PAIN NURSING MAGAZINE: Vol.3 - n. 2 Giugno/June 2014

► Editoriale

Sull’ereditabilità del dolore

STEFANO COACCIOLI
EDITOR IN CHIEF

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► Rassegna

Le scale di valutazione del dolore nel paziente demente: revisione della letteratura

ILARIA PELLEGATTA, STEFANO TERZONI, ROBERTA LODINI, ANNE DESTREBECQ

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► Esperienze

Un confronto tra scale di valutazione del dolore nel paziente anziano affetto da deterioramento cognitivo: un’esperienza nelle lungodegenze in Val d’Aosta

MARTINA BERTARINI, ALFREDO DIANO, ROBERTA ORIANI

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► Approfondimenti

Dolore in popolazioni speciali: anziani con deficit cognitivi

CHIARA ANGELETTI, CRISTIANA GUETTI, MARTINA PAESANI, PAOLO MATTEO ANGELETTI, NICOLETTA MELOZZI, SERENA FERRARA, ANTONELLA PALADINI, GIUSTINO VARRASSI

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► Articoli originali

Legge 38 e gestione del dolore nelle Marche

TOMMASO PAGINI, MAURIZIO MERCURI

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► Attualità

Infermiere e dolore: dati preliminari del questionario online

CHIARA ANGELETTI, PAOLO MATTEO ANGELETTI, MARTINA PAESANI, SILVIA COLAVINCENZO, CRISTIANA GUETTI

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► Dalla letteratura

Utilizzo della Abbey Pain Scale in Giappone

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► Dalla letteratura

Le preferenze di cura dei pazienti con dolore cronico

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► Dalla letteratura

Metodi non prescritti dal medico per la lombalgia: usi e costumi turchi

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► Dalla letteratura

Efficacia del massaggio ai piedi nel dolore post operatorio in pazienti operate al seno

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► Dalla letteratura

La relazione medico-paziente nella terapia del dolore con oppioidi

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► Dalla letteratura

Prevenzione delle lipoipertrofie

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► Dalla letteratura

Livello di sedazione e alterazioni dei parametri vitali in pazienti ricoverati di terapia intensiva durante le cure igieniche

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Knowledge of Palliative Care: An Evaluation of Oncology, Intensive Care, and Heart Failure Nurses

Journal of Hospice & Palliative Nursing:

July 2013 - Volume 15 - Issue 5 - p 307-315

doi: 10.1097/NJH.0b013e3182930800

Knowledge of Palliative Care: An Evaluation of Oncology, Intensive Care, and Heart Failure Nurses

Autor, Shelly H. MSN, RN, CHPN; Storey, Susan L. MSN, RN, AOCNS; Ziemba-Davis, Mary

Author Information

Shelly H. Autor, MSN, RN, CHPN, is homecare and hospice nurse, St Vincent Hospital, Indianapolis, Indiana.

Susan L. Storey, MSN, RN, AOCNS, is oncology clinical nurse specialist, St Vincent Hospital, Indianapolis, Indiana.

Mary Ziemba-Davis, is neuroscience research director, St Vincent Hospital, Indianapolis, Indiana.

Address correspondence to Shelly H. Autor, MSN, RN, CHPN, 91 Herrick Rd, Newton, MA 02459 ( shautor@gmail.com).

The authors have no conflicts of interest to disclose.

Abstract

Identifying patients who would benefit from palliative care is a major barrier to providing palliative care. In acute care hospitals, physicians make palliative care referrals, but nurses identify and recommend patients for referral. Because nursing knowledge is essential to the appropriate utilization of palliative care, we assessed palliative care knowledge among 143 oncology, intensive care, and heart failure nurses. The overall mean percentage of correct responses was 67.6%, indicating that nurses were moderately but not fully knowledgeable about palliative care. Eight of 10 nurses correctly understood that patients do not need to be in acute decline to be appropriate for referral, but 7 of 10 did not understand that palliative care is compatible with curative treatment. The latter observation suggests that nurses may overlook patients who might benefit from palliative care. Variations in findings are examined in relation to experience in oncology and hospice, awareness of the palliative care program, having recommended a patient for palliative care, having had a recommendation result in a formal referral, and years of nursing experience. For palliative care to become a standard of care, nurses who often know patients and families best due to increased interpersonal exposure must understand palliative care.