儿童心脏病重症监护室中的死亡和死亡:多学科工作人员反应的混合方法评估
Elizabeth G Broden1, Valerie K Bailey2, Dorothy M Beke2
1Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA.
概括
儿科心脏重症监护室工作人员对终身护理的体验是由团队动态和家庭互动所塑造的. 改善团队协作和沟通是提高家庭和工作人员死亡和死亡 (QODD) 质量的关键.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 终身护理研究 终身护理研究
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 了解影响儿科生命终端 (EOL) 护理质量的因素对于改善家庭和工作人员体验至关重要.
- 儿科心脏重症监护室 (PCICU) 在提供EOL护理方面存在独特的挑战.
- 员工对EOL护理质量的看法对于确定干预领域至关重要.
研究的目的:
- 描述儿科心脏ICU (PCICU) 工作人员自由文本调查答案.
- 用定性数据将死亡和死亡质量 (QODD) 评分中的模式置于背景中.
- 确定影响员工对儿科EOL护理经验的关键主题.
主要方法:
- 混合方法研究,涉及对PCICU工作人员进行横截面调查.
- 从多学科工作人员 (护士,相关卫生,医疗从业人员) 的自由文本答案的内容分析.
- 情绪分析和根据学科,EOL强度,经验和QODD分数区分主题的比较.
主要成果:
- 关系动态是最常见的定性类别 (173个回复).
- 护士比其他学科更常报告家庭经历.
- 负面情绪和对临床/时间因素的关注与较低的QODD分数和较高的EOL强度相比增加.
结论:
- 多学科团队和家庭之间的协同关系对临床医生的反应产生了积极的影响.
- 团队动态是提高EOL护理质量的关键因素.
- 基于团队的教育应该考虑学科特定的需求和EOL护理特点.
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