| Summary: | 碩士 === 美和科技大學 === 健康照護研究所 === 103 === Background and Purpose
The purposes of the research is to understand how practice nurses use those critical elements of the knowledge, attitude and behaviors of "Hospice Care" concept to look after patients of “the eight non terminal cancer diseases”.Therefore, there are four aims of this research:(1)Learning the status quo of those nurses in the sample hospitals of how much they know about “Hospice Care” to “the eight non terminal cancer diseases”, “medical treatment and interrelated legislation”, “concept acceptance”, “medical system choice and execution agreement”, “personal acceptance of hospice alleviation care”, “hospitals issue the procedures of hospice care”.(2)Studying what should be included in effects of those nurses in the sample hospitals to the “hospice care“ recognition of “understanding the eight non terminal cancer diseases”, “medical treatment and relevant regulation”, “concept acceptance”, “medical system choice and execution agreement”, “personal acceptance of hospice alleviation care”, “hospitals issue the procedures of hospice care”.(3)Studying the opinions of whom to affect those chosen nurses in the hospitals of “the eight non terminal cancer diseases”, “medical treatment and relevant regulation”, “concept acceptance”, “medical system choice and execution agreement”, “personal acceptance of hospice alleviation care”, “hospitals issue the procedures of hospice care”.(4)Studying whether those chosen nurses in the different sample hospitals affected by the factors of their knowledge and attitude and the comparison of the differences.
Methods and Materials
In this study, taking sectional study design with application of self-structured questionnaire at the sample hospitals to collect information and test hypotheses. The use of "demographic variables", " the eight non terminal cancer diseases", "medical treatment and relevant regulation," “concept acceptance”, “medical system choice and execution agreement”, “personal acceptance of hospice alleviation care”, etc. facets to explore the purpose of this study is expected to complete the wish.
From January 1, 2015 to March 30, 2015 (3 months) in the census questionnaires manner visits and data collection for the clinical nurses in different hospitals. Using descriptive statistics (mean, percentage, frequency distribution, standard deviation) and inferential statistics (reliability and validity analysis, independent sample t test, one-way analysis of variance, linear regression analysis and pathway analysis) of hypothesis verification.
Research result
Two sample hospitals were distributed 660 questionnaires, 619 valid questionnaires (619 samples). Overall, the hospital nursing staff sample of "hospice philosophy applied eight terminally ill patients in non-cancerous disease" in the six facets, to " the eight non terminal cancer diseases" single facet "of the" Hospice care" application in the Cognitive at " the eight non terminal cancer diseases " is "do not know"; The attitude and the acceptance of a tendency to "understand", "agreed" levels. " Education has been involved in hospice care how many hours of" research samples "Service Division" and will affect the "understanding of the eight non-cancerous stage disease," the view of.
Regression analysis also found that, “personal acceptance of hospice alleviation care”, “hospitals issue the procedures of hospice care”, The results of demographic variables for respondents show ︰ hospital services, service divisions, gender (female), age , rank, job title, highest level of education, religious beliefs, no participate outdated numbers hospice education, care of terminally ill (dying) experienced patients, for understanding " the eight non terminal cancer diseases", “the of medical concepts and relevant regulations”, “the concept of identity”, “medical decisions and the implementation of the will”, “personal acceptance of palliative medical care”, and the implementation of "hospice care" measures to hospital factors affect respondents' assessment of the facets of the six. Path analysis results showed that the implementation different ethnic groups of the application in " hospice care "concept from" the eight non terminal cancer diseases "patients' cognitive level there are indeed different views.
Conclusions and Recommendations
Construct reliability and construct validity of the results showed that in this study can be used to develop tools to evaluate research and progress the purpose of this study. Recommend follow-up the study, "qualitative research" approach for depth interviews, to understand its construction of the relevant policies, "hospice care concept applies to the eight non terminal cancer diseases patients' views and possible execution of.
Future research related issues can be "proof-factor analysis (Confirmatory Factor Analysis, EFA)" construct a sample of hospital-owned nursing assessment on the implementation of "hospice care concept applies to the eight non terminal cancer diseases patients" the tools. The future should take the need to focus on strengthening the propaganda content, "the eight non-cancer terminal illness", the clinical knowledge while strengthening the "the eight non terminal cancer diseases" model of care of the symptoms and in-service education training. In "hospice care concept applies to “the eight non terminal cancer diseases "structure, creating a high-quality hospice care mode.
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