ケニアの看護師の終末期看護能力の特定と検証: 修正されたデルフィー技術
Gladys W Machira1, Irene G Mageto2, James Mwaura3
1Director, Nursing Council of Kenya, P. O. Box 14683 - 00400, Nairobi - Kenya,
まとめ
この研究では ケニアの看護師にとって 痛みの管理とコミュニケーションを含む 終末期看護の能力の8つを特定しました これらの発見は,患者と家族のための緩和ケアを改善するために専門的な発展を促すでしょう.
科学分野:
- 介護教育
- 緩和ケア
- 医療に関する能力
背景:
- ケニアでは非伝染性疾患が増加しているため 病院での終末期ケアへの需要が高まっている.
- 緩和ケア (PC) の利用は不十分で,患者や家族が満たされていないニーズを残しています.
- 終末期看護師は 患者のケアを改善するために 有効な終末期看護能力が必要です
研究 の 目的:
- ケニアの非専門の看護師にとって不可欠な終末期看護能力の特定と検証
- 標的型緩和ケア専門開発プログラムの開発のための基盤を確立する.
- 終末期医療の質を高めること
主な方法:
- 専門家による2回のコンセンサスを含む 修正されたデルフィー研究
- 終末期ケア専門家の20人のパネルが参加しました.
- 終末期介護の看護能力の体系的な特定と検証
主要な成果:
- 人生の終わりの8つのコア能力が検証されました:緩和看護,痛み/症状管理,倫理的-法的問題,心理社会的/文化的/精神的な側面,コミュニケーション,損失/悲しみ,死/死.
- 知識 (43),態度 (17),実践/スキル (32) に関する92のサブ能力が特定されました.
- これらの能力は,急性ケア環境における全般看護師にとって極めて重要です.
結論:
- 認定された能力は,全般看護師の継続的な専門的発達のための枠組みを提供します.
- これらのプログラムの実施は 終末期ケアにおける 看護師の能力を高めることができます
- このイニシアチブは,より良い統合された終末期ケアを通じて,患者と家族の生活の質を向上させることを目的としています.
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