Formal Academic Training on Ethics May Address Junior Physicians' Needs
| Autor: | Nancy Kentish-Barnes, Benoit Schlemmer, Michael Darmon, Matthieu Resche-Rigon, Guillaume Ducos, Marine Chaize, Marie Paries, Frédéric Pochard, Isaline Coquet, Elie Azoulay |
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| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Palliative care Quality management Attitude to Death Cross-sectional study education Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Nursing Medical Staff Hospital Medicine Humans Symptom control 030212 general & internal medicine Curriculum Terminal Care business.industry Teaching Palliative Care Internship and Residency Triage Quality Improvement Cross-Sectional Studies 030228 respiratory system Family medicine Needs assessment Academic Training Female France Cardiology and Cardiovascular Medicine business Needs Assessment |
| Zdroj: | Chest. 150(1) |
| ISSN: | 1931-3543 |
| Popis: | Surveys have highlighted perceived deficiencies among ICU residents in end-of-life care, symptom control, and confidence in dealing with dying patients. Lack of formal training may contribute to the failure to meet the needs of dying patients and their families. The objective of this study was to evaluate junior intensivists' perceptions of triage and of the quality of the dying process before and after formal academic training.Formal training on ethics was implemented as a part of resident training between 2007 and 2012. A cross-sectional survey was performed before (2007) and after (2012) this implementation. This study included 430 junior intensivists who were interviewed during these periods.More responders attended a dedicated training course on ethics and palliative care during 2012 (38.5%) than during 2007 (17.4%; P .0001). During 2012, respondents reported less discomfort and fewer uncertainties regarding decisions about limiting life-sustaining treatment (17.7% vs 39.1% in 2007; P .0001) or the triage process (48.5% vs 69.4% in 2007; P .0001). Factors independently associated with positive perceptions of the dying process were physician's age (OR, 1.19 per year; 95% CI, 1.09-1.25) and male sex (OR, 1.61; 95% CI, 1.05-2.47). Conversely, anxiety about family members' reactions (OR, 0.58; 95% CI, 0.0.37-0.87) and lack of training (OR, 0.29; 95% CI, 0.17-0.50) were associated with negative perceptions of this process.Formal training dedicated to ethics and palliative care was associated with a more comfortable perception of the dying process. This training may decrease the uncertainty and discomfort of junior intensivists in these situations. |
| Databáze: | OpenAIRE |
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