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Published on: July 4, 2018
Nurses' knowledge about palliative care in a critical care unit.
A Sesma-Mendaza1, M Aranguren-Sesma1, F Estraviz-Pardo1
1RN por la Universidad de Navarra, Enfermera de la Unidad de Cuidados Intensivos, Clínica Universidad de Navarra, Pamplona, Spain.
Critical care nurses possess basic palliative care knowledge, but it is insufficient in psychological aspects. Targeted training can enhance symptom management and care quality for palliative patients.
Area of Science:
- Nursing
- Palliative Care
- Critical Care Medicine
Background:
- Patients in Critical Care Units (CCUs) face high mortality rates due to complex conditions.
- Palliative care (PC) is crucial for improving patient outcomes in CCUs.
- Nurses play a vital role in delivering palliative care, necessitating adequate training and integration into daily practice.
Purpose of the Study:
- To assess the knowledge level of Critical Care Unit (CCU) nurses regarding palliative care (PC).
- To determine associations between study variables and nurses' PC knowledge.
- To identify areas for improvement in PC training for CCU nurses.
Main Methods:
- A descriptive, observational, cross-sectional study was conducted in a tertiary university hospital's CCU.
- A validated Spanish version of the Palliative Care Quiz for Nurses questionnaire was used.
- The questionnaire assessed PC philosophy, psychosocial aspects, and symptom control, alongside sociodemographic data.
Main Results:
- Sixty-eight nurses participated, with an average age of 34.98 years and 13.00 years of experience.
- Overall correct answer rate was 56.98%.
- PC training was significantly associated with better knowledge of pain and symptom control (p=0.033), but no overall significant associations were found with other variables.
Conclusions:
- CCU nurses demonstrate a foundational understanding of PC, with notable deficits in the psychological domain.
- Developing targeted training programs is essential to address misconceptions and knowledge gaps.
- Improved training can enhance symptom management, overall care quality, and the application of palliative care principles for CCU patients.
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