Palyatif Bakımda Nörolojik Hastalıklarda Hemşirelerin Bilgisi Yeterlimi?

Year 2021, Volume: 16 Issue: 3, 382 - 387, 01.11.2021

Gülhan Sarıçam , Kadriye Kahveci , Doğan Akdoğan

https://doi.org/10.17517/ksutfd.834227

Abstract

Amaç: Toplumdaki yaşlı sayısının artması ile birlikte nörodejeneratif hastalıkların sayısı artmakta ve bu hastaların palyatif bakım hemşireliği, buna yönelik eğitim programları daha çok önem kazanmaktadır. Bu çalışma hemşirelerin palyatif bakım ve nörolojik hastalıklarla ilgili bilgisini değerlendirmek amacı ile yapılmıştır.
Gereç ve Yöntemler: Palyatif bakım merkezinde çalışan en az 6 aylık tecrübesi olan 41 hemşire çalışmaya alındı. Hemşirelerin yaş, cinsiyet, çalışma tecrübesi, palyatif bakım tecrübesi, eğitim durumu, palyatif bakım kursu alıp almadıkları kayıt edilidi. Palyatif bakım ve nörolojik hastalıklar ile ilgili 20 soru içeren bir anket uygulandı.
Bulgular: Çalışmaya katılan hemşirelerin yaş ortalaması 40.73 idi ve %70.7’si kadındı. Çalışma tecrübeleri ortalaması 18 yıl ve %48.8’inin eğitim durumu lisansdı. Hemşirelerin %46.3’ünün palyatif bakım tecrübesi 5 yıl ve üzeriydi, %51.2’si palyatif bakım kursu almıştı. Hemşirelerin yaşı, cinsiyeti, eğitim düzeyleri ve çalışma tecrübeleri test sonuçlarını etkilemezken, palyatif bakım tecrübesi olanların ve palyatif bakım kursu alanların nörolojik hastalıklar konusunda daha doğru yanıtlar verdiklerini saptadık (p<0.05).
Sonuç: Palyatif bakım hemşirelerinin bilgi seviyelerini ve mevcut eksiklerini belirlemek, hem uygun eğitim programlarının hazırlanması, hemde hastalara verilen palyatif bakımın kalitesini artırmak açısından önemlidir.

Keywords

Palyatif bakım, Hemşireler, Playatif bakım bilgisi, Nöroloji

Supporting Institution

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Project Number

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Thanks

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Do Nurses Have Enough Knowledge in Neurological Diseases in Palliative Care?

Abstract

Objective: The number of neurodegenerative diseases increases with the increasing number of the elderly in the community, and palliative care nursing for these patients and training programs for palliative care nursing gain more importance. This study was carried out to evaluate the knowledge of nurses about palliative care and neurological diseases.
Material and Methods: 41 nurses with at least 6 months of experience working in a palliative care center were included in the study. The ages, sexes, work experiences, palliative care experiences, educational statuses and whether they had received palliative care courses were recorded. The questionnaire had 20 questions about palliative care and neurological diseases.
Results: The average age of the nurses included in the study was 40.73 and 70.7% were female. The mean work experience was 18 years and the education level of 48.8% was a bachelor's degree. 46.3% of the nurses had 5 years or more palliative care experience, 51.2% of them had taken a palliative care course. While the ages, sexes, education levels and work experiences of the nurses did not affect the study results, we found that those with palliative care experience and those who took palliative care courses gave more accurate answers to the questions on neurological diseases (p<0.05).
Conclusions: Determining the level of knowledge and current deficiencies of palliative care nurses is important both in terms of preparing appropriate training programs and improving the quality of palliative care provided to patients.

