气管切除术决策和咨询:比较提供者和护理人员的观点和看法
Andy Liu1, Catherine Hammack-Aviran2, Jessica Turnbull1
1Department of Pediatrics, Division of Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Journal of palliative medicine
|July 11, 2024
概括
护理人员和医疗保健提供者对儿童气管切除术咨询有不同的看法. 改善沟通是使决策与家庭价值观和优先事项保持一致的关键.
科学领域:
- 儿科医学 儿科医学
- 医疗保健通讯 医疗保健通讯
- 医疗保健中的决策方式
背景情况:
- 儿童的气管切除决定是复杂的,涉及医疗,生活质量和家庭价值观.
- 目前的气管切除术咨询缺乏标准化的指导方针,导致实践变化.
- 现有的研究已经分别探索了护理人员和提供者的观点,而不是同时进行.
研究的目的:
- 调查医疗保健提供者和护理人员对气管切除术咨询的看法之间的差异.
- 为了比较关于儿科气管切除术决策过程的观点.
主要方法:
- 进行了半结构化采访,与护理人员和医疗保健提供者对儿童进行气管切除术的评估.
- 采用了面试成绩单的定性分析,以确定新出现的主题.
- 在护理人员和提供者群体之间对主题进行了比较分析.
主要成果:
- 照顾者 (81%) 比提供者 (35%) 更频繁地提供了孩子的个人描述.
- 照顾者对孩子的担忧 (69%) 和希望/梦想 (75%) 比提供者更多 (分别为59%和29%).
- 护理人员优先考虑增长/发展 (69%) 和放弃 (38%),而提供者则专注于放弃 (47%) 和增长 (29%).
结论:
- 护理人员和提供者在气管切除术咨询中存在显著的脱节.
- 加强沟通和理解对于使咨询与家庭优先事项保持一致至关重要.
- 量身定制提供者咨询方法可以更好地支持家庭在气管切除术决策.
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