牧师决策辅导对围产期复苏决策质量的可行性和可接受性：试点研究

PEC innovation Pub Date : 2024-02-21 DOI:10.1016/j.pecinn.2024.100266

Shelley E. Varner-Perez , Shelley M. Hoffman , Kimberly Coleman-Phox , Sruthi Bhamidipalli , Patrick O. Monahan , Miriam Kuppermann , Brownsyne Tucker Edmonds

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引用次数: 0

摘要

目标对由牧师指导的决策辅导与 GOALS（Getting Optimal Alignment around Life Support）决策支持工具进行试点测试并评估其可行性和可接受性，以提高面临围产期威胁的孕妇的决策能力。方法对因面临围产期威胁而入院的孕妇及其 "重要他人"（IO）进行登记。对干预前后的决策冲突、可接受性和知识进行了测量。牧师们记录了他们对培训和指导过程的印象。完成了描述性分析和常规内容分析。决策冲突平均减少了 6.7 次（标准差 = 9.4），知识平均增加了 1.4 次（标准差 = 1.8）。所有参与者都将自己的体验评为 "良好 "或 "优秀"，信息量 "恰到好处"。参与者认为 "有人倾诉很有帮助"，并指出牧师帮助他们做出了决定。牧师们认为这项干预措施很好地利用了他们的时间和技能。我们的研究结果表明，使用决策支持工具对牧师进行指导是可行的，并且很容易被家长和牧师接受。我们的研究结果表明，牧师是一种未得到充分利用但却实用的临床决策资源。

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Feasibility and acceptability of chaplain decision coaching on Periviable resuscitation decision quality: A pilot study

Objective

To pilot test and assess the feasibility and acceptability of chaplain-led decision coaching alongside the GOALS (Getting Optimal Alignment around Life Support) decision support tool to enhance decision-making in threatened periviable delivery.

Methods

Pregnant people admitted for threatened periviable delivery and their ‘important other’ (IO) were enrolled. Decisional conflict, acceptability, and knowledge were measured before and after the intervention. Chaplains journaled their impressions of training and coaching encounters. Descriptive analysis and conventional content analysis were completed.

Results

Eight pregnant people and two IOs participated. Decisional conflict decreased by a mean of 6.7 (SD = 9.4) and knowledge increased by a mean of 1.4 (SD = 1.8). All rated their experience as “good” or “excellent,” and the amount of information was “just right.” Participants found it “helpful to have someone to talk to” and noted chaplains helped them reach a decision. Chaplains found the intervention a valuable use of their time and skillset.

Conclusion

This is the first small-scale pilot study to utilize chaplains as decision coaches. Our results suggest that chaplain coaching with a decision support tool is feasible and well-accepted by parents and chaplains.