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在复苏和有创操作期间允许家属在场:希腊儿科病房医护人员的态度。

Family presence during resuscitation and invasive procedures: physicians' and nurses' attitudes working in pediatric departments in Greece.

机构信息

Aghios Andreas' General Hospital of Patras, Greece.

出版信息

Resuscitation. 2011 Jun;82(6):713-6. doi: 10.1016/j.resuscitation.2011.02.011. Epub 2011 Mar 12.

Abstract

BACKGROUND

Family presence during resuscitation and invasive procedures (FPDRAIP) has been a frequent topic of debate among healthcare personnel worldwide. This paper determines the knowledge, experiences and views of Greek physicians and nurses on FPDRAIP and examines possible correlations and factors promoting or limiting the implementation of the issue.

METHODS

The data for this descriptive questionnaire study were collected between March and June 2009. The study population consisted of 44 physicians and 77 nurses working in neonatal-pediatric departments and intensive care units in Patras, Greece, who answered an anonymous questionnaire.

RESULTS

The majority of the participants (73.6%) were not familiar with FPDRAIP, were neither educated (72.7%) nor did they agree with the issue (71.9%). No written policy on FPDRAIP existed in the hospitals surveyed. Participants who were familiar with existing guidelines on the issue, or those who had relevant personal experience (76.9%), were positive for practising it as well. The degree of invasiveness of the medical intervention was the major determinant for healthcare personnel to consent for FPDRAIP. Finally, 43.2% of physicians believed that the decision of allowing FPDRAIP should be made only by them, whereas, 40.3% of nurses thought it should be a joint one.

CONCLUSIONS

This study reveals that healthcare personnel in Greece are not familiar with the issue of FPDRAIP. In view of the increasing evidence on the advantages of this practice, we recommend implementation of relevant educational programs and institutional guidelines and policies.

摘要

背景

在复苏和有创性操作期间允许家属在场(FPDRAIP)一直是全球医护人员频繁讨论的话题。本文旨在确定希腊医生和护士对 FPDRAIP 的认知、经验和看法,并探讨实施该问题的可能相关性和促进或限制因素。

方法

本描述性问卷调查研究的数据于 2009 年 3 月至 6 月间采集。研究人群由希腊派拉市新生儿-儿科病房和重症监护病房的 44 名医生和 77 名护士组成,他们回答了匿名问卷。

结果

大多数参与者(73.6%)不熟悉 FPDRAIP,也没有接受过相关教育(72.7%)或对此表示认同(71.9%)。在所调查的医院中,没有关于 FPDRAIP 的书面政策。熟悉该问题现有指南或有相关个人经验的参与者(76.9%)也对此表示支持。医疗干预的侵入程度是医护人员同意 FPDRAIP 的主要决定因素。最后,43.2%的医生认为允许 FPDRAIP 的决定应由他们单独做出,而 40.3%的护士则认为这应该是一个共同的决定。

结论

本研究表明,希腊的医护人员对 FPDRAIP 问题并不熟悉。鉴于该实践的优势证据不断增加,我们建议实施相关的教育计划和机构指南和政策。

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