ОЦЕНКА УРОВНЯ ПОДГОТОВЛЕННОСТИ МЕДИЦИНСКИХ СЕСТЕР ОРГАНИЗАЦИЙ ПМСП К ОКАЗАНИЮ ПАЛЛИАТИВНОЙ ПОМОЩИ: ПОПЕРЕЧНОЕ ИССЛЕДОВАНИЕ
Растущая нехватка кадров в сфере паллиативной помощи становится все более ощутимой. Несмотря на то, что медсестры составляют самую большую группу специалистов в области здравоохранения, мало что известно об их роли в паллиативной помощи на всех уровнях ее оказания. Необходимо отметить важную роль медсестер в обеспечении всеобщего доступа к паллиативной помощи, особенно на этапе ПМСП. Отсутствие профессиональной подготовки и низкий уровень осведомленности о паллиативной помощи среди специалистов здравоохранения представляет собой серьезное препятствие на пути улучшения паллиативной помощи. Ввиду того, что медсестры во всех медицинских учреждениях активно вовлечены в оказание медицинских услуг пациентам, страдающим тяжелыми заболеваниями, они должны иметь достаточный уровень знаний и опыта в области паллиативной помощи. Особенно важно, чтобы специалисты, активно вовлеченные в процесс оказания паллиативной помощи, имели глубинное понимание философии паллиативного ухода.
Таким образом, целью нашего исследования является определение уровня знаний в области оказания паллиативного ухода у медицинских сестер, работающих в организациях ПМСП.
Александра В. Машарипова1, https://orcid.org/0000-0003-2152-2564
Насихат К. Нургалиева1, https://orcid.org/0000-0003-2244-1053,
Гульмира А. Дербисалина1, https://orcid.org/0000-0003-3704-5061
НАО «Медицинский университет Астана», г. Астана, Республика Казахстан.
Насихат К. Нургалиева1, https://orcid.org/0000-0003-2244-1053,
Гульмира А. Дербисалина1, https://orcid.org/0000-0003-3704-5061
НАО «Медицинский университет Астана», г. Астана, Республика Казахстан.
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2. Машарипова А.В., Нургалиева Н.К., Дербисалина Г.А. Актуальные проблемы и перспективы подготовки сестринских кадров для системы оказания паллиативной медицинской помощи // Профилактическая медицина. 2023, Т. 26, №2, С.24-30. https://doi.org/10.17116/profmed20232602124
3. Машарипова А.В., Нургалиева Н.К., Дербисалина Г.А. Знания и навыки медицинских сестер при оказании паллиативной помощи пациентам на этапе ПМСП в зарубежных странах [обзор литературы) // Биология и интегративная медицина. 2021. №6 [53). С.176-182.
4. Achora S., Labrague L.J. An Integrative Review on Knowledge and Attitudes of Nurses Toward Palliative Care: Implications for Practice // J Hosp Palliat Nurs. 2019;21[1):29-37. doi:10.1097/NJH.0000000000000481
5. Abuhammad S., Muflih S., Alazzam S., Gharaibeh H., Abuismael L.. Knowledge of pediatric palliative care among medical students in Jordan: A cross-sectional study // Ann Med Surg [Lond). 2021;64:102246. doi:10.1016/j.amsu.2021.102246
6. Abu-Odah H., Molassiotis A., Liu J.Y.W. Assessment of the Educational and Health Care System–Related Issues from Physicians’ and Nurses’ Perspectives Before Developing a Palliative Care Program Within the Palestinian Health Care System: A Cross-sectional Study // J. Hosp. Palliat. Nurs. 2022;24:E59–E75. doi: 10.1097/NJH.0000000000000840.
