Global Survey of the Roles, Satisfaction, and Barriers of Home Health Care Nurses on the Provision of Palliative Care.

Autor:	Brant JM; 1Collaborative Science and Innovation, Billings Clinic, Montana State University College of Nursing, Billings, Montana., Fink RM; 2College of Nursing and School of Medicine, University of Colorado, Aurora, Colorado., Thompson C; 3Palliative Care, University of Colorado Health, Aurora, Colorado., Li YH; 4Collaborative Science and Innovation, Billings Clinic, Billings, Montana., Rassouli M; 5Shahid Beheshti, University of Medical Sciences Cancer Research Center, Teheran, Iran., Majima T; 6Graduate School of Nursing, Chiba University, Chiba, Japan., Osuka T; 6Graduate School of Nursing, Chiba University, Chiba, Japan., Gafer N; 7Radiation and Isotope Center, Khartoum, Sudan., Ayden A; 8Koç University School of Nursing, Istanbul, Turkey., Khader K; 9Taif University Faculty of Nursing, Taif, Saudi Arabia., Lascar E; 10Hospital de Niños 'Dr. Ricardo Gutierrez,' Buenos Aires, Argentina., Tang L; 11Department of Psychology, Peking University Cancer Hospital, Beijing, China., Nestoros S; 12Cypriot Anticancer Society, Nicosia, Cyprus., Abdullah M; 13Health Promotion Department, Ministry of Public Health, Kabul, Afghanistan., Michael N; 14Sydney School of Medicine, University of Notre Dame, Sydney, Australia., Cerruti J; 15Coordenadora Pesquisas Onco Pediátricas, Porto Alegre, Brazil., Ngaho E; 16Baptist Hospital Mutengene, Tiko, Cameroon., Kadig Y; 17The Cyprus Association of Cancer Patients and Friends, Limassol, Cyprus., Hablas M; 18Al-Gharbiya Anticancer Society, Tanta, Egypt., Istambouli R; 19Department of Palliative Care, Ain Wazein Medical Village University Hospital, Ain Wazein, Lebanon.; 20Palliative Medicine, Paris, France., Muckaden MA; 21Tata Memorial Center, Mumbai, India., Ali MN; 22Children's Welfare Teaching Hospital, Medical City, Baghdad, Iraq., Aligolshvili B; 23Home Support Services, Clalit Health Organization, Jerusalem, Israel., Obeidat R; 24Faculty of Nursing, Zarqa University, Zarqa, Jordan., Kunirova G; 25Kazakhstan Palliative Care Association, Almaty, Kazakhstan., Al-Omari M; 26Department of Oncology, King Abdullah University Hospital, Irbid, Jordan., Qadire M; 27Faculty of Nursing, Al-Bayt University, Mafraq, Jordan., Omran S; 28Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan., Mouhawej MC; 29Hôtel Dieu de France, Ashrafieh, Lebanon., Zouak M; 30Institute of Cancer Research, Rabat, Morocco., Ghrayeb I; 31Makassed Charitable Hospital, East Jerusalem, Palestine., Manasrah N; 32Faculty of Nursing, Hebron University, West Bank, Palestine., Youssef A; 33Faculty of Medicine, Tishrin University, Latakia, Syria., Ortega PF; 34Catalan Institute of Oncology, Barcelona, Spain., Tuncel Oguz G; 35Dr. Abdurrahman Yurtaslan Ankara Oncology Education & Research Hospital, Ankara, Turkey., Cajucona LA; 36Open University of the Philippines, Los Banos, Laguna, Philippines., Leaphart K; 37St. Vincent Healthcare, Montana State University College of Nursing, Billings, Montana., Day A; 38Billings Clinic, Montana State University College of Nursing, Billings, Montana., Silbermann M; 39Middle East Cancer Consortium, Haifa, Israel.
Jazyk:	angličtina
Zdroj:	Journal of palliative medicine [J Palliat Med] 2019 Aug; Vol. 22 (8), pp. 945-960.
DOI:	10.1089/jpm.2018.0566
Abstrakt:	Background: The World Health Assembly urges members to build palliative care (PC) capacity as an ethical imperative. Nurses provide PC services in a variety of settings, including the home and may be the only health care professional able to access some disparate populations. Identifying current nursing services, resources, and satisfaction and barriers to nursing practice are essential to build global PC capacity. Objective: To globally examine home health care nurses' practice, satisfaction, and barriers, regarding existing palliative home care provision. Design: Needs assessment survey. Setting/Subjects: Five hundred thirty-two home health care nurses in 29 countries. Measurements: A needs assessment, developed through literature review and cognitive interviewing. Results: Nurses from developing countries performed more duties compared with those from high-income countries, suggesting a lack of resources in developing countries. Significant barriers to providing home care exist: personnel shortages, lack of funding and policies, poor access to end-of-life or hospice services, and decreased community awareness of services provided. Respondents identified lack of time, funding, and coverages as primary educational barriers. In-person local meetings and online courses were suggested as strategies to promote learning. Conclusions: It is imperative that home health care nurses have adequate resources to build PC capacity globally, which is so desperately needed. Nurses must be up to date on current evidence and practice within an evidence-based PC framework. Health care policy to increase necessary resources and the development of a multifaceted intervention to facilitate education about PC is indicated to build global capacity.
Databáze:	MEDLINE
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