Patientenorientierte Therapieziele im Krankenhaus: Eine Fragebogenerhebung an medizinischem Personal

Translated title of the contribution: Pre-operative documentation of individual in-patient therapy goals: A medical staff questionnaire

K. Umgelter, J. Landscheidt, K. Jäger, M. Blobner, E. Kochs

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background: Perioperative care demands consideration of individual treatment goals. We evaluated the attitudes of medical staff towards a short standardized advance directive (SSAD) as a means of improving patient-orientated care at the transition from operating theater to general or intensive care wards. Method: Multicenter anonymized standardized multiple-choice questionnaire among physicians and nurses from various operative and anesthesiology departments. Questions addressing demographic parameters and attitudes towards advance directives in acute care settings (eleven 4‑stepped Likert items). Univariate analysis of group comparisons using the chi-square and Kruskal-Wallis rank-sum test. Multivariable analysis of significant differences employing ordinal logistic regression. Results: The overall return rate was 28.2 % (169 questionnaires). Of these, 19.5 % said that existing advance directives were regularly reassessed preoperatively. SSAD was expected to provide improved emergency care by 82.3 and 76.6 % thought that it would help to better focus intensive care resources according to patients’ needs. Discussion: Our study shows the dilemma of insufficiently structured directives for changing treatment goals as well as a high number of legal procedures to obtain proxy decisions due to missing out-patient advance health planning. From a medical staff perspective there is strong support for the concept of SSAD based on medical, ethical, economic and organizational reasons.

Translated title of the contributionPre-operative documentation of individual in-patient therapy goals: A medical staff questionnaire
Original languageGerman
Pages (from-to)499-506
Number of pages8
JournalAnaesthesist
Volume65
Issue number7
DOIs
StatePublished - 1 Jul 2016
Externally publishedYes

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