7. Dehghannezhad J., Hassankhani H., Taleghani F., Rahmani A., SattarPour S., Sanaat Z. Home Care Nurses' Attitude Towards and Knowledge of Home Palliative Care in Iran: A Cross-Sectional Study // Iran J Nurs Midwifery Res. 2021;26[3):272-278. doi:10.4103/ijnmr.IJNMR_249_19
8. Dimoula M., Kotronoulas G., Katsaragakis S., Christou M., Sgourou S., Patiraki E. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey // Nurse Educ Today. 2019;74:7-14. doi:10.1016/j.nedt.2018.11.025
9. Etafa W., Wakuma B., Fetensa G. et al. Nurses' knowledge about palliative care and attitude towards end- of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study // PLoS One. 2020;15[10):e0238357. Published 2020 Oct 7. doi:10.1371/journal.pone.0238357
10. Gelegjamts D., Yong Yoo J., Kim J., Sun Kim J. Undergraduate nursing students' palliative care knowledge and attitudes towards end-of-life care: a cross-sectional descriptive study // Contemp Nurse. 2020;56[5-6):477-490. doi:10.1080/10376178.2021.1890165
11. Gomes B., Calanzani N., Curiale V., McCrone P., Higginson I.J. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers // Cochrane Database Syst Rev. 2013;2013[6):CD007760. Published 2013 Jun 6. doi:10.1002/14651858.CD007760.pub2
12. Gupta M., Pruthi G., Gupta P., Singh K., Kanwat J., Tiwari A. Impact of End-of-Life Nursing Education Consortium on Palliative Care Knowledge and Attitudes Towards Care of Dying of Nurses in India: A Quasi-Experimental Pre-post Study // Am J Hosp Palliat Care. 2023;40[5):529-538. doi:10.1177/10499091221108342
13. Hertanti N.S., Wicaksana A.L., Effendy C., Kao C.Y. Palliative Care Quiz for Nurses-Indonesian Version [PCQN-I): A Cross-cultural Adaptation, Validity, and Reliability Study // Indian J Palliat Care. 2021;27[1):35-42. doi:10.4103/IJPC.IJPC_76_20
14. Hosseinnejad A., Rassouli M., Jahani S., Elahi N., and Molavynejad S. Requirements for Creating a Position for Community Health Nursing Within the Iranian Primary Health Care System: A SWOT Analysis // Front Public Health, vol. 9, Jan. 2022, doi: 10.3389/fpubh.2021.793973.
15. Iranmanesh S., Razban F., Tirgari B., Zahra G. Nurses' knowledge about palliative care in Southeast Iran // Palliat Support Care. 2014;12[3):203-210. doi:10.1017/S1478951512001058
16. Kim S., Lee K., Kim S. Knowledge, attitude, confidence, and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional, descriptive study // BMC Palliat Care. 2020;19[1):105. Published 2020 Jul 11. doi:10.1186/s12904-020-00581-6
17. Kreuter M., Bendstrup E., Russell A.M. et al. Palliative care in interstitial lung disease: living well // Lancet Respir Med. 2017;5[12):968-980. doi:10.1016/S2213-2600[17)30383-1
18. Kunirova G., Shakenova A. Palliative Care in Kazakhstan // J Pain Symptom Manage. 2018;55[2S):S36-S40. doi:10.1016/j.jpainsymman.2017.03.028
19. Masharipova A., Nurgaliyeva N., Derbissalina G. The problem of preparedness of nursing staff to provide palliative nursing care [a literature review) // Georgian Med News. 2022;[325):27-32.
20. McDarby M., Carpenter B.D. Barriers and Facilitators to Effective Inpatient Palliative Care Consultations: A Qualitative Analysis of Interviews With Palliative Care and Nonpalliative Care Providers // Am J Hosp Palliat Care, vol. 36, no. 3, pp. 191–199, Mar. 2019, doi: 10.1177/1049909118793635.
21. Mitchell G., McGreevy J., Preshaw D.H., Agnelli J., Diamond M. Care home managers' knowledge of palliative care: a Northern Irish study // Int J Palliat Nurs. 2016;22[5):230-235. doi:10.12968/ijpn.2016.22.5.230
22. Mohamed R.F., Ibrahim R.A. Effect of palliative care guideline on nurses’ knowledge, attitude, and practice at intensive care unit. Egypt // J. Nurs. Health Sci. 2021;2:81–109. doi: 10.21608/ejnhs.2021.196022.
23. Open resources for nursing [Open RN), 17.4 Palliative Care Management // AJN, American Journal of Nursing, vol. 118, no. 3, p. 17, Mar. 2018, doi: 10.1097/01.NAJ.0000530929.65995.42.
24. Palliative care in primary care - Pavilion Health Today. [https://www.pavilionhealthtoday.com/gm/palliative-care-in-primary-care/) [accessed: Mar. 05, 2023).
