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急诊医护人员对临终关怀和姑息治疗的知识和态度:对美国 35 家急诊科的横断面分析。

Emergency Providers' Knowledge and Attitudes Toward Hospice and Palliative Care: A Cross-Sectional Analysis Across 35 Emergency Departments in the United States.

机构信息

Ronald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, New York, New York, USA.

Department of Population Health, New York University Grossman School of Medicine, New York, New York, USA.

出版信息

J Palliat Med. 2023 Sep;26(9):1252-1260. doi: 10.1089/jpm.2022.0545. Epub 2023 Jun 1.


DOI:10.1089/jpm.2022.0545
PMID:37262130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10623080/
Abstract

Emergency providers' knowledge and attitudes may be a barrier to adopting hospice and palliative care practice. To assess provider characteristics associated with knowledge and attitudes toward hospice and palliative care (KAHP). Cross-sectional analysis. Emergency physicians, advanced practice providers (APPs), and nurses from 35 U.S. emergency departments (EDs) enrolled in a provider-focused intervention. The outcome measures were the total and subscale scores of the KAHP scale. The predictor variables were age, sex, race/ethnicity, and years of practice. We reported the observed association using a linear mixed-effects regression model. The mean KAHP score, rated from 10 to 50, was 36. Increased years of practice were associated with increased mean self-reported knowledge and attitudes scores among APPs and nurses. Understanding the provider characteristics associated with hospice and palliative care adoption in the ED may inform the development of interventions for specific providers. ClinicalTrials.gov (NCT03424109).

摘要

急诊提供者的知识和态度可能是采用姑息治疗和临终关怀实践的障碍。评估与姑息治疗知识和态度(KAHP)相关的提供者特征。横断面分析。来自美国 35 个急诊部(ED)的急诊医师、高级实践提供者(APP)和护士参加了以提供者为重点的干预措施。结局指标是 KAHP 量表的总分和分量表得分。预测变量是年龄、性别、种族/民族和执业年限。我们使用线性混合效应回归模型报告了观察到的关联。KAHP 评分的平均值为 10 到 50,为 36。执业年限的增加与 APP 和护士自我报告的知识和态度得分的增加有关。了解与 ED 中姑息治疗采用相关的提供者特征可能为特定提供者的干预措施的制定提供信息。ClinicalTrials.gov(NCT03424109)。

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本文引用的文献

[1]
Culturally Sensitive Behavior Intervention Materials: a Tutorial for Practicing Behavior Analysts.

Behav Anal Pract. 2022-3-30

[2]
Knowledge and Attitudes Toward Hospice and Palliative Care: Instrument Validation Among Emergency Providers.

Am J Hosp Palliat Care. 2023-3

[3]
Math and language gender stereotypes: Age and gender differences in implicit biases and explicit beliefs.

PLoS One. 2020-9-8

[4]
Primary Palliative Care for Emergency Medicine (PRIM-ER): Applying form and function to a theory-based complex intervention.

Contemp Clin Trials Commun. 2020-4-24

[5]
Design and implementation of a clinical decision support tool for primary palliative Care for Emergency Medicine (PRIM-ER).

BMC Med Inform Decis Mak. 2020-1-28

[6]
Mindfulness, Trust, and Leader Effectiveness: A Conceptual Framework.

Front Psychol. 2019-7-10

[7]
Primary Palliative Care for Emergency Medicine (PRIM-ER): Protocol for a Pragmatic, Cluster-Randomised, Stepped Wedge Design to Test the Effectiveness of Primary Palliative Care Education, Training and Technical Support for Emergency Medicine.

BMJ Open. 2019-7-27

[8]
Meaningful inclusion of diverse voices: The case for culturally responsive teaching in nursing education.

J Prof Nurs. 2019-1-25

[9]
Mindfulness and Leadership: Communication as a Behavioral Correlate of Leader Mindfulness and Its Effect on Follower Satisfaction.

Front Psychol. 2019-3-29

[10]
Improving cancer patient emergency room utilization: A New Jersey state assessment.

Cancer Epidemiol. 2017-12

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