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Attitudes of Doctors and Nurses to Family Presence During Paediatric Cardiopulmonary Resuscitation

机译:小儿心肺复苏过程中医生和护士对家庭生活的态度

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Objective: To examine the attitudes of doctors and nurses to the practice of allowing family presence during resuscitation (FPDR), and to examine the factors influencing their attitudes. Design: An anonymous self-administered questionnaire survey was conducted among doctors and nurses in the paediatric department of a regional hospital in Hong Kong. Apart from demographic data, questions were directed to study the overall acceptance on the practice of allowing FPDR, and various factors that explained their attitudes. Results: The response rates for doctors and nurses were 87.9% and 92% respectively. Only 10% of the respondents supported the practice of FPDR while 55% were against the practice. There was no significant correlation of non-acceptance of the practice with the following factors: years in paediatric service; intensive care unit working experience; professional qualifications; occupations (doctor versus nurse); training in bereavement or PALS, or previous experience with FPDR. Their non-acceptance of FPDR was correlated to their health belief and their perceived cues/triggers, subjective norms, self-efficacy and behavioural control. However, on multiple regression analysis, only cues/triggers and perceived behavioural control were significant independent predictors of their attitudes. Conclusion: The health professionals in our department were not ready to allow FPDR. Efforts to change their attitudes should aim at setting up a mechanism that facilitates the practice and at relieving their concerns on legal liability.
机译:目的:研究医生和护士对复苏过程中允许家人出现的做法的态度(FPDR),并研究影响其态度的因素。设计:对香港一家地区医院儿科的医生和护士进行了匿名的自我管理问卷调查。除了人口数据外,还提出了一些问题,以研究对允许使用FPDR的实践的总体接受程度,以及解释其态度的各种因素。结果:医生和护士的回应率分别为87.9%和92%。只有10%的受访者支持FPDR的做法,而55%的人反对FPDR的做法。不接受这种做法与以下因素之间没有显着相关性:儿科服务年限;重症监护室工作经验;专业资格;职业(医生与护士);丧亲或PALS方面的培训,或者以前有FPDR经验。他们不接受FPDR与他们的健康信念,感知线索/触发,主观规范,自我效能感和行为控制有关。但是,在多元回归分析中,只有提示/触发和感知的行为控制是其态度的重要独立预测因子。结论:我们部门的卫生专业人员尚未准备好接受FPDR。改变态度的努力应旨在建立一种促进这种做法的机制,并减轻他们对法律责任的关注。

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