预先计划对生命末期的护理
Hege Ihle-Hansen1, Håkon Ihle-Hansen2, Siri Rostoft3
1Senter for medisinsk etikk, Universitetet i Oslo, og, Medisinsk avdeling, Oslo universitetssykehus, og, Forskningsavdelingen, Bærum sykehus.
概括
挪威的医疗保健人员报告说,他们对与患者沟通预先护理计划 (ACP) 的信心有限. 提高沟通技巧对于有效实施新的国家ACP指南至关重要.
科学领域:
- 老年医学 老年医学
- 医疗保健通讯 医疗保健通讯
- 临床指南实施 临床指南实施
背景情况:
- 现在可以获得预先护理规划 (ACP) 的国家临床指南.
- 有效的沟通对于成功实施这些指南至关重要.
- 这项研究评估了医疗人员在讨论生命终端护理和未来医疗愿望时的信心.
研究的目的:
- 评估医疗保健工作人员对预先护理计划的自我感知沟通信心.
- 确定缺乏沟通信心的特定领域.
- 为改进在挪威医疗保健中的ACP实施策略提供信息.
主要方法:
- 在挪威东南部的12个老年病房的医疗保健人员进行了在线问卷调查.
- 受访者报告了四分级的信心水平,分为"有限的信心"和"高的信心".
- 在2022年秋季从289名参与者 (61.5%的响应率) 收集数据.
主要成果:
- 很大一部分医护人员表示,他们对未来病情恶化的沟通信心有限 (医生:22%,其他:54%),维持生命治疗 (医生30%,其他:63%) 和终身偏好 (医生19%,其他49%).
- 与预先护理规划相关的不同沟通主题的信心水平各不相同.
- 具有更长职业经验 (超过五年) 的员工也表现出不同程度的信心.
结论:
- 在老年病房的许多医护人员中,关于预先护理计划的自我评估沟通信心是有限的.
- 显然需要有针对性的措施来增强沟通信任,并促进挪威卫生服务中ACP的实施.
- 提高医疗保健提供者的信心对于有效的以患者为中心的终身护理讨论至关重要.
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