25. Raudonis BM, Kyba FC, Kinsey TA. Long-term care nurses' knowledge of end-of-life care. Geriatr Nurs. 2002;23[6):296-301. doi:10.1067/mgn.2002.130270
26. Rosa W.E. Integrating Palliative Care into Global Health Initiatives: Opportunities and Challenges // Journal of Hospice and Palliative Nursing. 2018. №20[2). Р.195–200. doi: 10.1097/NJH.0000000000000415
27. Rosa W.E., Krakauer E.L., Farmer P.E. et al. The global nursing workforce: realising universal palliative care // Lancet Glob Health. 2020;8[3):e327-e328. doi:10.1016/S2214-109X[19)30554-6
28. Ross M.M., McDonald B., McGuinness J. The palliative care quiz for nursing [PCQN): the development of an instrument to measure nurses' knowledge of palliative care // J Adv Nurs. 1996. №23[1). P.126-137. doi:10.1111/j.1365-2648.1996.tb03106.x
29. Rotar Pavlič D., Aarendonk D., Wens J., Rodrigues Simões J.A., Lynch M., Murray S. Palliative care in primary care: European Forum for Primary Care position paper // Prim Health Care Res Dev. 2019;20:e133. Published 2019 Sep 18. doi:10.1017/S1463423619000641
30. Schroeder K., Lorenz K. Nursing and the Future of Palliative Care // Asia Pac J Oncol Nurs. 2018. №5[1). Р.4. doi: 10.4103/APJON.APJON_43_17.
31. Toqan D., Malak M.Z., Ayed A., Hamaideh S.H., Al-Amer R. Perception of Nurses' Knowledge about Palliative Care in West Bank / Palestine: Levels and Influencing Factors // J Palliat Care. 2023;38[3):336-344. doi:10.1177/08258597221133958
32. WHO, “Integrating Palliative Care and Sumptom Relief into Primary Health Care". 2018. №53[9). Р.1–88. [https://apps.who.int/iris/bitstream/handle/10665/274559/9789241514477-eng.pdf?sequence=1&isAllowed=y) [accessed: Mar. 28, 2023).
References: [1-3]
1. VOZ. Ekspress-informatsiya. Noyabr' 2019. Novye postupleniya v dokumentatsionnyi Tsentr VOZ [WHO. Express information. November 2019. New arrivals to the WHO Documentation Center]. Sotsial'nye aspekty zdorov'ya naseleniya [Social aspects of public health]. 2019. T.65, № 6. 13p. [in Russian]
2. Masharipova A.V., Nurgalieva N.K., Derbisalina G.A. Aktual'nye problemy i perspektivy podgotovki sestrinskikh kadrov dlya sistemy okazaniya palliativnoi meditsinskoi pomoshchi [Current problems and prospects for training nursing personnel for the system of palliative care]. Profilakticheskaya meditsina [Preventive Medicine]. 2023, T. 26, №2, pp.24-30. https://doi.org/10.17116/profmed20232602124 [in Russian]
3. Masharipova A.V., Nurgalieva N.K., Derbisalina G.A. Znaniya i navyki meditsinskikh sester pri okazanii palliativnoi pomoshchi patsientam na etape PMSP v zarubezhnykh stranakh [obzor literatury) [Knowledge and skills of nurses in providing palliative care to patients at the primary care stage in foreign countries (literature review)]. Biologiya i integrativnaya meditsina [Biology and Integrative Medicine]. 2021. №6 [53). pp.176-182. [in Russian]
2. Машарипова А.В., Нургалиева Н.К., Дербисалина Г.А. Актуальные проблемы и перспективы подготовки сестринских кадров для системы оказания паллиативной медицинской помощи // Профилактическая медицина. 2023, Т. 26, №2, С.24-30. https://doi.org/10.17116/profmed20232602124
3. Машарипова А.В., Нургалиева Н.К., Дербисалина Г.А. Знания и навыки медицинских сестер при оказании паллиативной помощи пациентам на этапе ПМСП в зарубежных странах [обзор литературы) // Биология и интегративная медицина. 2021. №6 [53). С.176-182.
4. Achora S., Labrague L.J. An Integrative Review on Knowledge and Attitudes of Nurses Toward Palliative Care: Implications for Practice // J Hosp Palliat Nurs. 2019;21[1):29-37. doi:10.1097/NJH.0000000000000481
5. Abuhammad S., Muflih S., Alazzam S., Gharaibeh H., Abuismael L.. Knowledge of pediatric palliative care among medical students in Jordan: A cross-sectional study // Ann Med Surg [Lond). 2021;64:102246. doi:10.1016/j.amsu.2021.102246
6. Abu-Odah H., Molassiotis A., Liu J.Y.W. Assessment of the Educational and Health Care System–Related Issues from Physicians’ and Nurses’ Perspectives Before Developing a Palliative Care Program Within the Palestinian Health Care System: A Cross-sectional Study // J. Hosp. Palliat. Nurs. 2022;24:E59–E75. doi: 10.1097/NJH.0000000000000840.
