关于科护士在终身护理中共同决策的观点,态度和报告的做法
Wassiem Bassam Abu Hatoum1,2, Daniel Sperling1
1University of Haifa.
Nursing ethics
|October 4, 2023
概括
以色列的科护士很少与末期病 (ESRD) 患者共享决策 (SDM),尽管有好处. 加强SDM需要针对护士提供有针对性的培训和工作场所支持.
科学领域:
- 科 护理 护理学
- 医学伦理 医学伦理
- 以患者为中心的护理
背景情况:
- 末期病 (ESRD) 需要复杂的护理决策,通常涉及透析.
- 共享决策 (SDM) 对患者自主性至关重要,但其在以色列ESRD护理中的实施尚未得到充分研究.
- 了解科护士对SDM的看法对于改善患者护理至关重要.
研究的目的:
- 评估以色列科护士关于与ESRD患者进行SDM的观点,态度,做法和道德困境.
- 确定影响ESRD护理中SDM采用的因素.
主要方法:
- 采用了一种描述性定量方法,调查了以色列444名科护士.
- 用描述性统计,t测试,ANOVA和独立性测试来分析数据.
- 获得了知情同意,并确保了匿名性和保密性.
主要成果:
- 大约三分之一的护士与ESRD患者讨论了生活质量,预先指示,文化信仰和终身偏好.
- 护士表现出高度以患者为中心的护理,终身培训和跨学科合作,报告了更高的SDM实践.
- 对息治疗的转诊率与SDM参与相反相关.
结论:
- 以色列的科护士在实践中通常不优先考虑SDM模型.
- 实施SDM可以提高ESRD患者的生活质量,增加保守护理选择.
- 政策制定者和教育工作者应制定培训和支持系统,以促进以色列科环境中的SDM.
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