Conocimientos, actitudes y motivaciones del personal de salud del Instituto Nacional de Salud del Niño sobre cuidados paliativos pediátricos, Lima - Perú, 2016
Fecha
2019
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Editor
Universidad Antonio Ruiz de Montoya
Resumen
Los niños con enfermedades crónicas y complejas están en aumento y requieren
de un manejo diferenciado. El Cuidado Paliativo Pediátrico es un modelo de atención
innovador para estos pacientes y sus familias, y que es realizado por un equipo
multidisciplinario. Se requiere explorar el grado de conocimientos, actitudes y
motivaciones del personal profesional de salud del Instituto Nacional de Salud del Niño
con respecto a esta nueva forma de atención. El objetivo del estudio fue determinar el
grado de conocimientos, así como las actitudes y motivaciones del personal profesional
de salud, y se exploró acerca de la opinión sobre el funcionamiento de la Unidad de
Cuidados Paliativos Pediátricos del Instituto Nacional de Salud del Niño. El estudio fue
transversal y descriptivo, mediante la aplicación de una encuesta estructurada, entre mayo
y diciembre del 2016 en el Instituto Nacional de Salud del Niño. Los datos se procesaron
con programa STATA. Se obtuvieron 153 encuestas, 26.7% médicos, 51.6% enfermeras
y 21.5% otros profesionales. El 81% fueron mujeres, con edad promedio de 42.5 años, y
una media de 16 años de experiencia profesional. Encontramos que 51% de médicos, 46%
de enfermeras y 38% de otros profesionales encuestados tenían conocimiento bajo sobre
Cuidados Paliativos. Existen diferencias en las actitudes asumidas por los profesionales
frente escenarios clínicos propuestos, evidenciándose que los médicos se inclinan por la
Limitación de esfuerzo terapéutico, en comparación con grupo de enfermeras y otros
profesionales que están más en la atención de cuidados paliativos. Hay una alta
motivación acerca de brindar Cuidados Paliativos Pediátricos como estrategia de
atención a los pacientes crónicos y con necesidades especiales
Children with chronic and complex diseases are increasing and require differentiated management. Pediatric Palliative Care is a model of care for these patients and their families, and which is made by a multidisciplinary team. It is necessary to explore the degree of knowledge, attitudes and motivations of INSN health personnel regarding this new form of care, with respect to this new model of attention. The objective of this study was to determine the degree of knowledge, attitudes and motivations of professional staff of the National Institute of Child Health on Pediatric Palliative Care. The study was transverse and descriptive. A structured survey was applied between May and December 2016 in the INSN. The data was processed with the STATA program. 153 surveys were obtained, 26.7% medical doctors, 51.6% nurses and 21.5% other professionals. 81% were women, with an average age of 42.5 years, and an average of 16 years of professional experience. We found that 51% of medical doctors, 46% of nurses and 38% of other proffesional had low knowledge of Pediatric Palliative Care. There are differences in the Attitudes assumed by professionals in front of proposed clinical scenarios, evidencing that physicians are inclined towards the Limitation of therapeutic effort, in comparison with a group of nurses and other proffessional who are more in favor of Palliative Care. There is a high motivation between all the participants, about Pediatric Palliative Care as a strategy for care or chronic patients with special needs.
Children with chronic and complex diseases are increasing and require differentiated management. Pediatric Palliative Care is a model of care for these patients and their families, and which is made by a multidisciplinary team. It is necessary to explore the degree of knowledge, attitudes and motivations of INSN health personnel regarding this new form of care, with respect to this new model of attention. The objective of this study was to determine the degree of knowledge, attitudes and motivations of professional staff of the National Institute of Child Health on Pediatric Palliative Care. The study was transverse and descriptive. A structured survey was applied between May and December 2016 in the INSN. The data was processed with the STATA program. 153 surveys were obtained, 26.7% medical doctors, 51.6% nurses and 21.5% other professionals. 81% were women, with an average age of 42.5 years, and an average of 16 years of professional experience. We found that 51% of medical doctors, 46% of nurses and 38% of other proffesional had low knowledge of Pediatric Palliative Care. There are differences in the Attitudes assumed by professionals in front of proposed clinical scenarios, evidencing that physicians are inclined towards the Limitation of therapeutic effort, in comparison with a group of nurses and other proffessional who are more in favor of Palliative Care. There is a high motivation between all the participants, about Pediatric Palliative Care as a strategy for care or chronic patients with special needs.
Descripción
Palabras clave
Bioética, Instituto Nacional de Salud del Niño, Tratamiento paliativo, Pediatría, Enfermedades, Niños desfavorecidos, Lima (Perú : Departamento) Tesis de maestría, 2016, Filosofía
Citación
Garaycochea, V. (2019). Conocimientos, actitudes y motivaciones del personal de salud del Instituto Nacional de Salud del Niño sobre cuidados paliativos pediátricos, Lima - Perú, 2016 [Tesis de maestría, Universidad Antonio Ruiz de Montoya]. Repositorio Institucional UARM. http://hdl.handle.net/20.500.12833/2025