对心肺复苏和不复苏命令的客户沟通评估:一项调查研究
Anna M Horowitz1, Bobbi J Conner1, Erik H Hofmeister2
1Department of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, Virginia, USA.
概括
兽医专业人员在讨论心肺复苏 (CPR) 和不复苏 (DNR) 命令时感到更舒服,当他们的实践有协议并且他们有更多的紧急经验时. 缺乏正规培训是一个显著的差距.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 动物健康通讯 动物健康通讯
- 关键的护理关键的护理
背景情况:
- 关于心肺复苏 (CPR) 和不复苏 (DNR) 命令的有效沟通在兽医重症监护中至关重要.
- 在这些讨论中了解兽医专业人员的经验和舒适度对于改善客户沟通和患者护理至关重要.
研究的目的:
- 记录兽医专业人员在与客户讨论CPR和DNR订单时的经验.
- 确定影响他们舒适和自信的因素,在这些敏感的对话中.
主要方法:
- 在互联网上对547名兽医专业人员进行了一项基于互联网的调查,涉及各种小型动物临床实践.
- 数据是通过多项选择,利克特类型和开放式问题收集的,统计分析包括曼-惠特尼U测试,克鲁斯卡尔-瓦利斯测试和顺序回归.
主要成果:
- 63.9%的诊所有CPR/DNR协议,这显著增加了员工的舒适度 (p < 0.001).
- 兽医和兽医技术人员最常领导这些讨论 (分别为37.2%和37.1%).
- 许多专业人士报告说,他们没有接受过正式培训,而是通过工作经验来学习;在紧急情况实践中工作的时间更长与提出建议的舒适度更高相关 (p < 0.001).
结论:
- 正式的协议和在紧急情况实践中的经验增强了兽医专业人员在讨论CPR/DNR命令时的信心.
- 在这些重症监护沟通方面缺乏正式培训,这代表了需要解决的差距.
- 提高沟通技能的培训可以支持兽医人员的福祉,并在困难时期加强客户互动.
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