医生对初级息治疗和首选反应方法的信心:一个连续的混合方法调查
Rachel D Havyer1, Rachel M Wiste1, Cory Ingram1
1Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, Minnesota, USA.
Palliative medicine reports
|September 8, 2025
概括
医生需要更多地培训息护理 (PC) 技能,因为在管理疼痛和症状方面,信心水平较低. 来自PC专家的协作支持对于满足不断增长的患者需求至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学教育 医学教育
- 医疗保健系统 医疗保健系统
背景情况:
- 息护理 (PC) 的需求超过专业供应,需要协作护理模式.
- 初级保健医生 (PCP),急诊医生和医院医生需要在PC方面得到支持.
- 了解医生的态度和信心对于改善PC交付至关重要.
研究的目的:
- 评估非PC医生对PC的需求和态度.
- 评估医生对管理常见PC场景的信心.
- 确定与专业PC合作的偏好.
主要方法:
- 顺序混合方法设计:定性访谈为定量调查提供了信息.
- 在不同环境中对初级保健,急诊和医院医生进行调查.
- 收集关于人口统计,信心,支持偏好和转介概率的数据.
主要成果:
- 在管理疼痛情景 (5.57/10) 中报告的医生信心较低.
- 在关于护理目标的对话中,人们注意到了更高的信心 (7.80/10).
- 以前的PC培训与对症状和护理目标管理的更高信心相关.
结论:
- 医生对初级PC技能的信心需要提高.
- 对于专业PC支持,需要创新的协作模式.
- 解决PC需求需要跨医疗机构的跨学科方法.
相关概念视频
Continuing Care
1.9K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.9K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Primary Healthcare Services
2.0K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.0K
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
Patient-centered Care
2.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.9K

