Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level

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 (<i>Guía de Práctica Clínica sobre Cuidados Paliativos</i>, GPCCP),...

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Autores principales:	Tamara Rodríguez Quintana, Viviana Dávalos-Batallas, Ana-Magdalena Vargas-Martínez, Lucelly López, Patricia Bonilla-Sierra, María-de-las-Mercedes Lomas-Campos, Fatima Leon-Larios
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	clinical practice guide palliative care knowledge Medicine R
Acceso en línea:	https://doaj.org/article/c7a3a31bf37d407faf22001ac7d2a34a
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spelling	oai:doaj.org-article:c7a3a31bf37d407faf22001ac7d2a34a2021-11-11T16:41:12ZImplementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level10.3390/ijerph1821115731660-46011661-7827https://doaj.org/article/c7a3a31bf37d407faf22001ac7d2a34a2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11573https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Ecuador 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 (<i>Guía de Práctica Clínica sobre Cuidados Paliativos</i>, 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.Tamara Rodríguez QuintanaViviana Dávalos-BatallasAna-Magdalena Vargas-MartínezLucelly LópezPatricia Bonilla-SierraMaría-de-las-Mercedes Lomas-CamposFatima Leon-LariosMDPI AGarticleclinical practice guidepalliative careknowledgeMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11573, p 11573 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	clinical practice guide palliative care knowledge Medicine R
spellingShingle	clinical practice guide palliative care knowledge Medicine R Tamara Rodríguez Quintana Viviana Dávalos-Batallas Ana-Magdalena Vargas-Martínez Lucelly López Patricia Bonilla-Sierra María-de-las-Mercedes Lomas-Campos Fatima Leon-Larios Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level
description	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 (<i>Guía de Práctica Clínica sobre Cuidados Paliativos</i>, 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.
format	article
author	Tamara Rodríguez Quintana Viviana Dávalos-Batallas Ana-Magdalena Vargas-Martínez Lucelly López Patricia Bonilla-Sierra María-de-las-Mercedes Lomas-Campos Fatima Leon-Larios
author_facet	Tamara Rodríguez Quintana Viviana Dávalos-Batallas Ana-Magdalena Vargas-Martínez Lucelly López Patricia Bonilla-Sierra María-de-las-Mercedes Lomas-Campos Fatima Leon-Larios
author_sort	Tamara Rodríguez Quintana
title	Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level
title_short	Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level
title_full	Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level
title_fullStr	Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level
title_full_unstemmed	Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level
title_sort	implementation and knowledge of the clinical practice guide for palliative care in the ecuadorian primary care level
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c7a3a31bf37d407faf22001ac7d2a34a
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Implementation and Knowledge of the Clinical Practice Guide for Palliative Care in the Ecuadorian Primary Care Level

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