儿童息护理的障碍:在两个学术中心的实习生和教师的观点
Alyssa Levine1, Phoebe A Winn2, Alexis H Fogel2
1Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Journal of palliative medicine
|June 15, 2023
概括
医生对家庭准备和治疗偏好的看法是儿科息护理的关键障碍. 解决这些问题需要以家庭为中心,对患有严重疾病的儿童进行文化敏感的干预.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 医学教育 医学教育
- 医疗保健系统 医疗保健系统
背景情况:
- 儿科息护理的障碍是多方面的,包括系统性问题,不同的培训和不同的医生态度.
- 了解医生的看法对于改善患有严重疾病的儿童的护理服务至关重要.
研究的目的:
- 探索实习生和教师医生对儿童息护理障碍的看法.
- 识别与这些障碍有关的学员和教师之间的差异.
- 将目前的发现与以前关于息护理障碍的研究进行比较.
主要方法:
- 一项混合方法研究于2021年秋季在两个儿科中心的三家医院进行.
- 调查分发给儿科实习生和教师医生.
- 调查数据的描述性分析和诱导性主题分析.
主要成果:
- 实习生和教师发现了类似的顶级障碍:家庭承认不可治愈的疾病,偏好维持生命的疗法,不确定的预后,以及父母对加速死亡的不适.
- 常见的障碍包括时间限制,员工短缺和关于治疗目标的家庭冲突.
- 语言障碍和文化差异也被认为是重大障碍.
结论:
- 医生对家庭偏好和疾病理解的看法仍然是儿童息护理的重大障碍.
- 未来的研究应该专注于以家庭为中心和文化为中心的干预措施,以使护理与家庭观点保持一致.
- 改善儿科息护理需要解决影响护理提供的系统性和人际因素.
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