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Nurses’ Caring Behaviors for Dying Patients in Southern Thailand

机译:泰国南部垂死病人的护士护理行为

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Background: Nowadays, the end-of-life care becomes an indicator of the quality of care in a hospital. However, current nursing standards and quality of care related to the end of life do not meet the desired expectations of both dying patients and their families. Therefore, caring behaviors of nurses need to be described. Purpose: The purpose of this descriptive research was to describe the level of nurses’ caring behaviors for dying patients in southern Thailand. Method: Proportionate stratified random sampling was used to select 360 registered nurses who had been working in general hospitals and regional/university hospitals in southern Thailand for at least one year. Instruments used in the study included the Demographic Data Questionnaire (DDQ) and the Nurse’s Caring Behavior for Dying Patients Questionnaire (NCBDQ). The questionnaires were content validated by three experts. The reliability of the NCBDQ was tested with 30 nurses yielding a Cronbach’s alpha coefficient of .97. The data were analyzed by using frequency, percentage, mean and standard deviation. Results: The level of nurses’ caring behaviors for dying patients was high (M = 2.12, SD = .43). The five dimensions of the nurses' caring behaviors including compassion, confidence, conscience, commitment and comportment were also at a high level. However, the competence dimension was at a moderate level (M = 1.82, SD = .51). Conclusion: The results of this study indicated that nurses perceived themselves as having a moderate level of competency in taking care of dying patients. Therefore, educational intervention on enhancing nurses’ competency for end of life care is recommended. In addition, factors relating to nurses’ caring behavior for dying patients should be further explored.
机译:背景:如今,临终护理已成为医院护理质量的指标。但是,当前与寿命终止有关的护理标准和护理质量不能满足垂死患者及其家人的期望。因此,需要描述护士的护理行为。目的:本描述性研究的目的是描述泰国南部垂死患者的护士护理行为水平。方法:采用分层分层随机抽样方法,选择在泰国南部的综合医院和地区/大学医院工作了至少一年的360名注册护士。该研究中使用的工具包括人口数据问卷(DDQ)和护士对垂死患者的护理行为问卷(NCBDQ)。问卷的内容由三位专家验证。使用30名护士对NCBDQ的可靠性进行了测试,得出Cronbach的alpha系数为0.97。通过使用频率,百分比,均值和标准差分析数据。结果:垂死患者的护士护理行为水平很高(M = 2.12,SD = .43)。护士的护理行为的五个维度,包括同情心,自信,良心,执着和包容态度也处于较高水平。但是,胜任力维度处于中等水平(M = 1.82,SD = .51)。结论:这项研究的结果表明,护士认为自己在照顾垂死患者方面具有中等水平的能力。因此,建议采取教育干预措施来提高护士的临终护理能力。此外,应进一步探讨与护士对垂死患者的护理行为有关的因素。

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