Research progress on the cognition and practice of NICU nurses in palliative care

doi:10.3761/j.issn.0254-1769.2024.24.017

Abstract

Abstract:

Palliative care plays an important role in improving the quality of life of terminally ill newborns，meeting the emotional support needs of their families，and promoting medical humanistic care. As the primary executors of palliative care，the cognition and practice levels of NICU nurses in this field directly affect the quality of care provided to terminally ill newborns. This article reviews the current status，assessment tools，influencing factors，and intervention measures related to the cognition and practice of NICU nurses in palliative care，aiming to provide a reference for nursing managers to formulate corresponding intervention measures and enhance the quality of care for terminally ill newborns.

Key words: Intensive Care Units, Neonatal, Palliative Care, Cognition, Practice, Review, Pediatric Nursing

摘要：

安宁疗护在提高临终新生儿的生存质量、满足其家庭情感支持需求、促进医学人文关怀等方面具有重要意义。NICU护士作为安宁疗护的主要执行者，其对安宁疗护的认知及实践水平直接影响临终新生儿的照护质量。该文从NICU护士对安宁疗护认知及实践的现状、评估工具、影响因素及干预措施等方面进行综述，以期为护理管理者制订相应的干预措施、提高临终新生儿的照护质量提供参考。

关键词: 重症监护病房, 新生儿, 安宁疗护, 认知, 实践, 综述, 儿科护理学

XU Yajie, CHENG Xiaoying, CHEN Shuohui. Research progress on the cognition and practice of NICU nurses in palliative care[J]. Chinese Journal of Nursing, 2024, 59(24): 3055-3060.

许亚杰, 程晓英, 陈朔晖. NICU护士对安宁疗护认知及实践的研究进展[J]. 中华护理杂志, 2024, 59(24): 3055-3060.

