THE PROBLEM OF PREPAREDNESS OF NURSING STAFF TO PROVIDE PALLIATIVE NURSING CARE (A LITERATURE REVIEW)

Vladimirovna M.A. Kakimzhanovna N.N. Azhmadinovna D.G.
April 2022 Georgian Association of Business Press

Georgian Medical News
2022 #325 Issue 4 27 - 32 pp.

Background. Palliative care is a comprehensive approach that includes medical, psychological, social, and spiritual support for patients to achieve the best quality of life for patients with incurable diseases and their relatives. Nurses are one of the main links that make up mobile palliative care teams they occupy an ideal position to provide quality care at the patients bedside. However, the knowledge and skills of nurses remain at a low level and limiting high-quality palliative care. Purpose. The purpose of this review is to study the problems of readiness of nursing staff to provide palliative care. Methods. A search for scientific articles in English and Russian published no later than 2015 was conducted in databases (Scopus, EBSCOhost, Wiley, PubMed). The study was conducted in February-April 2022. Fifty publications were selected as the analytical material for the review. Results. Nurses often experience a lack of knowledge about pain relief, care for people with dementia, pain recognition, the use of special pain assessment tools, social and cultural traditions, and beliefs of patients. Many studies confirm the lack of awareness about the essence, philosophy, and principles of palliative care. The main barriers are the lack of specialized education, lack of clarity and delineation of responsibilities between specialists, heavy workload in the workplace, and limited legitimacy. Kazakhstan has carried out many reforms in the palliative care field, however, according to statistics, over 80% of medical personnel do not have basic knowledge about palliative care. Conclusion. The results indicate the need to develop educational programs on palliative care for all medical universities and colleges, where special attention should be paid to the cultural characteristics of patients, communication skills, and skills of step-by-step anesthesia. A clear division of functional responsibilities, the delegation of authority, and the reduction of the burden on nurses will improve the quality of palliative nursing care.

barriers , Kazakhstan , knowledge , nursing , palliative care , skills

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Department of General Medical Practice with a Course of Evidence-based Medicine, Nur-Sultan, Kazakhstan

Department of General Medical Practice with a Course of Evidence-based Medicine

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