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Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study

BACKGROUND: Little is known about ICU physicians’ self-confidence and knowledge related to palliative care. Our objective was to investigate self-confidence and knowledge of German ICU physicians related to palliative care, and to assess the impact of work experience, gender, specialty and additiona...

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Autores principales: Krautheim, Veronika, Schmitz, Andrea, Benze, Gesine, Standl, Thomas, Schiessl, Christine, Waldeyer, Wolfgang, Hapfelmeier, Alexander, Kochs, Eberhard F., Schneider, Gerhard, Wagner, Klaus J., Schulz, Christian M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700543/
https://www.ncbi.nlm.nih.gov/pubmed/29166887
http://dx.doi.org/10.1186/s12904-017-0244-6
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author Krautheim, Veronika
Schmitz, Andrea
Benze, Gesine
Standl, Thomas
Schiessl, Christine
Waldeyer, Wolfgang
Hapfelmeier, Alexander
Kochs, Eberhard F.
Schneider, Gerhard
Wagner, Klaus J.
Schulz, Christian M.
author_facet Krautheim, Veronika
Schmitz, Andrea
Benze, Gesine
Standl, Thomas
Schiessl, Christine
Waldeyer, Wolfgang
Hapfelmeier, Alexander
Kochs, Eberhard F.
Schneider, Gerhard
Wagner, Klaus J.
Schulz, Christian M.
author_sort Krautheim, Veronika
collection PubMed
description BACKGROUND: Little is known about ICU physicians’ self-confidence and knowledge related to palliative care. Our objective was to investigate self-confidence and knowledge of German ICU physicians related to palliative care, and to assess the impact of work experience, gender, specialty and additional certifications in pain or palliative medicine. METHODS: In a multicentre prospective observational study ICU physicians of ten hospitals were asked to rate their self-confidence and to complete a multiple choice questionnaire for the assessment of knowledge. Beyond descriptive statistics and non-parametric tests for group comparisons, linear regression analysis was used to assess the impact of independent variable on self-confidence and knowledge. Spearman‘s rank test was calculated. RESULTS: 55% of answers in the knowledge test were correct and more than half of the participants rated themselves as “rather confident” or “confident”. Linear regression analysis revealed that an additional certificate in either pain or palliative medicine significantly increased both knowledge and self-confidence, but only 15 out of 137 participants had at least one of those certificates. Relation between self-confidence and the results of the knowledge test was weak (r = 0.270 in female) and very weak (r = −0.007 in male). CONCLUSIONS: Although the questionnaire needs improvement according to the item analysis, it appears that, with respect to palliative care, ICU Physicians’ self-confidence is not related to their knowledge. An additional certificate in either pain or palliative medicine was positively correlated to both self-confidence and knowledge. However, only a minority of the participants were qualified through such a certificate. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12904-017-0244-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-57005432017-12-01 Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study Krautheim, Veronika Schmitz, Andrea Benze, Gesine Standl, Thomas Schiessl, Christine Waldeyer, Wolfgang Hapfelmeier, Alexander Kochs, Eberhard F. Schneider, Gerhard Wagner, Klaus J. Schulz, Christian M. BMC Palliat Care Research Article BACKGROUND: Little is known about ICU physicians’ self-confidence and knowledge related to palliative care. Our objective was to investigate self-confidence and knowledge of German ICU physicians related to palliative care, and to assess the impact of work experience, gender, specialty and additional certifications in pain or palliative medicine. METHODS: In a multicentre prospective observational study ICU physicians of ten hospitals were asked to rate their self-confidence and to complete a multiple choice questionnaire for the assessment of knowledge. Beyond descriptive statistics and non-parametric tests for group comparisons, linear regression analysis was used to assess the impact of independent variable on self-confidence and knowledge. Spearman‘s rank test was calculated. RESULTS: 55% of answers in the knowledge test were correct and more than half of the participants rated themselves as “rather confident” or “confident”. Linear regression analysis revealed that an additional certificate in either pain or palliative medicine significantly increased both knowledge and self-confidence, but only 15 out of 137 participants had at least one of those certificates. Relation between self-confidence and the results of the knowledge test was weak (r = 0.270 in female) and very weak (r = −0.007 in male). CONCLUSIONS: Although the questionnaire needs improvement according to the item analysis, it appears that, with respect to palliative care, ICU Physicians’ self-confidence is not related to their knowledge. An additional certificate in either pain or palliative medicine was positively correlated to both self-confidence and knowledge. However, only a minority of the participants were qualified through such a certificate. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12904-017-0244-6) contains supplementary material, which is available to authorized users. BioMed Central 2017-11-22 /pmc/articles/PMC5700543/ /pubmed/29166887 http://dx.doi.org/10.1186/s12904-017-0244-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Krautheim, Veronika
Schmitz, Andrea
Benze, Gesine
Standl, Thomas
Schiessl, Christine
Waldeyer, Wolfgang
Hapfelmeier, Alexander
Kochs, Eberhard F.
Schneider, Gerhard
Wagner, Klaus J.
Schulz, Christian M.
Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study
title Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study
title_full Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study
title_fullStr Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study
title_full_unstemmed Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study
title_short Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study
title_sort self-confidence and knowledge of german icu physicians in palliative care – a multicentre prospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5700543/
https://www.ncbi.nlm.nih.gov/pubmed/29166887
http://dx.doi.org/10.1186/s12904-017-0244-6
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