A study on the knowledge of hospice care and curriculum needs assessment among nurses ~ end-stage renal disease as an example

• Main Authors: Lu,Hui-Lien, 陸慧蓮
• Other Authors: Lin,Mei-Hsiang
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/beww7w

碩士 === 國立臺北護理健康大學 === 醫護教育暨數位學習研究所 === 106 === This study aimed to explore nursing staff's knowledge on hospice care for end-stage renal disease and their curriculum needs. The study was conducted on nursing staff in a regional teaching hospital in New Taipei City. A questionnaire survey was conducted. 149 valid questionnaires were returned and the response rate was 93%. The data were deduced by SPSS 21.0 descriptive statistics, independent test t test, one-way ANOVA, Scheffe’s method, and Pearson's product correlation. The study found that: (1) The nurses' overall comprehension level of hospice care for end-stage nephropathy is medium to high. The dimensions, listed in order from the one with highest scores, included the concept of care, spiritual care, palliative dialysis, legal regulations, notification of illness, pain control, emergent treatment, and end-of-life care; (2) As to the design of curriculum, the following is the dimensions listed in order from the one with the most learning demand. It started with contents about the concept, the end-of-life care, the legal regulations, the palliative dialysis, and life support. (3) The most favored learning methods are from classroom multi-media teaching and case discussion. Behind them followed digital self-learning system, and then face-to-face classroom teaching, and at last role-playing; (4) The comprehension on hospice care for End-stage renal disease was affected by gender, education level, department the individual worked in, the experience of taking care of end-stage renal disease or end-of-life patients, and whether recent on-the-job education mentioned related topics.(5) Needs each individual looked for in curriculum differed between genders and each education levels. (6) There is a significant positive correlation of the dimensions between comprehension of end-stage nephropathy and curriculum needs for hospice care of end-stage renal disease. (7) Needs for different instructional styles is significantly positively related to the needs for cognition of end-stage nephropathy hospice care. 　　The results of the study will serve as a reference for the planning of in-service education courses for nursing staff, thereby improving the quality of care provided by clinical neurses for end-stage renal disease.