儿科严重疾病对话计划:了解临床医生的挑战和经验,事先进行护理规划培训后
Megan Doherty1,2, Preet Gujral2, Maryse Frenette3
1Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Palliative & supportive care
|June 8, 2023
概括
儿科临床医生发现严重疾病沟通计划 (SICP) 有利于提前护理计划 (ACP),增加信心和提供工具. 挑战包括工具可访问性和团队沟通,突出了整合数字资源和全团队培训的需要.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 在严重疾病中进行沟通
- 提前护理计划 提前护理计划
背景情况:
- 有效的沟通对于儿科提前护理计划 (ACP) 至关重要.
- 儿科临床医生在严重疾病沟通方面面临着独特的挑战.
- 结构化计划可以提高临床医生在这些敏感讨论中的技能.
研究的目的:
- 探索儿科临床医生使用严重疾病传播计划 (SICP) 的经验.
- 检查SICP如何改善预先护理规划 (ACP) 的沟通.
- 确定在儿科实践中实施新的沟通工具的挑战.
主要方法:
- 定性描述研究,涉及与儿科临床医生的个人访谈.
- 参与者来自三级儿科医院,并完成了SICP培训.
- 对转录的采访进行了主题分析,使用解释性描述.
主要成果:
- 来自不同儿科专业的14名临床医生 (护士,医生,社会工作者) 参加了会议.
- 关键的好处包括加强家庭联系,增加对非洲和非洲国家讨论的信心,以及提高自我意识.
- 挑战包括对话指南的难以获取,团队实践的分歧以及对非洲和非洲国家讨论的环境障碍.
结论:
- 结构化的SICP提高了临床医生的技能和信心,在讨论生命终点问题.
- 通过可访问的数字工具和团队培训来应对实施挑战,可以提高非洲国家和地区的参与度.
- 在严重疾病对话期间,SICP在支持儿科临床医生方面表现有前途.
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