The Positive Attitudes and Perceptions of Care Managers About Advance Directives
The Positive Attitudes and Perceptions of Care Managers About Advance Directives
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护理管理者对预设医疗指示的积极态度和看法
DOI：
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
B. Roos
中科院分区：
文献类型：
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作者：
A. Golden;Sweta Tewary;S. Qadri;K. Zaw;J. Ruiz;B. Roos
在之前的干预中，我们发现护理经理的提醒未能通过提前指令增加他们呆在家里的老年客户的数量。因此，在目前的研究中，我们观察了护理经理对与客户讨论预先指令的必要性的看法和态度。95名为社区疗养院符合条件的老年人服务的护理经理完成了一项18个问题的调查，调查发现，护理经理压倒性地认为解决提前指令很重要。只有3.2%的人报告说，讨论提前指令很耗时。没有发现态度障碍。鉴于他们对提前指令的积极态度，护理经理需要教育干预，提供知识和技能，以有效地与拒绝解决临终问题的客户互动。
In a previous intervention, we found that reminders from care managers failed to increase the number of their homebound older adult clients with advance directives. Thus, in the current study, we looked at the perceptions and attitudes of care managers about the need to discuss advance directives with their clients. Ninety-five care managers serving community-based nursing home—eligible older adults completed an 18-question survey, which found that care managers overwhelmingly believe it is important to address advance directives. Only 3.2% reported that discussing advance directives is time consuming. No attitudinal barriers were identified. Given their positive attitudes about advance directives, care managers need educational interventions that will provide the knowledge and skills to interact effectively with clients who are resistant to addressing end-of-life issues.