Emergency Providers' Knowledge and Attitudes Toward Hospice and Palliative Care: A Cross-Sectional Analysis Across 35 Emergency Departments in the United States.
Emergency Providers' Knowledge and Attitudes Toward Hospice and Palliative Care: A Cross-Sectional Analysis Across 35 Emergency Departments in the United States.
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急救人员对临终关怀和姑息治疗的知识和态度：对美国 35 个急诊科的横断面分析。
DOI：
10.1089/jpm.2022.0545
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发表时间：
2023
影响因子：
2.8
通讯作者：
Grudzen,CoritaR
中科院分区：
文献类型：
--
作者：
Adeyemi,OluwaseunJohn;Siman,Nina;Goldfeld,KeithS;Cuthel,AllisonM;Bouillon-Minois,Jean-Baptiste;Grudzen,CoritaR
背景：急诊服务提供者的知识和态度可能是采用临终关怀和姑息治疗实践的障碍。目的：评估与临终关怀和姑息治疗 (KAHP) 的知识和态度相关的提供者特征。设计：横断面分析。背景/对象：参加以提供者为中心的干预措施的 35 个美国急诊科 (ED) 的急诊医生、高级实践提供者 (APP) 和护士。结果测量是 KAHP 量表的总分和子量表分数。预测变量是年龄、性别、种族/民族和练习年限。我们使用线性混合效应回归模型报告了观察到的关联。结果：平均 KAHP 评分（从 10 到 50）为 36。实践年限的增加与 APP 和护士的平均自我报告知识和态度评分增加相关。结论：了解与急诊室采用临终关怀和姑息治疗相关的提供者特征可以为特定提供者制定干预措施提供信息。ClinicalTrials.gov （NCT03424109）。
Background:Emergency providers' knowledge and attitudes may be a barrier to adopting hospice and palliative care practice.Objective:To assess provider characteristics associated with knowledge and attitudes toward hospice and palliative care (KAHP).Design:Cross-sectional analysis.Setting/Subjects:Emergency physicians, advanced practice providers (APPs), and nurses from 35 U.S. emergency departments (EDs) enrolled in a provider-focused intervention.Measurement:The outcome measures were the total and subscale scores of the KAHP scale. The predictor variables were age, sex, race/ethnicity, and years of practice. We reported the observed association using a linear mixed-effects regression model.Results:The mean KAHP score, rated from 10 to 50, was 36. Increased years of practice were associated with increased mean self-reported knowledge and attitudes scores among APPs and nurses.Conclusion:Understanding the provider characteristics associated with hospice and palliative care adoption in the ED may inform the development of interventions for specific providers.ClinicalTrials.gov (NCT03424109).
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