卫生专业人员在为儿童和青少年停止治疗方面的决策经验：一项定性研究。
Decision-making experiences of health professionals in withdrawing treatment for children and young people: A qualitative study.
机构信息
Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK.
Public Health and Wellbeing, City of Wolverhampton Council, Wolverhampton, UK.
出版信息
Child Care Health Dev. 2022 Jul;48(4):531-543. doi: 10.1111/cch.12956. Epub 2022 Jan 12.
OBJECTIVE
To explore factors that influence professionals in deciding whether to withdraw treatment from a child and how decision making is managed amongst professionals as an individual and as a team.
STUDY DESIGN
Semi-structured interviews were conducted with a purposive sample of health professionals working at a UK Children's Hospital, with children with life-limiting illnesses whose treatment has been withdrawn. Data were transcribed verbatim, anonymized and analysed using a thematic framework method.
RESULTS
A total of 15 participants were interviewed. Five interrelated themes with associated subthemes were generated to help understand the experiences of health professionals in decision making on withdrawing a child's treatment: (1) understanding the child's best interests, (2) multidisciplinary approach, (3) external factors, (4) psychological well-being and (5) recommendations to support shared decision making.
CONCLUSION
A shared decision-making approach should be adopted to support professionals, children and their families to make decisions collectively.
目的
探讨影响专业人员决定是否停止为儿童治疗的因素，以及专业人员作为个体和团队在管理决策时的情况。
研究设计
对在英国儿童医院工作的、治疗已被停止的患有危及生命疾病的儿童的卫生专业人员进行了一项有针对性的半结构化访谈。数据逐字转录、匿名处理，并使用主题框架方法进行分析。
结果
共对 15 名参与者进行了访谈。生成了五个相互关联的主题及其相关子主题，以帮助理解卫生专业人员在停止儿童治疗方面的决策经验：（1）了解儿童的最佳利益，（2）多学科方法，（3）外部因素，（4）心理健康，（5）支持共同决策的建议。
结论
应采用共同决策方法，以支持专业人员、儿童及其家庭共同做出决策。
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