文化或精神生命终点实践偏好评估和文档:识别儿科临终关怀的当前实践
概括
儿科临终关怀计划经常评估和记录生命结束时的精神偏好. 然而,关于特定精神需求的记录仍然很少,这突出了关怀的差距.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 儿科临终关怀中心
- 文化能力 文化能力
背景情况:
- 临终仪式对于和平死亡和悲伤处理至关重要.
- 临终关怀的障碍包括对误解的恐惧或阻碍文化/精神仪式的恐惧.
- 有限的研究存在于儿科临终关怀设置中的文化/精神仪式.
研究的目的:
- 确定目前在儿科临终关怀计划中评估和记录文化/精神终身偏好的实践.
- 评估有关生命末期精神需求的文献的程度.
主要方法:
- 在中西部州的两个儿科临终关怀计划的员工进行了调查.
- 在五年时间内,从一个儿科临终关怀计划中对已故患者的回顾性图表审查.
主要成果:
- 工作人员报告了例行评估 (97.3%) 和文档 (70.3%) 的偏好.
- 家庭精神信仰记录在75.9%的图表中,但生命末期的精神需求仅记录在12.2%中.
结论:
- 虽然儿科临终关怀计划评估精神偏好,但具体生命末期精神需求的记录是不够的.
- 需要标准化的文档实践,以确保公平的临终关怀,通过向提供者告知患者/家庭的精神需求.
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