National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
BMC Med Ethics. 2024 Oct 9;25(1):109. doi: 10.1186/s12910-024-01106-z.
Interventions targeting healthcare professionals' confidence in managing ethical issues in dementia care are limited despite documented positive effects of educational programs on staff knowledge and self-efficacy. However, inconsistencies in the literature regarding the impact of educational programs underscore the need for targeted interventions. The CARE intervention, specifically designed to enhance confidence in ethical decision-making, aims to address this gap. This study evaluates the effectiveness of the CARE intervention in enhancing the ethical self-efficacy of healthcare professionals caring for people with dementia, particularly those with initially low levels of self-efficacy.
Using a non-experimental pre-post evaluation design, the CARE intervention was administered to healthcare professionals (n = 86), measuring ethical self-efficacy pre-and post-intervention. We hypothesized significant differences in ethical self-efficacy mean scores pre- and post-intervention for all participants, particularly those with low pre-measurement scores, whom we expected to benefit most from the intervention. Statistical analysis included paired t-tests and Wilcoxon tests for the low pre-measurement subgroup analysis.
While no significant change was observed in the entire sample, participants with low initial self-efficacy showed a statistically significant improvement post-intervention.
The CARE intervention holds promise in improving ethical self-efficacy among healthcare professionals with initial low confidence levels. Targeted interventions are essential in addressing confidence gaps in managing ethical challenges in dementia care, with implications for professional well-being and quality of care. Further research should explore long-term effects and expand sample size to enhance generalizability and sustainability of findings.
尽管有文献证明教育计划对员工知识和自我效能感有积极影响，但针对医疗保健专业人员在痴呆症护理中管理伦理问题的信心的干预措施仍然有限。然而，文献中关于教育计划影响的不一致性突显了有针对性的干预措施的必要性。CARE 干预措施专门设计用于增强在伦理决策方面的信心，旨在解决这一差距。本研究评估了 CARE 干预措施在增强护理痴呆症患者的医疗保健专业人员的伦理自我效能感方面的有效性，特别是那些最初自我效能感较低的人。
使用非实验性前后评估设计，向医疗保健专业人员（n=86）实施 CARE 干预措施，在干预前后测量伦理自我效能感。我们假设所有参与者的伦理自我效能感平均分数在干预前后会有显著差异，特别是那些测量得分较低的人，我们预计他们将从干预中受益最多。统计分析包括配对 t 检验和 Wilcoxon 检验，用于低测量得分亚组分析。
虽然整个样本没有观察到显著变化，但初始自我效能感较低的参与者在干预后显示出统计学上显著的改善。
CARE 干预措施有望提高初始信心水平较低的医疗保健专业人员的伦理自我效能感。针对管理痴呆症护理中伦理挑战的信心差距的针对性干预措施至关重要，这对专业人员的福祉和护理质量有影响。应进一步研究以探讨长期效果并扩大样本量，以增强研究结果的普遍性和可持续性。
