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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
Tractament pal·liatiu
Primary nursing
Palliative treatment
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:
It is part of: Journal of Palliative Medicine, 2019, vol. 22, num. 8, p. 945-960
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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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