Table 1.
Knowledge sum variables with associated items and their factor loadings | |||||
---|---|---|---|---|---|
Palliative care | 7.4 Have the wound assessed by physician | -.50 | Diabetes treatment | ||
20.1 Assess a patient’s pain | .80 | 7.8 How to document wound care | -.47 | 12. Patient case concerning hypoglycaemia | -.57 |
20.2 Assess effectiveness of pain relieving medication | .74 | 7.1 Give pain relief before wound care | -.40 | 11. What type of insulin is Insulatard | -.45 |
20.10 End of life care | .65 | Nursing measures | 10. What is the desired blood sugar level of diabetes patients | -.39 | |
20.11 How to communicate about death with patient and family | .63 | 16.7 Patient has reduced appetite and food intake | .69 | Medication calculation | |
20.5 Assess measures against dyspnoea, nausea, and obstipation | .60 | 16.6 Patient’s skin has rash, wounds, is red or itchy | .66 | 14. How many tablets should the patient have in total | .78 |
20.9 Assure a patient’s own wishes surrounding death | .59 | 16.9 Patient has pain and discomfort in mouth | .66 | 13. How many ml is the dosage | .76 |
20.4 Use non-medical pain relief methods | .45 | 17.4 Patient is more tired during the day | .61 | Involving physician | |
20.3 Assess need for alternative medical pain relief methods | .36 | 17.7 Patient has lost interest in keeping home in order, sleeps in chair instead of bed | .57 | 16.11 Patient has much fresh blood in stool | .67 |
Acute help | 16.2 Patient coughs, has increased saliva, and respiration frequency above 20/min | .49 | 16.5 Patient is substantially dehydrated | .53 | |
17.3 Patient has symptoms of partial paralysis | .69 | 16.3 Patient has irregular pulse increased more than 20/min in last two days | .38 | 16.10 Patient is incontinent for urine, stings when urinates | .42 |
17.6 Patient has newly occurred chest pain | .62 | Deficiencies in sight and hearing | 16.8 Patient not able to eat | .41 | |
17.5 Patient has changes in sight, hearing, speech, and comprehension | .54 | 5.4 How to book time for sight- and hearing control | .55 | 17.1 Patient has increased needs to full care over last two days | .30 |
17.2 Patient has fallen two times previous week | .42 | 5.2 How to communicate with patients with hearing deficiencies | .54 | Health promotion | |
17.8 Patient has short attention span and delusions | .34 | 5.3 How to facilitate light for patients with sight deficiencies | .54 | 2. How to find a patient’s resources and preferences | -.68 |
Wound care | 5.1 How to change batteries and clean hearing aids | .51 | 1. How to find meaningful activities for a patient | -.64 | |
7.2 How to perform hand hygiene before wound care | -.98 | Fall prevention | 3. What rights a patient has to participation/ empowerment | -.42 | |
7.7 How to assess the skin around the wound | -.98 | 6.4 Patient goes to toilet at least once an hour | .58 | Newer palliative measures | |
7.3 How to perform hand hygiene after wound care | -.97 | 6.2 Patient seems agitated and restless | .55 | 20.6 Use the tool ESASa | .55 |
7.6 How to assess changes in a wound | -.96 | 6.3 Patient’s sight is too poor to perform all activities by himself | .53 | 20.8 Use the tool LCPb | .49 |
7.5 How to follow the wound care procedure | -.96 | 20.7 Transfer a palliative patient to other treatment level | .39 |
aEdmonton Symptom Assessment System, bLiverpool Care Pathway