Limitations in health professionals' knowledge of end-of-life law: a cross-sectional survey.

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS
Ben P White, Lindy Willmott, Rachel Feeney, Penny Neller, Shin-Ning Then, Jamie Bryant, Amy Waller, Patsy Yates
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引用次数: 0

Abstract

Background: Insufficient knowledge about end-of-life law can impede the provision of safe and high-quality end-of-life care. Accurate legal knowledge across health professions is critical in palliative and end-of-life settings given the reliance on multidisciplinary care. Most research has focused on doctors, finding significant knowledge gaps. The limited evidence about other health professions also suggests legal knowledge deficits.

Objective: To determine and compare levels of knowledge about end-of-life law across a broad sample of Australian health professionals and medical students, and to identify predictors of legal knowledge.

Methods: An online pre-training survey was completed by participants enrolled in a national training programme on end-of-life law. The optional survey collected demographic data and measured baseline legal knowledge and attitudes towards end-of-life law.

Results: Response rate was 67% (1653/2456). The final sample for analysis (n=1564, 95% of respondents), included doctors, medical students, nurses and a range of allied health professionals. Doctors and nurses had slightly higher levels of legal knowledge than did medical students and allied health professionals; all had critical knowledge gaps. Demographic and professional characteristics predicted knowledge levels, with experience of end-of-life law in practice, confidence applying law and recent continuing professional development being positively associated with legal knowledge.

Conclusions: This study provides new evidence about legal knowledge across a broad range of health professions. While knowledge levels varied somewhat across professions, knowledge gaps were observed in all professional groups. Education and training initiatives to enhance knowledge of end-of-life law should be tailored to meet the specific needs of each profession.

医护人员对临终关怀法认识的局限性:一项横断面调查。
背景:临终关怀法律知识的不足会阻碍提供安全和高质量的临终关怀服务。鉴于姑息治疗和临终关怀依赖于多学科护理,各医疗专业准确的法律知识对于姑息治疗和临终关怀至关重要。大多数研究都集中在医生身上,发现他们的知识差距很大。有关其他医疗专业的有限证据也表明存在法律知识缺陷:确定并比较澳大利亚卫生专业人员和医科学生的临终法律知识水平,并确定法律知识的预测因素:参加临终关怀法律国家培训项目的学员完成了一项在线培训前调查。该调查收集了人口统计学数据,并测量了基线法律知识和对临终法律的态度:结果:回复率为 67%(1653/2456)。最终的分析样本(n=1564,占受访者的 95%)包括医生、医科学生、护士和一系列专职医疗人员。医生和护士的法律知识水平略高于医学生和专职医疗人员;他们都存在严重的知识差距。人口统计学和专业特征预测了知识水平,而临终关怀法律实践经验、应用法律的信心和近期的持续专业发展与法律知识呈正相关:本研究为广泛的医疗卫生专业提供了有关法律知识的新证据。虽然各专业的知识水平略有不同,但所有专业群体都存在知识差距。提高临终关怀法律知识的教育和培训活动应根据各专业的具体需求量身定制。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
期刊介绍: ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.
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