PDF(Pubmed)
Abstract：
There is currently a limited understanding of what nurses in nursing homes view as the key education priorities to support their ability to provide the appropriate care for residents with heart failure (HF). A modified Delphi technique was utilized to gain a consensus on the key education priorities for nurses working in nursing homes in Northern Ireland. An initial list of items (n = 58), across 19 domains, was generated using the findings of a scoping review and stakeholder interviews, and a review of available clinical guidelines. Two rounds of surveys were undertaken. Items were presented using a 5-point Likert scale, with an additional exercise in the second round to rank the domains in order of importance. Fifty-four participants completed the first-round survey and 34 (63%) returned to complete the second. The findings highlight the importance of providing nurses in nursing home settings with general HF education and the delivery of person-centered care. Participants perceived education around technology for the management of HF and quality improvement or research methodologies associated with HF in nursing homes as lower priorities. This study illuminates key priorities from nursing home nurses regarding HF education that are applicable to this care setting.
摘要：
目前，对疗养院中的护士认为是支持他们为心力衰竭（HF）居民提供适当护理的能力的关键教育优先事项的理解有限。采用了改良的Delphi技术，就在北爱尔兰疗养院工作的护士的关键教育重点达成了共识。项目的初始列表（n=58），跨越19个领域，是使用范围审查和利益相关者访谈的结果生成的，并对现有的临床指南进行了回顾。进行了两轮调查。项目使用5分李克特量表进行展示，在第二轮中进行额外的练习，按重要性对域名进行排名。54名参与者完成了第一轮调查，34名参与者(63%)返回完成了第二轮调查。研究结果强调了在疗养院为护士提供一般HF教育和提供以人为本的护理的重要性。参与者认为，在疗养院中，有关HF管理的技术教育以及与HF相关的质量改进或研究方法较低。这项研究阐明了疗养院护士关于适用于这种护理环境的HF教育的主要优先事项。
