Title Znanje i stavovi liječnika i medicinskih sestara o palijativnoj skrbi u ordinacijama opće/obiteljske medicine u Koprivničko-križevačkoj županiji
Title (english) Knowledge and attitudes of doctors and nurses on palliative care in general practice in Koprivnica-Križevci County
Author Marina Međimorec
Mentor Rosana Ribić (mentor)
Committee member Marijana Neuberg (predsjednik povjerenstva)
Committee member Rosana Ribić (član povjerenstva)
Committee member Duško Kardum (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2022-02-16, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Palijativna skrb, holistička je skrb usmjerena prema ublažavanju patnje i kvaliteti života bolesnika i njihovih obitelji, suočenih s problemima neizlječivih, uznapredovalih bolesti. Cjelovitim zbrinjavanjem bolesnikovih potreba gdje god da se za njega skrbi, u kući ili ustanovi, nastoji se skrb prilagoditi individualnim potrebama bolesnika i obitelji, kada god je to moguće. Kako bi se to postiglo uz osnivanje novih specijalističkih službi potrebna je implementacija osnovne filozofije palijativne skrbi u sve postojeće službe te provođenje palijativnog pristupa i opće palijativne skrbi na svim razinama zdravstvenog sustava. Liječnici i medicinske sestre u ordinacijama opće/obiteljske medicine imaju bitnu ulogu upravo u provođenju palijativnog pristupa i opće palijativne skrbi. Njihovo znanje i posvećenost, kao i suradnja sa specijalističkim službama palijativne skrbi osnovni su preduvjet cjelovitog, kontinuiranog i kvalitetnog zbrinjavanja bolesnika u potrebi za palijativnom skrbi.
Kako bi se utvrdilo znanje i stavovi liječnika i medicinskih sestara o palijativnoj skrbi u ordinacijama opće/obiteljske medicine provedeno je istraživanje na području Koprivničko-križevačke županije. Istraživanjem je obuhvaćeno 58 ordinacija te je sudjelovalo 44 liječnika i 48 medicinskih sestara, odnosno 92 sudionika. Upitnik korišten u istraživanju sastoji se iz tri dijela. Prvi dio odnosi se na sociodemografske i profesionalne karakteristike sudionika. U drugom dijelu upitnika nalazi se 20 pitanja o palijativnoj skrbi preuzetih iz Testa znanja o palijativnoj skrbi (PCKT). Trećim dijelom upitnika želio se procijeniti odnos sudionika prema skrbi za umiruće te je korištena Frommelt skala stavova prema skrbi za umiruće (FATCOD).
Prema dobivenim rezultatima znanje liječnika i medicinskih sestara može se procijeniti dobrim, sa postotkom točnih odgovora od 64%. Iako nije utvrđena statistički značajna razlika podaci upućuju na nešto niže znanje kod medicinskih sestara u odnosu na liječnike, kao i niži postotak točnih odgovora na pitanja iz područja ublažavanja boli, odnosno opioidnih nalgetika. Stavovi sudionika prema skrbi za umiruće uglavnom su pozitivni, dok liječnici imaju nešto pozitivniji stav od medicinskih sestara. Sudionici mlađe i srednje životne dobi, kao i oni koji su prošli dodatnu edukaciju iz palijativne skrbi također imaju pozitivniji stav. Zanimljiv je i podatak da je samo trećina sudionika (34%) prošla dodatnu edukaciju iz palijativne skrbi, a 96% smatra ju bitnom za svoj svakodnevni rad.
Abstract (english) Palliative care is holistic care aimed at relieving suffering and improving quality of life of the patients and their families that are faced with the problems of incurable, advanced diseases. By taking complete care of the patient's needs, wherever they are cared for, at home or in an institution, the aim is to adapt the care to the individual needs of the patient and the family whenever it is possible. In order to achieve this, along with the establishment of new specialist services, it is also necessary to implement the basic philosophy of palliative care in all existing services and to implement a palliative approach and general palliative care at all levels of the healthcare system. Doctors and nurses in general / family medicine clinics have an important role to play in implementing palliative approach and general palliative care. Their knowledge and commitment, as well as cooperation with specialist palliative care services, are a basic prerequisite for comprehensive, continuous and quality care of patients in need of palliative care.
In order to determine the knowledge and attitudes of doctors and nurses in the field of palliative care in general practice / family medicine clinics, a study was conducted in Koprivnica-Križevci County. The study included 58 clinics and involved 44 doctors and 48 nurses, i.e. 92 participants. The questionnaire used in the research consists of three parts. The first part deals with the socio-demographic and professional characteristics of the participants. The second part of the questionnaire contains 20 questions on palliative care taken from the Palliative Care Knowledge Test (PCKT). The third part of the questionnaire used Frommelt scale of attitudes towards caring for the dying (FATCOD) in order to assess the participants' attitudes towards caring for the dying.
According to the obtained results, the knowledge of doctors and nurses can be assessed as good, with a percentage of correct answers amounting to 64%. Although no statistically significant difference was found, the data suggest slightly lower knowledge among nurses compared to doctors, as well as a lower percentage of accurate answers to questions in the field of pain relief, i.e. opioid analgetics. Participants' attitudes toward caring for the dying are generally positive, while doctors have a slightly more positive attitude than nurses. Younger and middle-aged participants, as well as those who received additional training in palliative care, also have a more positive attitude. It is also interesting to note that only one third of the participants (34%) received additional training in palliative care and 96% consider it important for their daily work.
Keywords
palijativna skrb
opća/obiteljska medicina
znanje
stavovi
edukacija
Keywords (english)
palliative care
general / family medicine clinic
knowledge
attitudes
education
Language croatian
URN:NBN urn:nbn:hr:122:637107
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2022-03-30 08:37:58