Interactions Between Intensive Care and Palliative Care Are Influenced by Training, Professionals’ Perceptions and Institutional Barriers

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dc.citation.journalTitleJournal of Palliative Care
dc.contributor.authorRoman, J.
dc.contributor.departmentUniversidad EAFIT. Departamento de Humanidadesspa
dc.contributor.researchgroupEstudios en Psicologíaspa
dc.creatorRoman, J.
dc.date.accessioned2021-03-17T16:44:23Z
dc.date.available2021-03-17T16:44:23Z
dc.date.issued2020-08-19
dc.description.abstractBackground: There is growing interest in the use of a Palliative care approach in Intensive care. However, it tends to remain inconsistent, infrequent or non-existent, as does its acceptance by intensive care physicians. This study sought to explore the perceptions, level of knowledge, perceived barriers, and practices of physicians regarding palliative care practices (PC) in Intensive Care Units (ICU). Methods: Descriptive-correlational study. Participating physicians working in ICU in Colombia (n = 101) completed an ad hoc questionnaire that included subscales of perceptions, knowledge, perceived barriers, and PC practices in ICU. A Structural Equation Model (PLS-SEM) was used to examine the reciprocal relationships between the measured variables and those that could predict interaction practices between the 2 specialties. Results: First, results from the measurement model to examine the validity and reliability of the latent variables found (PC training, favorable perceptions about PC, institutional barriers, and ICU-PC interaction practices) and their indicators were obtained. Second, the structural model found that, a greater number of hours of PC training, a favorable perception of PC and a lower perception of institutional barriers are related to greater interaction between PC and ICU, particularly when emotional or family problems are detected. Conclusions: PC-ICU interactions are influenced by training, a positive perception of PC and less perceived institutional barriers. An integrated ICU-PC model that strengthens the PC training of those who work in ICU and provides clearer guidelines for interaction practices, may help overcome perceived barriers and improve the perception of the potential impact of PC. © The Author(s) 2020.eng
dc.identifierhttps://eafit.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=12057
dc.identifier.doi10.1177/0825859720951361
dc.identifier.issn08258597
dc.identifier.issn23695293
dc.identifier.otherWOS;000561793700001
dc.identifier.otherPUBMED;32812496
dc.identifier.otherSCOPUS;2-s2.0-85089570310
dc.identifier.urihttp://hdl.handle.net/10784/26652
dc.languageeng
dc.language.isoengeng
dc.publisherSAGE Publications Inc.
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85089570310&doi=10.1177%2f0825859720951361&partnerID=40&md5=7369cb431c94533be89ff520be98c45f
dc.rightsSAGE Publications Inc.
dc.sourceJournal of Palliative Care
dc.subject.keywordarticleeng
dc.subject.keywordColombiaeng
dc.subject.keywordcontrolled studyeng
dc.subject.keywordcorrelational studyeng
dc.subject.keywordhumaneng
dc.subject.keywordhuman experimenteng
dc.subject.keywordintensive care uniteng
dc.subject.keywordmajor clinical studyeng
dc.subject.keywordpalliative therapyeng
dc.subject.keywordperceptioneng
dc.subject.keywordphysicianeng
dc.subject.keywordpractice guidelineeng
dc.subject.keywordquestionnaireeng
dc.subject.keywordreliabilityeng
dc.subject.keywordstructural equation modelingeng
dc.subject.keywordstructural modeleng
dc.subject.keywordvalidityeng
dc.titleInteractions Between Intensive Care and Palliative Care Are Influenced by Training, Professionals’ Perceptions and Institutional Barrierseng
dc.typeinfo:eu-repo/semantics/articleeng
dc.typeinfo:eu-repo/semantics/publishedVersioneng
dc.typepublishedVersioneng
dc.type.localArtículospa

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