临床推理和决策在息护理高级临床医师的角色
1Advanced Clinical Practitioner, St Nicholas Hospice Care, Bury St Edmunds.
概括
预测生命的终点对于息治疗中高级临床从业者 (ACP) 来说是一个挑战. 本研究探讨了在末期阶段进行准确临床判断所需的关键信息,旨在改善护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 临床决策 - 临床决策
- 在生命末期的护理.
背景情况:
- 先进的临床实践需要强大的批判性思维,受压力,风险,时间和知识等因素的影响.
- 对末期患者进行临床判断存在挑战,因为缺乏明确的指导方针.
- 在息治疗中,先进的临床从业者 (ACP) 引导患者,家属和工作人员经历疾病进展.
研究的目的:
- 识别生命终端护理中准确临床判断所需的基本信息.
- 增强息治疗中高级临床从业人员 (ACP) 的决策过程.
- 解决临床实践中死亡和死亡的"不可预测性".
主要方法:
- 对影响终端护理临床判断的因素进行定性探索.
- 对现有文献和临床指导方针对生命终结决策的分析.
- 对高级临床从业者 (ACP) 在息护理方面的经验进行案例研究审查.
主要成果:
- 缺乏标准化的信息阻碍了对终端阶段的准确预测.
- 压力和知识等因素显著影响临床判断.
- 需要更明确的标准来支持非洲和非洲国家在终身预测方面.
结论:
- 对于高级临床从业人员 (ACP) 做出终身决策,对所需信息的提高清晰度至关重要.
- 改进决策支持患者,家庭和医疗保健团队在绝症期间.
- 需要进一步的研究来开发基于证据的工具来预测死亡和死亡.
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