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首页> 外文学位 >An Evaluation of the Influence of the Care (Compassion and Respect at the End-of-Life) Program on Registered Nurses' Knowledge snd Comfort About End-of-Life Care and Care Delivery for Patients with Life-Limiting Illnesses
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An Evaluation of the Influence of the Care (Compassion and Respect at the End-of-Life) Program on Registered Nurses' Knowledge snd Comfort About End-of-Life Care and Care Delivery for Patients with Life-Limiting Illnesses

机译：护理（临终关怀和尊敬）计划对注册护士对终生疾病患者临终护理和分娩的知识舒适度的影响评估

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摘要

In the United States, there is an urgent need for quality palliative and end-of-life care for patients at the end of life or living with life-limiting illnesses. Palliative and end-of-life training among nurses is inadequate and inconsistent. Little is known about nurses' knowledge and comfort when caring for the dying.;The purpose of this pilot study was to evaluate the influence of the CARE (Compassion and Respect at the End-of-life) Program and the CARES* Tool at Huntington Hospital to empower nurses to deliver compassionate, dignified, and personalized nursing care at the end of life consistent with patient and family wishes.;The study design was a one group pre-test/post-test intervention study using the End-of-Life Professional Caregiver Survey (EPCS) to measure nurses' knowledge and comfort about end-of-life care in the domains of patient- and family-centered communication, cultural and ethical values, and effective care delivery.;Fifty-one participants were recruited, and 24 participants completed the post-surveys of EPCS and the CARES Tool Evaluation 6 weeks after the CARE Program training. Participants reported an 18% increase in scores in the domain of patient- and family-centered communication; 21% increase in scores in the domain of cultural and ethical values; and 18% increase in scores in the domain of effective care delivery. Participants without prior knowledge of care for the dying improved the most in all three domains, whereas participants working in critical care showed the least improvement in scores in all three domains. Item analyses of the EPCS questionnaire items revealed that most participants feel comfortable with being present with dying patients and with encouraging patients and families to complete advance care planning. The participants felt least comfortable in addressing requests for physician-assisted death. In addition, the CARES Tool was found to be an effective educational tool to improve knowledge and comfort of nurses to provide compassionate, person-centered care for patients at the end of life or living with life-limiting illnesses.;The CARE Program and the CARES Tool have demonstrated effectiveness in increasing nurses' knowledge and comfort with end-of-life care and care delivery for patients with life-limiting illnesses. This study has provided original data and insights into the use of an evidence-based palliative care training program. Implications and suggestions for future research will include how the CARE Program and the CARES Tool impact patient and family outcomes, care satisfaction, physicians and other health care team members' end-of-life care practices, and nursing students' end-of-life care education and training.;*CARES (Comfort, Airway, Restlessness and Delirium, Emotional and Spiritual Support, and Self-Care).
机译：在美国，迫切需要在生命终结或患有生命受限疾病的患者中提供优质的姑息治疗和临终治疗。护士的姑息治疗和临终培训不足且前后不一致。关于护士在护理垂死时的知识和舒适性知之甚少。该试验性研究的目的是评估亨廷顿的CARE（临终同情和尊重）计划和CARES *工具的影响医院授权护士在临终时根据患者和家庭的意愿提供富有同情心，尊严和个性化的护理服务；该研究设计是一项使用临终前的一组测试前/测试后干预研究专业护理人员调查（EPCS），用于评估护士在以患者和家庭为中心的沟通，文化和道德价值观以及有效的护理提供方面对临终护理的知识和舒适度;招募了51名参与者， CARE计划培训后的6周，有24名参与者完成了EPCS的后调查和CARES工具评估。参与者报告说，以患者和家庭为中心的交流领域的分数提高了18％；在文化和道德价值观方面的分数提高了21％；有效护理领域的分数提高了18％。在这三个领域中，对死亡的护理没有先验知识的参与者进步最大，而在重症监护中工作的参与者在这三个领域的分数进步最少。 EPCS问卷调查项目的项目分析显示，大多数参与者对与垂死的患者在一起并鼓励患者和家人完成预先护理计划感到自在。参与者在满足医生协助下的死亡要求时感到最不舒服。此外，CARES工具被发现是一种有效的教育工具，可以提高护士的知识和舒适度，为临终或有生命限制疾病的患者提供富有同情心，以人为中心的护理。 CARES Tool已经证明可以有效提高护士对临终期疾病患者的临终关怀和护理服务的知识和舒适度。这项研究为使用循证姑息治疗培训计划提供了原始数据和见解。对未来研究的影响和建议将包括CARE计划和CARES工具如何影响患者和家庭的结局，护理满意度，医生和其他医疗保健团队成员的临终护理实践以及护理学生的临终护理护理教育和培训。* CARES（舒适，呼吸道，躁动和妄想，情感和精神支持以及自我护理）。

著录项

  • 作者

    Chan, Brenda.;

  • 作者单位

    Azusa Pacific University.;

  • 授予单位 Azusa Pacific University.;
  • 学科 Nursing.;Medicine.;Gerontology.
  • 学位 D.N.P.
  • 年度 2018
  • 页码 146 p.
  • 总页数 146
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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