The approach of internal medicine healthcare personnel to palliative care.

4区 医学 Q2 Nursing
Igal Lifshits, Hanan Agbaria, Anwar Zoabi Sawaed, Ami Neuberger, Said Darawshi
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引用次数: 0

Abstract

Background: Healthcare workers in internal medicine wards often encounter challenges while providing palliative care due to a lack of training, emotional support, and organizational resources. Existing studies have explored attitudes toward palliative care in specialized teams, but less is known about internal medicine workers' perspectives. This study aims to address this gap by investigating the attitudes of internal medicine staff, analyzing demographic and professional factors, and assessing specific features, including knowledge of the legal aspects of palliative care.

Methods: A novel, 20-item questionnaire was distributed to 106 healthcare workers from six internal medicine departments at a tertiary care hospital in Israel. The questionnaire assessed participants' demographic and professional data, attitudes toward palliative care, self-perceived knowledge, emotional support needs, and organizational support. Responses were scored on a 0-10 Likert scale, with higher scores indicating stronger agreement. Data analysis included one-way analyses of variance (ANOVA), chi-square tests, and descriptive statistics.

Results: Participants included nurses (61%), medical doctors (32.4%), and other healthcare personnel (6.7%). Perceived knowledge and training were rated as moderately adequate (6.0/10 and 5.6/10, respectively), while organizational support was rated similarly (6.0/10). Emotional support from family and friends (6.5/10) was deemed higher than from institutions (4.8/10). Nurses and medical doctors reported insufficient time for palliative conversations (4.8/10 and 4.18/10). Healthcare workers disagreed that palliative care should be restricted to terminally ill patients (2.89/10). Statistically significant differences were observed in attitudes toward palliative care across professions, marital status, and years of experience. Ethnic and religious affiliations did not influence attitudes towards palliative care.

Conclusions: The findings highlight the need for targeted training, enhanced organizational support, and mentorship programs to address gaps in palliative care delivery within internal medicine departments. Addressing these needs can improve healthcare workers' preparedness and ultimately raise the quality of care for terminally ill patients.

内科医护人员进行姑息治疗的途径。
背景:由于缺乏培训、情感支持和组织资源,内科病房的医护人员在提供姑息治疗时经常遇到挑战。现有的研究已经探讨了专业团队对姑息治疗的态度,但对内科工作者的观点知之甚少。本研究旨在通过调查内科员工的态度,分析人口统计学和专业因素,以及评估具体特征,包括对姑息治疗法律方面的知识,来解决这一差距。方法:对以色列某三级医院6个内科的106名医护人员进行问卷调查。问卷评估了参与者的人口统计和专业数据、对姑息治疗的态度、自我认知知识、情感支持需求和组织支持。回答按0-10分的李克特量表打分,得分越高表明认同程度越高。数据分析包括单因素方差分析(ANOVA)、卡方检验和描述性统计。结果:参与者包括护士(61%)、医生(32.4%)和其他医护人员(6.7%)。感知知识和培训被评为中等充足(分别为6.0/10和5.6/10),而组织支持被评为类似(6.0/10)。来自家人和朋友的情感支持(6.5/10)被认为高于来自机构的(4.8/10)。护士和医生报告说,进行缓和谈话的时间不足(4.8/10和4.18/10)。医护人员不同意姑息治疗应仅限于绝症患者(2.89/10)。对姑息治疗的态度在不同职业、婚姻状况和经验年数上有统计学上的显著差异。种族和宗教信仰不影响对姑息治疗的态度。结论:研究结果强调了有针对性的培训、加强组织支持和指导计划的必要性,以解决内科姑息治疗提供方面的差距。解决这些需求可以改善卫生保健工作者的准备工作,并最终提高对绝症患者的护理质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of palliative medicine
Annals of palliative medicine Medicine-Anesthesiology and Pain Medicine
自引率
0.00%
发文量
231
期刊介绍: Annals of Palliative Medicine (Ann Palliat Med; Print ISSN 2224-5820; Online ISSN 2224-5839) is an open access, international, peer-reviewed journal published quarterly with both online and printed copies since 2012. The aim of the journal is to provide up-to-date and cutting-edge information and professional support for health care providers in palliative medicine disciplines to improve the quality of life for patients and their families and caregivers.
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