探索培训,参与和信心:对医疗保健专业人员进行决策能力评估的研究
Nicola Hickling1, Clare M McCann2, Lynette Tippett2
1Doctorate of Clinical Psychology Student, School of Psychology, The University of Auckland, New Zealand.
The New Zealand medical journal
|April 11, 2024
概括
医疗保健专业人员需要更好的培训和定义的角色,以评估决策能力 (DMC). 目前的培训不足,影响专业人士.
科学领域:
- 医疗保健专业培训 医疗保健专业培训
- 决策能力评估 决策能力评估
- 医学伦理 医学伦理
背景情况:
- 决策能力 (DMC) 评估对于患者的自主性至关重要.
- 医疗保健专业人员对DMC评估的准备程度有很大差异.
- 了解那些进行和那些参与DMC评估的人的经验至关重要.
研究的目的:
- 评估医疗保健专业人员在DMC评估中的培训,参与和信心水平.
- 确定那些进行和那些不进行DMC评估的人之间的培训,参与和信心的差异.
主要方法:
- 使用了一个匿名的10分钟在线调查.
- 该调查包括封闭式和开放式问题.
- 78名医疗保健专业人员完成了调查.
主要成果:
- 发现DMC评估的正式培训缺乏数量和充分性.
- 只有14.1%的人接受过正式培训,38.5%的人认为他们有足够的培训.
- 专业人士报告了不同程度的参与,进行评估的人感到过度参与,而其他人则感到参与不足. 对向患者解释DMC的信心很低 (25.6%).
结论:
- 医疗保健专业人员需要通过正式培训和在DMC评估中定义的角色获得紧急支持.
- 提高劳动力的技能是确保高质量的患者护理和决策的必要条件.
- 在DMC过程中利用所有医疗保健专业人员的专业知识是必不可少的.
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