Self-Perceived Competence of Nurses and Care Aides Providing a Palliative Approach in Home, Hospital, and Residential Care Settings: A Cross-Sectional Survey.

Autor:	Sawatzky R; School of Nursing, Trinity Western University, Langley, BC, Canada.; Centre for Health Evaluation and Outcome Sciences, Providence Health Care, St. Paul's Hospital, Vancouver, BC, Canada.; Measurement, Evaluation, and Research Methodology Program, University of British Columbia, Vancouver, BC, Canada., Roberts D; Palliative & End of Life Program, Island Health, Victoria, BC, Canada., Russell L; Centre for Health Evaluation and Outcome Sciences, Providence Health Care, St. Paul's Hospital, Vancouver, BC, Canada.; School of Nursing and Institute on Aging & Lifelong Health, University of Victoria, Victoria, BC, Canada., Bitschy A; School of Nursing and Institute on Aging & Lifelong Health, University of Victoria, Victoria, BC, Canada., Ho S; Anchorlytics Consulting, New Westminster, BC, Canada., Desbiens JF; Nursing Faculty, Pavillon Ferdinand-Vandry, Université Laval, Quebec City, QC, Canada., Chan EKH; School of Nursing, Trinity Western University, Langley, BC, Canada.; Measurement, Evaluation, and Research Methodology Program, University of British Columbia, Vancouver, BC, Canada., Tayler C; BC Centre for Palliative Care, New Westminster, BC, Canada., Stajduhar K; School of Nursing and Institute on Aging & Lifelong Health, University of Victoria, Victoria, BC, Canada.
Jazyk:	angličtina
Zdroj:	The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres [Can J Nurs Res] 2021 Mar; Vol. 53 (1), pp. 64-77. Date of Electronic Publication: 2019 Oct 23.
DOI:	10.1177/0844562119881043
Abstrakt:	Background and Purpose: A palliative approach involves adapting and integrating palliative care knowledge and expertise earlier on and across sectors of care for people who have life-limiting chronic conditions. This study explored the extent to which nurses' and care aides' self-perceived palliative care competence may explain variation in the application of a palliative approach across nursing care settings that do not specialize in palliative care. A secondary objective was to psychometrically evaluate an instrument for measuring self-perceived palliative care competence. Methods and procedures: Data were collected via a cross-sectional survey (N = 1468) of registered nurses, licensed practical nurses, and care aides at 114 randomly selected hospital-based medical units, home care offices, and residential care facilities. The questionnaire included the Palliative Care Nursing Self-Competence Scale. Multilevel logistic regression and multigroup confirmatory factor analyses were conducted. Results: In addition to self-perceived competence, factors associated with a palliative approach include identification of patients who have life-limiting conditions and who would benefit from a palliative approach, and work environment. The psychometric analyses of the Palliative Care Nursing Self-Competence Scale confirmed a 10-dimensional structure, strong internal consistency reliability, and measurement equivalence. Discussion and conclusion: This study provides information for future development and research on interventions for integrating a palliative approach.
Databáze:	MEDLINE
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