Artículo
Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level
Autor/es | Rodríguez Quintana, Tamara
Davalos Batalla, Viviana Vargas Martínez, Ana Magdalena López, Lucelly Bonilla Sierra, Patricia Lomas Campos, María de las Mercedes León Larios, Fátima |
Departamento | Universidad de Sevilla. Departamento de Enfermería |
Fecha de publicación | 2021-11-04 |
Fecha de depósito | 2022-11-14 |
Publicado en |
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Resumen | Ecuador assumed the commitment of including Palliative Care (PC) in its health policies. In 2014, the Ministry of Public Health (Ministerio de Salud Pública, MSP) approved the Clinical Practice Guide for Palliative Care ... Ecuador assumed the commitment of including Palliative Care (PC) in its health policies. In 2014, the Ministry of Public Health (Ministerio de Salud Pública, MSP) approved the Clinical Practice Guide for Palliative Care (Guía de Práctica Clínica sobre Cuidados Paliativos, GPCCP), with application at the national level, as a mandatory internal regulation in all institutions belonging to the National Health System. In 2021, there is no evidence about the degree of implementation. The objective was to evaluate the implementation (I) of the GPCCP guide and the knowledge (C) of the health personnel working in the Zone 7 Health Centers (HCs). This is a cross-sectional, descriptive, and prospective study. A total of 292 professionals were interviewed: managers (38), physicians (150), and nurses (104). Three surveys based on the GPCCP guide were elaborated: one for the implementation, which was applied to the individuals in charge, and the others to assess the health professionals’ knowledge. The SPSS program was used, version 25. In the three groups, more than half of the participants had no training in PC, 91.2% of the HCs have the GPCCP guide, there is PC medical history (MH) in 38.2%, and morphine is used in 14.7%. The implementation of the GPCCP guide was inadequate in 52.9% of the cases. Only 25% treat the agony symptoms and 30%, delirium; 4.4% acknowledge the use of morphine in dyspnea, and 13.3% identify the subcutaneous route as the first choice for hydration at the end-of-life phase. Strategies to implement the GPCCP guide and to improve the health personnel’s knowledge must be implemented in Zone 7 centers. |
Agencias financiadoras | Universidad Tecnica Particular de Loja, Ecuador 2522 |
Identificador del proyecto | 2522 |
Cita | Rodríguez Quintana, T., Davalos Batalla, V., Vargas Martínez, A.M., López, L., Bonilla Sierra, P., Lomas Campos, M.d.l.M. y León Larios, F. (2021). Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level. International Journal of Environmental Research and Public Health, 18 (21), 11573. https://doi.org/10.3390/ijerph182111573. |
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