评估住院医生的知识,态度和实践有关预先护理规划:一个跨部门研究
Gloria Y Ojerinde1, Kahee A Mohammed1,2
1Internal Medicine, SSM Health St. Mary's Hospital, St. Louis, USA.
Cureus
|July 21, 2025
概括
住院医生对提前护理计划 (ACP) 有积极的态度,但缺乏法律文件的实际技能. 需要有针对性的培训来改善以患者为中心的终身护理讨论.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 医疗保健通讯 医疗保健通讯
背景情况:
- 提前护理计划 (ACP) 对于以患者为中心的护理至关重要,特别是在生命末期的情况.
- 住院医生理解和应用非洲和非洲国家和地区原则对于有效的患者护理至关重要.
- 评估医生中ACP国家的知识,态度和实践,为教育需求提供了信息.
研究的目的:
- 评估住院医生的有关预先护理计划 (ACP) 的知识,态度和实践.
- 为了识别感知到的技能,舒适度,和影响 (文化,宗教) 在ACP讨论.
- 确定阻碍在居民医生中全面实施ACP的障碍.
主要方法:
- 一项采用在线问卷的横截面定量研究.
- 调查分发给圣玛丽医院的内科医生和家庭医生.
- 收集数据的描述性统计分析.
主要成果:
- 大多数居民 (61.1%) 曾经接受过ACP培训,但缺乏国家法律和预先指令文件的知识.
- 尽管经常与患者接触,但只有很小一部分 (6.1%) 经常与患者讨论ACP问题.
- 虽然态度是积极的 (86.1%),但只有33.3%的家庭成员参与其中,而能力在ACP主题上有所不同,在协助预先指示方面的技能较低.
结论:
- 居民在ACP的理论知识和实际应用之间存在很大的差距,特别是在法律方面和文件方面.
- 积极的态度和自我报告的沟通技巧与患者和家人的参与在ACP讨论中的有限参与形成鲜明对比.
- 专注于法律框架和文档的加强培训对于提高居民进行全面ACP培训的能力至关重要.
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