Perceptions of Healthcare Workers Regarding Palliative Care Services in a Tertiary Care Teaching Hospital in North India - A Mixed Methods Observational Study.
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引用次数: 0
Abstract
Objectives: Cancers and various terminal illnesses need integrated palliative care with curative management, but, unfortunately, our health care system mainly focuses on the treatment of disease. Lack of awareness, difficulty in pain management and untrained staff are some of the challenges in palliative care services.The study was done to explore the perception of healthcare workers regarding availability, utilisation and challenges in the delivery of palliative care services.
Material and methods: A mixed method study was conducted at tertiary care teaching hospital in North India. Qualitative approach using interviews and focus group discussions (FGDs) among healthcare workers was done to understand their knowledge, perception, barriers and challenges in implementing palliative care services. One hundred and thirteen healthcare workers were interviewed using a semi-structured questionnaire and FGD was conducted to gain more insight into the issues of palliative care. The data obtained was analysed with the help of computer software Microsoft Excel and SPSS version 23 for windows. The data was presented as proportion and mean (S.D.) as deemed appropriate for qualitative and quantitative variables respectively. Thematic analysis was done with the data of FGD.
Results: The knowledge, attitude and practices regarding palliative care were poor across the HCW. During FGD with faculty and residents, the participants showed great concern about the absence of palliative care across many specialties while expressing an acute need for the establishment of a separate interdisciplinary unit on palliative care to improve the quality of life in patients.
Conclusion: The study shows that there are gaps that need to be addressed to make palliative services available in our hospital.
目的:癌症和各种晚期疾病需要综合姑息治疗与治疗管理，但不幸的是，我们的卫生保健系统主要侧重于疾病的治疗。缺乏认识，疼痛管理困难和未经培训的工作人员是姑息治疗服务中的一些挑战。该研究的目的是探讨卫生保健工作者对提供姑息治疗服务的可得性、利用率和挑战的看法。材料和方法:在印度北部三级保健教学医院进行了一项混合方法研究。通过访谈和焦点小组讨论(fgd)对卫生保健工作者进行定性分析，了解他们在实施姑息治疗服务方面的知识、观念、障碍和挑战。使用半结构化问卷对113名医护人员进行了访谈，并进行了FGD，以更深入地了解姑息治疗的问题。利用Microsoft Excel和SPSS version 23 for windows软件对所得数据进行分析。数据分别以适当的比例和平均值(sd)表示，用于定性和定量变量。对FGD数据进行了专题分析。结果:我院患者对姑息治疗的知识、态度和行为较差。在与教师和住院医生的FGD中，参与者对许多专业缺乏姑息治疗表示了极大的关注，同时表示迫切需要建立一个单独的跨学科姑息治疗单位，以改善患者的生活质量。结论:本研究表明，在我们医院提供姑息治疗服务还存在一些空白需要解决。
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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