基于辅导员经验的提前指示咨询的障碍:焦点小组采访
Yejin Kim1, W1, Shin Hye Yoo1
1Center for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul, Korea.
概括
韩国提前指令 (AD) 咨询面临与不一致的服务,辅导员能力和不充分的系统有关的障碍. 改善标准化指导和支持对于有效的终身护理规划至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 生物伦理学生物伦理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 韩国于2018年颁布立法,使预先指示 (AD) 有法律效力.
- 辅助医生需要经过彻底解释后由注册专业人士进行记录的咨询.
- 目前的AD咨询实践的充分性仍未得到充分探索.
研究的目的:
- 调查预先指令 (AD) 咨询中遇到的障碍.
- 从AD顾问的角度探索这些障碍.
主要方法:
- 使用焦点小组采访进行定性研究.
- 来自不同医疗保健机构的七名辅导员的有目的抽样.
- 探索在AD咨询期间面临的挑战和问题.
主要成果:
- 确定的主要主题:AD咨询的不一致性,辅导员能力和工作环境的问题,以及服务系统的不足.
- 缺乏标准化的服务手册导致辅导不一致.
- 辅导员能力有限,工作条件差,以及缺乏量身定制的服务系统是显著的障碍.
结论:
- 澄清目标并实施AD咨询的标准化指导.
- 提高辅导员的能力,改善工作条件.
- 建立一个综合服务系统,以解决AD咨询中的系统性障碍.
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