References 36

[1]	United Nations International Children’s Fund. Global child deaths reach historic low in 2022:UN report[EB/OL].(2024-03-13)[2024-03-17]. https://www.unicef.org/press-releases/global-child-deaths-reach-historic-low-2022-un-report.
[2]	国家统计局. 2022年《中国儿童发展纲要(2021—2030年)》统计监测报告[EB/OL].(2023-12-31)[2024-03-17]. https://www.stats.gov.cn/xxgk/sjfb/zxfb2020/202312/t20231231_1946120.html.
	National Bureau of Statistics. Statistical monitoring report on the “China children’s development program (2021-2030)” in 2022[EB/OL].(2023-12-31)[2024-03-17]. https://www.stats.gov.cn/xxgk/sjfb/zxfb2020/202312/t20231231_1946120.html.
[3]	Hutti MH, Armstrong DS, Myers JA, et al. Grief intensity,psy-chological well-being,and the intimate partner relationship in the subsequent pregnancy after a perinatal loss[J]. J Obstet Gy-necol Neonatal Nurs, 2015, 44(1):42-50.
[4]	刘颖, 赵敏慧. 对围产期丧失胎儿或新生儿家庭进行悲伤支持的研究进展[J]. 中华护理杂志, 2019, 54(1):125-130.
	Liu Y, Zhao MH. Research progress on grief support for fami-lies of perinatal fetus or newborn[J]. Chin J Nurs, 2019, 54(1):125-130.
[5]	李梦婷. 危重症新生儿安宁疗护模式的构建[D]. 杭州: 浙江大学, 2021.
	Li MT. Construction of hospice care model for critically ill newborns[D]. Hangzhou: Zhejiang University, 2021.
[6]	郜心怡, 陈怡杨, 温华, 等. 安宁疗护护士沟通中角色功能及体验的研究进展[J]. 中华护理杂志, 2021, 56(7):1093-1098. DOI URL
	Gao XY, Chen YY, Wen H, et al. Research progress of role function and experience in nurses’ communication in hospice care unit[J]. Chin J Nurs, 2021, 56(7):1093-1098.
[7]	李琳玉, 孙畅, 陈晓飞, 等. 新生儿重症监护室护士对死亡态度与安宁疗护教育需求的相关性分析[J]. 中华急危重症护理杂志, 2022, 3(5):431-436.
	Li LY, Sun C, Chen XF, et al. Correlation analysis between death attitude and hospice education needs of the nurses in neonatal intensive care unit[J]. Chin J Emerg Crit Care Nurs, 2022, 3(5):431-436.
[8]	李柳萌, 高永虹, 苗国梅, 等. 国内医护人员对安宁疗护认知和态度研究的Meta分析[J]. 医学与哲学, 2021, 42(15):45-50.
	Li LM, Gao YH, Miao GM, et al. Meta-analysis of the study on cognition and attitude of domestic medical staff to hospice care[J]. Med Philos, 2021, 42(15):45-50.
[9]	山雪. 新生儿安宁疗护调查及对策研究[D]. 锦州: 锦州医科大学, 2023.
	Shan X. Investigation and countermeasures of neonatal hospice care[D]. Jinzhou: Jinzhou Medical University, 2023.
[10]	Peng NH, Chen CH, Huang LC, et al. The educational needs of neonatal nurses regarding neonatal palliative care[J]. Nurse Educ Today, 2013, 33(12):1506-1510.
[11]	Dakka FJ. Nurses barriers to evidence-based practice in pal-liative care:a systematic review[J]. SAGE Open Nurs, 2022, 8:23779608221142957.
[12]	Knighting K, Kirton J, Silverio SA, et al. A network approach to neonatal palliative care education:impact on knowledge,efficacy,and clinical practice[J]. J Perinat Neonatal Nurs, 2019, 33(4):350-360.
[13]	Catlin A, Carter B. Creation of a neonatal end-of-life pallia-tive care protocol[J]. J Perinatol, 2002, 22(3):184-195. DOI PMID
[14]	Haug S, Farooqi S, Wilson CG, et al. Survey on neonatal end-of-life comfort care guidelines across America[J]. J Pain Sym-ptom Manage, 2018, 55(3):979-984.
[15]	Cerratti F, Tomietto M, Della Pelle C, et al. Italian nurses’ attitudes towards neonatal palliative care:a cross-sectional survey[J]. J Nurs Scholarsh, 2020, 52(6):661-670.
[16]	张娜, 唐倩, 朱丽辉, 等. 新生儿安宁疗护的研究进展[J]. 护理学杂志, 2021, 36(18):102-105.
	Zhang N, Tang Q, Zhu LH, et al. Review of neonatal palliative care[J]. J Nurs Sci, 2021, 36(18):102-105.
[17]	卢林阳. 130例濒死新生儿的临终关怀与姑息护理[J]. 中华护理杂志, 2009, 44(9):815-816.
	Lu LY. Terminal care and palliative treatment for 130 dying neonates[J]. Chin J Nurs, 2009, 44(9):815-816.
[18]	李梦婷, 陈朔晖, 陈晓飞, 等. 医护人员对新生儿安宁疗护感受和经验的质性研究[J]. 中华护理杂志, 2022, 57(8):908-913. DOI URL
	Li MT, Chen SH, Chen XF, et al. Qualitative research on the feeling and experience of medical staff on neonatal hospice care[J]. Chin J Nurs, 2022, 57(8):908-913. DOI URL
