社区提供者对儿科临终关怀和息治疗的担忧
Meaghann S Weaver1, Tej Chana2, Deborah Fisher3
1St Jude Children's Research Hospital (M.S.W.), Memphis, Tenessee, USA.
Journal of pain and symptom management
|September 17, 2025
概括
儿科住院和息护理临床医生担心未得到满足的需求,资源短缺以及维护核心价值观. 解决这些问题至关重要,以确保为儿童和家庭提供优质的护理.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 临终关怀和息治疗
- 医疗保健管理的管理
背景情况:
- 社区组织对于儿科临终关怀和息护理至关重要.
- 家庭经常依赖这些服务来提供全面的护理.
- 了解临床医生的观点对于改善服务至关重要.
研究的目的:
- 调查提供儿科住院和息护理的临床医生的独特问题.
- 确定美国现场专业人士面临的具体挑战.
- 为提高儿科终身护理的策略提供信息.
主要方法:
- 一项调查分发给了家庭护理国家联盟 (联盟) 的成员.
- 分析了关于儿科护理问题的自由文本问题的答案.
- 用语义内容分析来解释定性数据.
主要成果:
- 在295名受访者中,31%的受访者对儿科息治疗和临终关怀表示担忧.
- 53%的受访者主要担心的是"未得到满足的需求".
- 其他关键问题包括资源限制,人员问题,培训缺口,情绪负担,政策模两可,以及社区的耻辱感.
结论:
- 临床医生的担忧凸显了实际现实与临终关怀和息护理的核心哲学之间的紧张关系.
- 有风险的核心价值观,如公平和质量受到损害.
- 需要协调的研究和参与来积极应对这些挑战.
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