Hospice interdisciplinary team providers' attitudes toward sexual and gender minority patients and caregivers.
Hospice interdisciplinary team providers' attitudes toward sexual and gender minority patients and caregivers.
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DOI：
10.1016/j.pec.2020.07.004
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发表时间：
2020-10
影响因子：
3.5
通讯作者：
Ellington L
中科院分区：
文献类型：
--
作者：
Cloyes KG;Tay DL;Iacob E;Jones M;Reblin M;Ellington L
临终关怀跨学科团队(IDT)提供者对性和性别少数群体(SGM)患者和家庭照顾者的态度影响护理质量和临终结局。这项研究评估了临终关怀IDT提供者对SGM患者和照顾者的态度，并确定了人口统计学预测因素。安宁疗养院IDT提供者(N=122)完成了调整后的11个条目的量表，测量对SGM临终关怀病人和照顾者的态度。采用描述性统计、验证性因素分析和回归模型。临终关怀适应性变性者态度量表(ATLPS)显示可接受的Cronbach‘sα(0.707)。总分在32-55之间(M=47.04，SD=5.64)，表明态度总体上是积极的。宗教信仰(B=−3.169，p=0.008)与更消极的态度相关，而受过高等教育(B=1.951，p=0.002)和在临终关怀机构工作的时间(B=0.600，p=0.028)与更积极的态度相关。这是评估SGM特有的临终关怀IDT态度的首批研究之一。参与者的态度相对积极，受到宗教信仰、临床经验和教育的影响。CFA的结果表明，需要更好的仪器来测量这种复杂的结构。教育可以通过影响态度、减少偏见和提高能力，以临终关怀IDT成员的经验和培训为基础，纳入不同SGM患者和家庭的不同队列的差异、生命历程观点和临终经历的证据。
Hospice interdisciplinary team (IDT) providers’ attitudes toward sexual and gender minority (SGM) patients and family caregivers impacts quality of care and end-of-life outcomes. This study assessed hospice IDT provider attitudes toward SGM patients and caregivers and identified demographic predictors. Hospice IDT providers (N=122) completed an adapted 11-item scale measuring attitudes toward SGM hospice patients and caregivers. Descriptive statistics, confirmatory factor analysis, and regression models were conducted. The hospice-adapted Attitudes Toward LGBT Patients Scale (ATLPS) demonstrated acceptable Cronbach’s alpha (0.707). Total scores ranged from 32–55 (M=47.04, SD=5.64) showing that attitudes were generally positive. Being religious (B=−3.169, p=0.008) was associated with more negative attitudes, while higher education (B=1.951, p=0.002) and time employed in hospice agency (B=0.600, p=0.028) were associated with more positive attitudes. This is among the first studies to assess SGM-specific hospice IDT attitudes. Participants had relatively positive attitudes, influenced by religious beliefs, clinical experience, and education. CFA results suggest the need for better instruments to measure this complex construct. Education incorporating evidence of disparities, life-course perspectives, and end-of-life experiences of diverse cohorts of SGM patients and families may build on hospice IDT members’ experience and training by influencing attitudes, reducing bias and improving competency.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
3.3
作者：
Jackson, Chazeman S.;Gracia, J. Nadine
通讯作者：
Gracia, J. Nadine
影响因子：
4.7
作者：
Kamal, Arif H.;Bull, Janet;Abernethy, Amy P.
通讯作者：
Abernethy, Amy P.
影响因子：
4.8
作者：
Burkhalter, Jack E.;Margolies, Liz;Maingi, Shail
通讯作者：
Maingi, Shail
影响因子：
1.5
作者：
Fredriksen-Goldsen, Karen;Hoy-Ellis, Charles
通讯作者：
Hoy-Ellis, Charles