[19]	Gu L, Li ZZ, Peng NH, et al. Barriers to and facilitators of neonatal palliative care among neonatal professionals in China[J]. Am J Hosp Palliat Care, 2022, 39(6):695-700.
[20]	Kain V, Gardner G, Yates P. Neonatal Palliative Care Attitude Scale:development of an instrument to measure the barriers to and facilitators of palliative care in neonatal nursing[J]. Pediatrics, 2009, 123(2):e207-e213.
[21]	Chen CH, Huang LC, Liu HL, et al. To explore the neonatal nurses’ beliefs and attitudes towards caring for dying neonates in China Taiwan[J]. Matern Child Health J, 2013, 17(10):1793-1801.
[22]	钟雅晶. 中国新生儿科护士对姑息护理的态度及其影响因素研究[D]. 广州: 广州中医药大学, 2020.
	Zhong YJ. Study on the attitude of neonatal nurses to palliative care and its influencing factors in China[D]. Guangzhou: Guangzhou University of Chinese Medicine, 2020.
[23]	Wool C, Northam S. The Perinatal Palliative Care Perceptions and Barriers Scale instrument ©:development and validation[J]. Adv Neonatal Care, 2011, 11(6):397-403.
[24]	Stenekes S, Penner JL, Harlos M, et al. Development and im-plementation of a survey to assess health-care provider’s competency,attitudes,and knowledge about perinatal palliative care[J]. J Palliat Care, 2019, 34(3):151-159. DOI PMID
[25]	Hammond J, Wool C, Parravicini E. Assessment of healthcare professionals’ self-perceived competence in perinatal/neonatal palliative care after a 3-day training course[J]. Front Pediatr, 2020, 8:571335.
[26]	Desbiens JF, Fillion L. Development of the Palliative Care Nursing Self-Competence Scale[J]. J Hospice Palliat Nurs, 2011, 13(4):230-241.
[27]	Kim ES, Kim S, Kim K, et al. Psychometric properties of the Korean version of the Palliative Care Nursing Self-Competence Scale for infant use[J]. Aust Crit Care, 2023, 36(6):1019-1024. DOI PMID
[28]	赵浩梅, 汪张毅, 闫伟, 等. NICU护士新生儿安宁疗护态度现状及影响因素分析[J]. 中国实用护理杂志, 2022, 38(18):1383-1389.
	Zhao HM, Wang ZY, Yan W, et al. A study on the status quo and influencing factors of neonatal palliative care attitude among NICU nurses[J]. Chin J Pract Nurs, 2022, 38(18):1383-1389.
[29]	宋敏敏, 周艳, 余晓帆, 等. NICU护士临终关怀知识、态度及相关因素研究[J]. 护理研究, 2015, 29(36):4500-4503.
	Song MM, Zhou Y, Yu XF, et al. Study on knowledge,attitude and related factors of hospice care of NICU nurses[J]. Chin Nurs Res, 2015, 29(36):4500-4503.
[30]	Kitao M, Setou N, Yamamoto A, et al. Associated factors of psychological distress among Japanese NICU nurses in supporting bereaved families who have lost children[J]. Kobe J Med Sci, 2018, 64(1):E11-E19. PMID
[31]	Seo NR, Yeom HE. Factors affecting psychological burnout in nurses caring for terminal cancer patients[J]. J Hosp Palliat Care, 2022, 25(4):159-168.
[32]	Fortney CA, Pratt M, Dunnells ZDO, et al. Perceived infant well-being and self-reported distress in neonatal nurses[J]. Nurs Res, 2020, 69(2):127-132. DOI PMID
[33]	屈欢, 姜桂春, 朱晓平, 等. 肿瘤科护士安宁疗护核心能力及影响因素分析[J]. 护理学杂志, 2021, 36(15):9-12.
	Qu H, Jiang GC, Zhu XP, et al. Level and influencing factors of hospice care core competencies among oncology nurses[J]. J Nurs Sci, 2021, 36(15):9-12.
[34]	池长德, 江韩英, 张小玲, 等. 新生儿临终关怀培训方案对NICU护士临终关怀态度及死亡应对能力的影响[J]. 军事护理, 2023, 40(10):110-113.
	Chi CD, Jiang HY, Zhang XL, et al. Influences of neonatal palliative care training program on neonatal intensive care unit nurses’ palliative care attitude and death coping ability[J]. Mil Nurs, 2023, 40(10):110-113.
[35]	Wool C. Clinician perspectives of barriers in perinatal pal-liative care[J]. MCN Am J Matern Child Nurs, 2015, 40(1):44-50.
[36]	刘淑琴, 闫慧荣, 张瑞玲, 等. NICU护士工作压力问题及防范措施[J]. 护理研究, 2013, 27(30):3332-3333.
	Liu SQ, Yan HR, Zhang RL, et al. Working pressure problems and preventive measures of NICU nurses[J]. Chin Nurs Res, 2013, 27(30):3332-3333.