Factors Considered in End-of-Life Care Decision Making by Health Care Professionals

被引：26

作者：

Foo, Wei Ting ^{[1
]}

Zheng, Yiliang ^{[2
]}

Kwee, Ann K. ^{[3
]}

Yang, Grace M. ^{[4
]}

Krishna, Lalit ^{[4
]}

机构：

[1] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore 117595, Singapore

[2] Monash Univ, Cent Sch Med, Melbourne, Vic 3004, Australia

[3] Royal Coll Surgeons Ireland, Sch Med, Dublin 2, Ireland

[4] Natl Canc Ctr Singapore, Dept Palliat Med, Singapore 169610, Singapore

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2013年 / 30卷 / 04期

关键词：

end-of-life care; decision making; health care professionals; patient centered; familial determination; Asian; ADVANCE DIRECTIVES; FAMILY; AUTONOMY; CHINESE; CANCER; DEATH;

D O I：

10.1177/1049909112453193

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页码：354 / 358

页数：5

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