Attitudes Toward Death, Dying, End-of-Life Palliative Care, and Interdisciplinary Practice in Long Term Care Workers
Attitudes Toward Death, Dying, End-of-Life Palliative Care, and Interdisciplinary Practice in Long Term Care Workers
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DOI：
10.1016/j.jamda.2013.11.017
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发表时间：
2014-03-01
影响因子：
7.6
通讯作者：
Bellerose, Lyne
中科院分区：
文献类型：
--
作者：
Leclerc, Bernard-Simon;Lessard, Sabrina;Bellerose, Lyne
背景：除了个人和专业经验外，长期照护提供者对死亡的态度也可能影响对临终居民的照护。目的：评估长期护理工作者对死亡、临终关怀、姑息治疗和跨学科护理的信念、价值观和态度，并确定不同工作类别和工作场所之间的差异。设计：描述性横断面调查研究。环境：五个公共长期护理机构。参与者：一千一百七十名志愿者、临床管理人员和所有类别的住院长期护理工作者。测量和方法：一份匿名纸或电子自我管理的调查问卷，由24个项目组成，以4点双相李克特量表回答。对多项事后比较进行校正后，采用方差检验分析组间差异。结果：医护人员对超过一半的跨学科实践和长期居民临终关怀的选择方面持相对积极的态度。然而，对其他10个方面的态度则更为复杂，更高比例的受访者表示对这些方面持负面态度。总体而言，在临终关怀的某些方面，上层专业人员和管理人员（注册护士、医生、康复人员和临床管理人员）与动手护理人员（护理助理、病人助理和志愿者）之间存在显著差异。结论：结果提示，在长期护理机构中，需要考虑医护人员的态度。病人助理、志愿者和护理助理似乎最可能从培训和支持计划中受益。(C) 2014 - American Medical Directors Association, Inc.；版权所有。
Background: Besides personal and professional experiences, long term care providers' own attitudes toward death may affect the care given to dying residents.Objectives: To assess beliefs, values, and attitudes toward death, dying, palliative, and interdisciplinary care in long term care workers and identify any differences between different job categories and places of work.Design: Descriptive cross-sectional survey study.Setting: Five public long term care facilities.Participants: One thousand one hundred seventy volunteers, clinical managers, and all categories of residential long term care workers.Measurements and Methods: An anonymous paper or electronic self-administered survey questionnaire consisting of 24 items, answered on a 4-point bipolar Likert scale. Between-group differences were compared with the analysis of variance test after adjustment for the multiple post-hoc comparisons.Results: Healthcare workers had a relatively positive attitude toward more than one-half of the selected aspects of interdisciplinary practice and end-of-life palliative care for long-term residents. However, attitudes were more mixed about 10 other aspects and a higher percentage of respondents indicated negative attitudes toward them. Overall, there are significant differences between upper-level professionals and managers (registered nurses, physicians, rehabilitation staff, and clinical managers) vs the hands-on caregivers (nursing assistants, patient assistants, and volunteers) with regard to some aspects of the care of the dying.Conclusions: The results suggest that healthcare workers' attitudes need to be taken into account in long term care facilities. Patient assistants, volunteers, and nursing assistants seem most likely to above all benefit from training and support programs. (C) 2014 - American Medical Directors Association, Inc. All rights reserved.