Bakanic Von, Singleton Margaret, Dickinson George E
Department of Sociology and Anthropology, College of Charleston, Charleston, SC, USA.
Department of Sociology and Anthropology, College of Charleston, Charleston, SC, USA
Am J Hosp Palliat Care. 2016 Feb;33(1):34-40. doi: 10.1177/1049909114552124. Epub 2014 Sep 24.
The purpose of this study was to gauge the attitudes of internal medicine (IM) physicians and hospice nurses on the hospice programs in a Southeastern US county. A postal survey sought views on the following issues: (1) the level of control that hospice affords dying patients; (2) health care professionals' education and communication involving the dying process; (3) the hospice referral process; (4) characteristics of a "good death"; and (5) gender versus professional role regarding hospice attitudes. The data revealed that occupational role in hospice care has a more significant function in the development of cognitive attitudes than of gender regarding hospice programs and that professional education needs more emphasis on the study of end-of-life issues, as well as open communication between health care professionals and patients during the dying process. Physicians were less likely than nurses to agree that patient control was important. Additionally, what constitutes a good death was similar to previous studies.
本研究的目的是评估美国东南部一个县的内科医生和临终关怀护士对临终关怀项目的态度。一项邮寄调查征求了对以下问题的看法：（1）临终关怀给予临终患者的控制程度；（2）医护人员关于死亡过程的教育和沟通；（3）临终关怀转诊流程；（4）“善终”的特征；以及（5）在临终关怀态度方面性别与职业角色的比较。数据显示，在临终关怀项目中，职业角色在形成认知态度方面比性别发挥着更重要的作用，并且专业教育需要更加强调对临终问题的研究，以及医护人员与患者在死亡过程中的开放沟通。与护士相比，医生不太可能认同患者控制很重要。此外，构成善终的因素与之前的研究相似。
