Evaluation of the Utility of the Edmonton Symptom Assessment System (revised) Scale on a Tertiary Palliative Care Unit
| Autor: | Laura White, Wendy Yeomans, Elizabeth Beddard-Huber, Jyothi Jayaraman |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Palliative care British Columbia business.industry Attitude of Health Personnel Palliative Care Pilot Projects General Medicine Symptom assessment Hospitals General Unit (housing) 03 medical and health sciences 0302 clinical medicine 030502 gerontology 030220 oncology & carcinogenesis Scale (social sciences) Family medicine Surveys and Questionnaires Medicine Humans Female Symptom Assessment 0305 other medical science business |
| Zdroj: | Journal of palliative care. 31(1) |
| ISSN: | 0825-8597 |
| Popis: | Aim The aim of this study was to evaluate the utility of the Edmonton Symptom Assessment System (ESAS-r) Scale on a tertiary palliative care unit. Method There were 92 admitted patients who participated in the study; the scale was administered to those able to participate on day 1 (n=35, 38 percent), on day 4 (n=20, 21 percent), and weekly. Patient comfort level with the ESAS-r tool was assessed using a 5-point Likert scale (strongly disagree to strongly agree) on day 4. Nurses’ and physicians’ perceptions of clinical assessment pre- and postimplementation of the scale were surveyed using a 5-point Likert scale. Results Of the participating physicians, 75 percent (n=3) found that the ESAS-r Scale did not enhance clinical assessment; the proportion of nurses with that response was 37.5 percent (n=6). Among these care providers, 50 percent of the physicians (n=2) and 62 percent of the nurses (n=10) thought that the scale was burdensome to patients; but 60 percent of the patients who were able to complete the comfort-level survey (n=12) indicated that they did not find the scale burdensome. Conclusion Patient acuity, team expertise, perceived burden to patients, and time commitment all influenced staff's recommendation not to implement the ESAS-r tool on the palliative care unit. |
| Databáze: | OpenAIRE |
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