7. Dehghannezhad J., Hassankhani H., Taleghani F., Rahmani A., SattarPour S., Sanaat Z. Home Care Nurses' Attitude Towards and Knowledge of Home Palliative Care in Iran: A Cross-Sectional Study // Iran J Nurs Midwifery Res. 2021;26[3):272-278. doi:10.4103/ijnmr.IJNMR_249_19
8. Dimoula M., Kotronoulas G., Katsaragakis S., Christou M., Sgourou S., Patiraki E. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey // Nurse Educ Today. 2019;74:7-14. doi:10.1016/j.nedt.2018.11.025
9. Etafa W., Wakuma B., Fetensa G. et al. Nurses' knowledge about palliative care and attitude towards end- of-life care in public hospitals in Wollega zones: A multicenter cross-sectional study // PLoS One. 2020;15[10):e0238357. Published 2020 Oct 7. doi:10.1371/journal.pone.0238357
10. Gelegjamts D., Yong Yoo J., Kim J., Sun Kim J. Undergraduate nursing students' palliative care knowledge and attitudes towards end-of-life care: a cross-sectional descriptive study // Contemp Nurse. 2020;56[5-6):477-490. doi:10.1080/10376178.2021.1890165
11. Gomes B., Calanzani N., Curiale V., McCrone P., Higginson I.J. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers // Cochrane Database Syst Rev. 2013;2013[6):CD007760. Published 2013 Jun 6. doi:10.1002/14651858.CD007760.pub2
12. Gupta M., Pruthi G., Gupta P., Singh K., Kanwat J., Tiwari A. Impact of End-of-Life Nursing Education Consortium on Palliative Care Knowledge and Attitudes Towards Care of Dying of Nurses in India: A Quasi-Experimental Pre-post Study // Am J Hosp Palliat Care. 2023;40[5):529-538. doi:10.1177/10499091221108342
13. Hertanti N.S., Wicaksana A.L., Effendy C., Kao C.Y. Palliative Care Quiz for Nurses-Indonesian Version [PCQN-I): A Cross-cultural Adaptation, Validity, and Reliability Study // Indian J Palliat Care. 2021;27[1):35-42. doi:10.4103/IJPC.IJPC_76_20
14. Hosseinnejad A., Rassouli M., Jahani S., Elahi N., and Molavynejad S. Requirements for Creating a Position for Community Health Nursing Within the Iranian Primary Health Care System: A SWOT Analysis // Front Public Health, vol. 9, Jan. 2022, doi: 10.3389/fpubh.2021.793973.
15. Iranmanesh S., Razban F., Tirgari B., Zahra G. Nurses' knowledge about palliative care in Southeast Iran // Palliat Support Care. 2014;12[3):203-210. doi:10.1017/S1478951512001058
16. Kim S., Lee K., Kim S. Knowledge, attitude, confidence, and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional, descriptive study // BMC Palliat Care. 2020;19[1):105. Published 2020 Jul 11. doi:10.1186/s12904-020-00581-6
17. Kreuter M., Bendstrup E., Russell A.M. et al. Palliative care in interstitial lung disease: living well // Lancet Respir Med. 2017;5[12):968-980. doi:10.1016/S2213-2600[17)30383-1
18. Kunirova G., Shakenova A. Palliative Care in Kazakhstan // J Pain Symptom Manage. 2018;55[2S):S36-S40. doi:10.1016/j.jpainsymman.2017.03.028
19. Masharipova A., Nurgaliyeva N., Derbissalina G. The problem of preparedness of nursing staff to provide palliative nursing care [a literature review) // Georgian Med News. 2022;[325):27-32.
20. McDarby M., Carpenter B.D. Barriers and Facilitators to Effective Inpatient Palliative Care Consultations: A Qualitative Analysis of Interviews With Palliative Care and Nonpalliative Care Providers // Am J Hosp Palliat Care, vol. 36, no. 3, pp. 191–199, Mar. 2019, doi: 10.1177/1049909118793635.
21. Mitchell G., McGreevy J., Preshaw D.H., Agnelli J., Diamond M. Care home managers' knowledge of palliative care: a Northern Irish study // Int J Palliat Nurs. 2016;22[5):230-235. doi:10.12968/ijpn.2016.22.5.230
22. Mohamed R.F., Ibrahim R.A. Effect of palliative care guideline on nurses’ knowledge, attitude, and practice at intensive care unit. Egypt // J. Nurs. Health Sci. 2021;2:81–109. doi: 10.21608/ejnhs.2021.196022.
