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首页> 外文期刊>Journal of hospice and palliative nursing: JHPN : the official journal of the Hospice and Palliative Nurses Association >Improving Knowledge, Comfort, and Confidence of Nurses Providing End-of-Life Care in the Hospital Setting Through Use of the CARES Tools
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Improving Knowledge, Comfort, and Confidence of Nurses Providing End-of-Life Care in the Hospital Setting Through Use of the CARES Tools

机译：通过使用护理工具，提高护士的知识，舒适度和护士的信心为医院设置提供终生护理

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摘要

Although most individuals prefer to die at home, approximately 60% of Americans die in the hospital setting. Nurses are inadequately prepared to provide end-of-life (EOL) care because of cure-focused education. Friends and family of dying patients report poor quality of death largely as a result of inadequate communication from health care professionals about the dying process. The purpose of this project was to improve nursing knowledge and comfort related to EOL care through use of the CARES tool and to improve the EOL experience of families of dying patients in the hospital setting through use of Final Journey. These acronym organized tools were developed based upon the common symptom management needs of the dying including Comfort, Airway, Restlessness and delirium, Emotional and spiritual support, and Self-care. The CARES tool for nurses improved nursing knowledge and comfort related to EOL care and common symptom management needs of the dying and also enhanced nurses' confidence in communicating about the dying process with friends and family. Final Journey, the friends and family version of the CARES tool, reinforced EOL information for friends and family, helped nurses answer difficult questions, and promoted and enhanced communication between health care professionals and friends and family of the dying.
机译：虽然大多数人更喜欢在家里死亡，但大约60％的美国人死在医院环境中。由于治愈的教育，护士不足以提供生活结束（EOL）护理。垂死患者的朋友和家族主要报告差的死亡质量差，主要是从医疗保健专业人员关于垂死过程的沟通不足。该项目的目的是通过使用Cares工具来提高与EOL Chare相关的护理知识和舒适性，并通过使用最终旅程来改善医院垂死患者家族的EOL体验。这些缩略词有组织的工具是基于垂死的常见症状管理需求而开发，包括舒适，气道，不安和谵妄，情感和精神支持和自我保健。护理工具为护士提高了与EOL Care和常见症状管理需求相关的护理知识和舒适性，并且在与朋友和家人宣传垂死过程中，加强护士的信心。最后一段旅程，朋友和家庭版的关心工具，加强了朋友和家庭的EOL信息，帮助护士回答了难题，促进了卫生保健专业人才与朋友之间的沟通和垂死的家族。

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