护士感知的促进因素和障碍在肾脏疾病患者姑息治疗:欧洲德尔菲调查。

IF 1.5 4区 医学 Q3 NURSING Journal of renal care Pub Date : 2022-03-01 Epub Date: 2021-03-24 DOI:10.1111/jorc.12371
Ilaria de Barbieri, Veronica Strini, Helen Noble, Stefano Amatori, Davide Sisti
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引用次数: 4

摘要

背景:姑息治疗现象越来越多地投资于所有医学和护理领域,作为不希望进行透析的肾病患者的护理:它包含了共同决策的姑息治疗方法。为了提供以患者为中心的最佳护理,肾病保健人员应该了解姑息治疗和适当的保守管理方法。目的:采用德尔菲调查法,探讨肾病患者实施姑息治疗的障碍和促进因素。设计:采用e-Delphi技术进行3轮问卷调查;语句使用李克特量表生成。参与者和测量:80项与肾脏疾病患者姑息治疗相关的陈述被分为促进因素和障碍因素。对欧洲一些国家的13名肾病科护理专家进行问卷调查。结果:在第一轮德尔菲研究后,从80条陈述中剔除了7条;8个项目在第二轮和第三轮之间实现了显著的平均变化,而其余所有项目都出现了内部稳定。结论:在姑息治疗中出现了具体的培训和教育,作为促进者,以及精神和信仰的作用以及家庭和照顾者的作用。主要障碍表现为文化、信仰和做法的差异,以及工作人员在姑息治疗中的作用缺乏经验。这些声明为未来的研究提供了一个平台,以改善肾脏疾病患者的姑息治疗实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Nurse-perceived facilitators and barriers to palliative care in patients with kidney disease: A European Delphi survey.

Background: The palliative care phenomenon is increasingly invested in all medicine and nursing fields, as care for people with kidney disease who do not wish to embark on dialysis: it encompasses a palliative approach to shared decision-making. To deliver patient-centred optimal care, nephrology healthcare staff should be knowledgeable about palliative care and the appropriate conservative management approach.

Objective: This paper aimed to explore, using a Delphi survey, the barriers and facilitators to palliative care in patients with kidney disease.

Design: An e-Delphi technique with three questionnaire rounds was performed; statements were generated using Likert scales.

Participants and measurements: A list of 80 statements related to palliative care in patients with kidney disease was divided into facilitators and barriers. Questionnaires were administered to 13 nephrology nurse experts in some European countries.

Results: Seven items were removed from the list of 80 statements after the first round of the Delphi study; eight items achieved a significant change of the mean between round two and three, whereas internal stability emerged in all the remaining items.

Conclusions: Specific training and education in palliative care emerged as a facilitator, as well as the role of spiritual and beliefs and the role of family and caregiver. The main barriers were represented by the differences in cultures, beliefs, and practices and by the lack of experience in the role of the staff in palliative care. These statements provide a platform for future research to improve palliative care practice in patients with kidney disease.

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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
期刊最新文献
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