23. Open resources for nursing [Open RN), 17.4 Palliative Care Management // AJN, American Journal of Nursing, vol. 118, no. 3, p. 17, Mar. 2018, doi: 10.1097/01.NAJ.0000530929.65995.42.
24. Palliative care in primary care - Pavilion Health Today. [https://www.pavilionhealthtoday.com/gm/palliative-care-in-primary-care/) [accessed: Mar. 05, 2023).
25. Raudonis BM, Kyba FC, Kinsey TA. Long-term care nurses' knowledge of end-of-life care. Geriatr Nurs. 2002;23[6):296-301. doi:10.1067/mgn.2002.130270
26. Rosa W.E. Integrating Palliative Care into Global Health Initiatives: Opportunities and Challenges // Journal of Hospice and Palliative Nursing. 2018. №20[2). Р.195–200. doi: 10.1097/NJH.0000000000000415
27. Rosa W.E., Krakauer E.L., Farmer P.E. et al. The global nursing workforce: realising universal palliative care // Lancet Glob Health. 2020;8[3):e327-e328. doi:10.1016/S2214-109X[19)30554-6
28. Ross M.M., McDonald B., McGuinness J. The palliative care quiz for nursing [PCQN): the development of an instrument to measure nurses' knowledge of palliative care // J Adv Nurs. 1996. №23[1). P.126-137. doi:10.1111/j.1365-2648.1996.tb03106.x
29. Rotar Pavlič D., Aarendonk D., Wens J., Rodrigues Simões J.A., Lynch M., Murray S. Palliative care in primary care: European Forum for Primary Care position paper // Prim Health Care Res Dev. 2019;20:e133. Published 2019 Sep 18. doi:10.1017/S1463423619000641
30. Schroeder K., Lorenz K. Nursing and the Future of Palliative Care // Asia Pac J Oncol Nurs. 2018. №5[1). Р.4. doi: 10.4103/APJON.APJON_43_17.
31. Toqan D., Malak M.Z., Ayed A., Hamaideh S.H., Al-Amer R. Perception of Nurses' Knowledge about Palliative Care in West Bank / Palestine: Levels and Influencing Factors // J Palliat Care. 2023;38[3):336-344. doi:10.1177/08258597221133958
32. WHO, “Integrating Palliative Care and Sumptom Relief into Primary Health Care". 2018. №53[9). Р.1–88. [https://apps.who.int/iris/bitstream/handle/10665/274559/9789241514477-eng.pdf?sequence=1&isAllowed=y) [accessed: Mar. 28, 2023).
References: [1-3]
1. VOZ. Ekspress-informatsiya. Noyabr' 2019. Novye postupleniya v dokumentatsionnyi Tsentr VOZ [WHO. Express information. November 2019. New arrivals to the WHO Documentation Center]. Sotsial'nye aspekty zdorov'ya naseleniya [Social aspects of public health]. 2019. T.65, № 6. 13p. [in Russian]
2. Masharipova A.V., Nurgalieva N.K., Derbisalina G.A. Aktual'nye problemy i perspektivy podgotovki sestrinskikh kadrov dlya sistemy okazaniya palliativnoi meditsinskoi pomoshchi [Current problems and prospects for training nursing personnel for the system of palliative care]. Profilakticheskaya meditsina [Preventive Medicine]. 2023, T. 26, №2, pp.24-30. https://doi.org/10.17116/profmed20232602124 [in Russian]
3. Masharipova A.V., Nurgalieva N.K., Derbisalina G.A. Znaniya i navyki meditsinskikh sester pri okazanii palliativnoi pomoshchi patsientam na etape PMSP v zarubezhnykh stranakh [obzor literatury) [Knowledge and skills of nurses in providing palliative care to patients at the primary care stage in foreign countries (literature review)]. Biologiya i integrativnaya meditsina [Biology and Integrative Medicine]. 2021. №6 [53). pp.176-182. [in Russian]
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Машарипова А.В., Нургалиева Н.К., Дербисалина Г.А. Оценка уровня подготовленности медицинских сестер организаций ПМСП к оказанию паллиативной помощи: поперечное исследование // Наука и Здравоохранение. 2024. 1(Т.26). С. 53-60. DOI 10.34689/SH.2024.26.1.007Похожие публикации:
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