
黃惠鈴(2015)。重症護理人員生命末期照護知識、態度和溝通支持感與溝通自信心之相關性探討〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833%2fCJCU.2015.00032
劉怡伶(2012)。護理人員與照顧服務員簽署預立醫療指示之差異性探討-以南部某區域教學醫院為例〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833%2fCJCU.2012.00129
張雅玲、張元玫、劉介宇(2021)。護理人員對末期病人不施予人工營養與水分的認知與態度調查安寧療護雜誌25(2),110-123。https://doi.org/10.6537%2fTJHPC.202103_25(2).02
林淑娟(2014)。護理人員安寧療護知識、態度與行為需求量表的發展〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343%2fISU.2014.00173

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