作者
John J You, James Downar, Robert A Fowler, François Lamontagne, Irene WY Ma, Dev Jayaraman, Jennifer Kryworuchko, Patricia H Strachan, Roy Ilan, Aman P Nijjar, John Neary, John Shik, Kevin Brazil, Amen Patel, Kim Wiebe, Martin Albert, Anita Palepu, Elysée Nouvet, Amanda Roze Des Ordons, Nishan Sharma, Amane Abdul-Razzak, Xuran Jiang, Andrew Day, Daren K Heyland, Canadian Researchers at the End of Life Network (CARENET
发表日期
2015/4/1
期刊
JAMA internal medicine
卷号
175
期号
4
页码范围
549-556
出版商
American Medical Association
简介
Importance
Seriously ill hospitalized patients have identified communication and decision making about goals of care as high priorities for quality improvement in end-of-life care. Interventions to improve care are more likely to succeed if tailored to existing barriers.
Objective
To determine, from the perspective of hospital-based clinicians, (1) barriers impeding communication and decision making about goals of care with seriously ill hospitalized patients and their families and (2) their own willingness and the acceptability for other clinicians to engage in this process.
Design, Setting, and Participants
Multicenter survey of medical teaching units of nurses, internal medicine residents, and staff physicians from participating units at 13 university-based hospitals from 5 Canadian provinces.
Main Outcomes and Measures
Importance of 21 barriers to goals of care discussions rated on a 7-point scale (1 = extremely …
学术搜索中的文章
JJ You, J Downar, RA Fowler, F Lamontagne, IWY Ma… - JAMA internal medicine, 2015