Factors Considered in End-of-Life Care Decision Making by Health Care Professionals
| Autor: | Lalit Kumar Radha Krishna, Grace Meijuan Yang, Yiliang Zheng, Ann K Kwee, Wei Ting Foo |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Advance Directive Adherence Attitude to Death Attitude of Health Personnel Decision Making Cancer Care Facilities Truth Disclosure Young Adult Nursing Professional-Family Relations Patient-Centered Care Health care Humans Medicine Family Aged Singapore Terminal Care business.industry Patient Preference General Medicine Middle Aged Cross-Sectional Studies Health Care Surveys Family medicine Workforce Female business End-of-life care Patient centered |
| Zdroj: | American Journal of Hospice and Palliative Medicine®. 30:354-358 |
| ISSN: | 1938-2715 1049-9091 |
| DOI: | 10.1177/1049909112453193 |
| Popis: | Aim: To explore the importance of factors influencing the end-of-life care decision making of health care professionals (HCPs) in Singapore. Methods: This cross-sectional survey encompassed facets of patient, family, and HCP-related care considerations. In total, 187 questionnaires were distributed to physicians and nurses and had a response rate of 78.6%. Results: The respondents rated patients’ wishes (96.6%), their clinical symptoms (93.9%), and patients’ beliefs (91.1%) very high. In all, 94.6% of the HCPs would respect a competent patient’s wishes over the family’s wishes when goals conflict. However, 59.9% of HCPs would abide by the family’s wishes when the patient loses capacity even if the patient’s previously expressed wishes are known. Conclusion: End-of-life care decision making by HCPs appears largely patient centered, although familial determination still wields significant influence with implications for advance care planning. |
| Databáze: | OpenAIRE |
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