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http://hdl.handle.net/2445/177346
Title: | Global survey of the roles, satisfaction, and barriers of home healthcare nurses on the provision of palliative care |
Author: | Brant, Jeannine M. Fink, Regina M. Thompson, Cara Li, Ya Huei Rassouli, Maryam Majima, Tomoko Osuka, Tomoko Gafer, Nahla Ayden, Ayfer Khader, Khaled Lascar, Eulalia Tang, Lili Nestoros, Sophia Abdullah, Maihan Michael, Natasha Cerruti, Julie Ngaho, Eric Kadig, Yolanda Hablas, Mohamed Istambouli, Rana Muckaden, Mary A. Ali, Mushtag Najm Aligolshvili, Bella Obeidat, Rana Kunirova, Gulnara Al-Omari, Ma'an Qadire, Mohammad Omran, Suha Mouhawej, Marie C. Zouak, Mohcine Ghrayeb, Ibtisam Manasrah, Nemeh Youssef, Alexey Fernández-Ortega, Paz Tuncel-Oguz, Gonca Cajucona, Loyda Amor Leaphart, Kassie Day, Alexa Silbermann, Michael |
Keywords: | Infermeria en l'atenció primària Fisiologia Tractament pal·liatiu Satisfacció Primary nursing Physiology Palliative treatment Satisfaction |
Issue Date: | 1-Aug-2019 |
Publisher: | Mary Ann Liebert |
Abstract: | 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. |
Note: | Versió postprint del document publicat a: https://doi.org/10.1089/jpm.2018.0566 |
It is part of: | Journal of Palliative Medicine, 2019, vol. 22, num. 8, p. 945-960 |
URI: | http://hdl.handle.net/2445/177346 |
Related resource: | https://doi.org/10.1089/jpm.2018.0566 |
ISSN: | 1096-6218 |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) |
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