Article ID Journal Published Year Pages File Type
3325062 International Journal of Gerontology 2015 5 Pages PDF
Abstract

SummaryBackgroundThe present study aimed to explore the attitude and knowledge toward hospice palliative care among medical caregivers in Taiwan.MethodsA cross-sectional questionnaire survey was conducted among medical staff attending a hospice palliative care conference.ResultsOverall, 163 of 232 questionnaires were valid. Based on the results, 54.9% of opinions on who has the right to sign a Hospice Palliative Care Declaration for an autonomous patient was consistent with the Taiwan Hospice Palliative Care Article; 91.4% of opinions on whether a life-sustaining therapy has been authorized to withhold was consistent with the article, compared with only 28.3% of opinions on whether a life-sustaining therapy has been authorized to withdraw. The capability of medical staff to provide these three procedures was varied (Cochran's Q = 121.150, p < 0.001). The medical staff who were aged > 32.5 years (odds ratio = 0.41; 95% confidence interval, 0.22–0.90; p < 0.01), and whose work experience was >9 years (odds ratio = 0.52; 95% confidence interval, 0.27–0.97; p < 0.05) tended to approach patients' informed consent of Hospice Palliative Care Declaration precisely.ConclusionLife and work experience improve the accuracy of medical staff in providing hospice palliative care. A culture-based, case-oriented continuing education program and a timely revision of the Hospice Palliative Care Article are recommended to increase the consistency between the principle and the practice of hospice palliative care.

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