| Autor: |
Eric K. H. Chan, Sean Ho, Richard Sawatzky, Carolyn Tayler, Jean-François Desbiens, Lara B. Russell, Kelli I. Stajduhar, Ami Bitschy, Della Roberts |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres. 53(1) |
| ISSN: |
1705-7051 |
| Popis: |
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: |
OpenAIRE |
| Externí odkaz: |
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