Ferrell Betty R, Dahlin Constance, Campbell Margaret L, Paice Judith A, Malloy Pam, Virani Rose
City of Hope National Medical Center, Duarte, Calif, USA.
Crit Care Nurs Q. 2007 Jul-Sep;30(3):206-12. doi: 10.1097/01.CNQ.0000278920.37068.e9.
The integration of palliative care in critical care settings is essential to improve care of the dying, and critical care nurses are leaders in these efforts. However, lack of education in providing end-of-life (EOL) care is an obstacle to nurses and other healthcare professionals as they strive to deliver palliative care. Education regarding pain and symptom management, communication strategies, care at the end of life, ethics, and other aspects of palliative care are urgently needed. Efforts to increase EOL care education in most undergraduate and graduate nursing curricula are beginning; yet, most critical care nurses have not received formal training in palliative care. Moreover, educational resources such as critical care nursing textbooks often contain inadequate information on palliative care. The ELNEC-Critical Care program provides a comprehensive curriculum that concentrates on the requirements of those nurses who are working in areas of critical care. Extensive support materials include CD-ROM, binder, Web sites, newsletters, textbooks, and other supplemental items. The ultimate goal is to improve EOL care for patients in all critical care settings and enhance the experience of family members witnessing the dying process of their loved ones.
在重症监护环境中整合姑息治疗对于改善临终关怀至关重要,重症监护护士是这些工作的领导者。然而,缺乏临终关怀(EOL)护理教育是护士和其他医疗保健专业人员在努力提供姑息治疗时面临的障碍。迫切需要开展有关疼痛和症状管理、沟通策略、临终护理、伦理学以及姑息治疗其他方面的教育。大多数本科和研究生护理课程中增加临终护理教育的工作正在展开;然而,大多数重症监护护士尚未接受过姑息治疗方面的正规培训。此外,诸如重症监护护理教科书等教育资源通常包含关于姑息治疗的信息不足。ELNEC-重症监护项目提供了一个全面的课程,专注于那些在重症监护领域工作的护士的需求。丰富的支持材料包括光盘、活页夹、网站、时事通讯、教科书和其他补充项目。最终目标是改善所有重症监护环境中患者的临终护理,并提升目睹亲人临终过程的家庭成员的体验。