牧师决策指导的可行性和可接受性关于可靠的复苏决策质量:一项试点研究
Shelley E Varner-Perez1, Shelley M Hoffman2, Kimberly Coleman-Phox3
1Department of Spiritual Care and Chaplaincy, Indiana University Health, Indianapolis, Indiana, USA.
PEC innovation
|March 5, 2024
概括
牧师领导的决策指导,结合GOALS工具,是一种可行和可接受的方法,以支持威胁到可获得交付的决策. 这种方法有助于减少未来父母的决策冲突.
科学领域:
- 医学伦理 医学伦理
- 临床决策 - 临床决策
- 精神上的照顾 精神上的照顾
背景情况:
- 受到威胁的可存活分娩给准父母带来了复杂的伦理和情感挑战.
- 有效的决策支持工具对于在高风险的产科情况下导航生命支持决策至关重要.
研究的目的:
- 试点测试和评估由牧师领导的决策指导的可行性和可接受性.
- 评估这种干预对受威胁的可传递交付案件的决策冲突和知识的影响.
- 探索牧师在支持价值负担的临床决策中的作用.
主要方法:
- 一项试点研究涉及孕妇和他们的重要其他人 (IOs) 面临威胁的可存活分娩.
- 干预:由牧师领导的决策指导与GOALS (围绕生命支持获得最佳对齐) 决策支持工具一起进行.
- 数据收集:衡量决策冲突和干预前后的知识;牧师日记;描述和内容分析.
主要成果:
- 八名孕妇和两名IO参与了这项研究.
- 决策冲突显著减少 (平均下降6.7%) 和知识增加 (平均增加1.4%).
- 参与者的满意度很高,所有人都将体验评为"好"或"优秀".
结论:
- 由牧师领导的决策指导,与GOALS工具集成,是一种可行且受欢迎的干预措施.
- 牧师是一个有价值的,但尚未充分利用的资源,用于支持产科复杂的临床决策.
- 干预有效地帮助参与者做出决策,并被认为是有帮助的.
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