Keywords

Palliative care, Nurses, Palliative care knowledge, Neurology

Project Number

yok

References

• 1. Provinciali L, Carlini G, Tarquini D, Defanti CA, Veronese S, Pucci E. Need for palliative care for neurological diseases. Neurol Sci. 2016;37(10):1581-7.
• 2. Sanderson C, Tieman J. CareSearch-online palliative care information for GPs. Aust Family Physician. 2010;39:341-3.
• 3. Lorenzl S, Nübling G, Perrar KM, Voltz R. Palliative treatment of chronic neurologic disorders. Handb Clin Neurol. 2013;118:133-9.
• 4. Egan KA, Abbott P. Interdisciplinary team training- preparing new employees for the specialty of hospice and palliative care. J Hosp Palliat Nurs. 2002;4:161–71 5. Skår R. Knowledge use in nursing practice: The importance of practical understanding and personal involvement. Nurse Educ Today. 2010;30:132–6.
• 6. De Vlieger M, Gorchs N, Lankin PJ, Porschet F. Palliative nurse education towards a common language. Palliative Medicine.2004;18(5):401-3.
• 7. Chover-Sierra E, Martínez-Sabater A, Lapeña-Moñux YR. An instrument to measure nurse’ knowledge in palliative care: Validation of the Spanish version of Palliative Care Quiz For Nurses. PLoS One. 2017;18:12(5):e0177000.
• 8. Crossetti Mda G. Production of knowledge and the quality of nursing practice. Rev Gaucha Enferm. 2009;30:372–4.
• 9. Kwekkeboom KL, Vahl C, Eland J. Impact of a volunteer companion program on nursing students’ knowledge and concerns related to palliative care. J Palliat Med. 2006;9:90–9.
• 10. Kumar SP, Jim A, Sisodia V. Effects of palliative care training program on knowledge, attitudes, beliefs and experiences among student physiotherapists: A preliminary quasi-experimental study. Indian J Palliat Care. 2011;17:47–53.
• 11. Fabrigar L, Petty R, Smith S, Crites S. Understanding knowledge effects on attitude–behavior consistency: The role of relevance, complexity, and amount of knowledge. Journal of Personality and Social Psychology.2006;90(4):556–77.
• 12. Gruenewald DA, Higginson IJ, Vivat B, Edmonds P, Burman RE. Quality of life measures for the palliative care of people severely affected by multiple sclerosis: a systematic review. Mult Scler. 2004;10(6):690-704.
• 13. Jenkinson C, Fitzpatrick R. Reduced item set for the amyotrophic lateral sclerosis assessment questionnaire: development and validation of the ALSAQ-5. J Neurol Neurosurg Psychiatry. 2001;70(1):70-3
• 14. Gofton TE, Jog MS, Schulz V. A Palliative Approach to Neurological Care: A Literature Review. Canadian Journal of Neurological Sciences. 2009;36(03):296–302.
• 15. Magdalinou KN, Martin A, Kessel B. Prescribing medications in Parkinson's disease (PD) patients during acute admissions to a District General Hospital. Parkinsonism Relat Disord. 2007;13(8):539-40.
• 16. Chenoweth L, Sheriff J, Mc Anally L, Tait F. Impact of the Parkinson’s disease medication protocol program on nurses’ knowledge and management of Parkinson’s medicines in acute and aged care settings. Nurse Educ Today.2013;33(5):458-64.
• 17. Jarman B, Hurwitz B, Cook A, Bajekal M, Lee A. Effects of community based nurses specialising in Parkinson’s disease on health outcome and costs: randomized controlled trial. BMJ. 2002;4;324(7345):1072-5.
• 18. Farmani AH, Mirhafez SR, Kavosi A, Moghadam Pasha A, Jamali Nasab A, Mohammadi G, et al. Dataset on the nurses' knowledge, attitude and practice towards palliative care. Data Brief. 2018;(22):319-25. 19. Shipman C, Burt J, Ream E, Beynon T, Richardson A, Addington-Hall J. Improving district nurses’ confidence and knowledge inthe principles and practice of palliative care. J Adv Nurs. 2008;63(5):494-505.
• 20. Wilson O, Avalos G, Dowling M. Knowledge of palliative care and attitudes towards nursing the dying patient. Br J Nurs. 2016;25(11):600-5.
• 21. Proctor M, Grealish L, Coates M, Sears P. Nurses' knowledge of palliative care in the Australian Capital Territory. Int J Palliat Nurs. 2000;6(9):421-8.
• 22. Prem V, Karvannan H, Kumar SP, Karthikbabu S, Syed N, Sisodia V, et al. Study of Nurses’ Knowledge about Palliative Care: A Quantitative Cross-sectional Survey. Indian J Palliat Care. 2012; 18(2):122–7.