Attitudes about care at the end of life among clinicians: A quick, reliable, and valid assessment instrument

被引：38

作者：

Bradley, EH ^{[1
]}

Cicchetti, DV

Fried, TR

Rousseau, DM

Johnson-Hurzeler, R

Kasl, SV

Horwitz, SM

机构：

[1] Yale Univ, Sch Med, Dept Epidemiol & Publ Hlth, New Haven, CT 06510 USA

[2] Yale Child Study Ctr, West Haven, CT USA

[3] Dept Psychiat, West Haven, CT USA

[4] VA Connecticut Healthcare Syst, New Haven, CT USA

[5] John D Thompson Hospice Inst Training Educ & Res, Branford, CT USA

来源：

JOURNAL OF PALLIATIVE CARE | 2000年 / 16卷 / 01期

关键词：

D O I：

10.1177/082585970001600103

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Several initiatives to improve care at the end of life involve educational programs to influence clinicians' attitudes about care for patients with terminal illnesses. The objective of this research was to develop and test a short and easily administered instrument for measuring physicians'; and nurses' attitudes towards care at the end of life. The instrument was tested using a cross-sectional study of 50 clinicians (25 physicians and 25 nurses) from general medicine, cardiology, oncology, and geriatric medicine. Both reliability and validity were assessed, and the instrument was found to have acceptable test-retest reliability and construct validity. Such an assessment instrument may be useful in evaluating the impact of initiatives to modify attitudes towards terminal care and in improving the quality of care at the end of life.

引用

页码：6 / 14

页数：9

共 48 条

[21]

FIELD MJ, 1992, APPROACHING DEATH IM

[22]

FROMMELT KHM, 1991, AM J HOSP PALLIAT CA, P37

[23] Can clinical interventions change care at the end of life? [J].

Hanson, LC ;

Tulsky, JA ;

Danis, M .

ANNALS OF INTERNAL MEDICINE, 1997, 126 (05) :381-388

[24] What is wrong with end-of-life care? Opinions of bereaved family members [J].

Hanson, LC ;

Danis, M ;

Garrett, J .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1997, 45 (11) :1339-1344

[25] An assessment of open communication between people with terminal cancer, caring relatives, and others during home care [J].

Hinton, J .

JOURNAL OF PALLIATIVE CARE, 1998, 14 (03) :15-23

[26] Patient preferences for communication with physicians about end-of-life decisions [J].

Hofmann, JC ;

Wenger, NS ;

Davis, RB ;

Teno, J ;

Connors, AF ;

Desbiens, N ;

Lynn, J ;

Phillips, RS .

ANNALS OF INTERNAL MEDICINE, 1997, 127 (01) :1-+

[27] ASSESSING THE EFFECTS OF PHYSICIAN-PATIENT INTERACTIONS ON THE OUTCOMES OF CHRONIC DISEASE [J].

KAPLAN, SH ;

GREENFIELD, S ;

WARE, JE .

MEDICAL CARE, 1989, 27 (03) :S110-S127

[28] A CONTROLLED TRIAL TO IMPROVE CARE FOR SERIOUSLY ILL HOSPITALIZED-PATIENTS - THE STUDY TO UNDERSTAND PROGNOSES AND PREFERENCES FOR OUTCOMES AND RISKS OF TREATMENTS (SUPPORT) [J].

KNAUS, WA ;

CONNORS, AF ;

DAWSON, NV ;

DESBIENS, NA ;

FULKERSON, WJ ;

GOLDMAN, L ;

LYNN, J ;

OYE, RK ;

BERGNER, M ;

DAMIANO, A ;

HAKIM, R ;

MURPHY, DJ ;

TENO, J ;

VIRNIG, B ;

WAGNER, DP ;

WU, AW ;

YASUI, Y ;

ROBINSON, DK ;

KRELING, B ;

DULAC, J ;

BAKER, R ;

HOLAYEL, S ;

MEEKS, T ;

MUSTAFA, M ;

VEGARRA, J ;

ALZOLA, C ;

HARRELL, FE ;

COOK, EF ;

HAMEL, MB ;

PETERSON, L ;

PHILLIPS, RS ;

TSEVAT, J ;

FORROW, L ;

LESKY, L ;

DAVIS, R ;

KRESSIN, N ;

SOLZAN, J ;

PUOPOLO, AL ;

BARRETT, LQ ;

BUCKO, N ;

BROWN, D ;

BURNS, M ;

FOSKETT, C ;

HOZID, A ;

KEOHANE, C ;

MARTINEZ, C ;

MCWEENEY, D ;

MELIA, D ;

OTTO, S ;

SHEEHAN, K .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (20) :1591-1598

[29] Management of pain in terminally ill patients: Physician reports of knowledge, attitudes, and behavior [J].

Levin, ML ;

Berry, JI ;

Leiter, J .

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 1998, 15 (01) :27-40

[30] ATTITUDES TOWARD DISCUSSING LIFE-SUSTAINING TREATMENTS IN EXTENDED CARE FACILITY PATIENTS [J].

LURIE, N ;

PHELEY, AM ;

MILES, SH ;

BANNICKMOHRLAND, S .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1992, 40 (12) :1205-1208

← 1 2 3 4 5 →