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Attitudes of nursing staff towards involvement in medical end-of-life decisions: a national survey study.

Abstract：

OBJECTIVES:To investigate nursing staff attitudes towards involvement and role in end-of-life decisions (ELDs) and the relationships with sociodemographic and work-related characteristics. METHODS:Survey study among nationally representative Dutch research sample consisting of care professionals. Nursing staff working in hospitals, home care, nursing homes or homes for the elderly were sent ELD-questionnaire. RESULTS: RESPONSE:66% (n=587). Most respondents had been involved in ELD. Three quarters wanted to be involved in whole ELD process; 58% agreed that decisions to withhold/withdraw treatment ought to be discussed with the nurses involved; 64% believed patients would talk rather to nurses than physicians; 72% thought physicians are usually prepared to listen to nurses' opinions. Hospital and highly educated nursing staff indicated relatively more often that they want to be involved in ELD. CONCLUSION:Majority of nursing staff want to be involved in ELD. Work setting and educational level are determining factors in attitudes of nursing staff regarding involvement in ELD. PRACTICE IMPLICATIONS:Awareness on the important role nurses have and want to have in ELD should be raised, and taken into account in trainings on end-of-life care for nurses and physicians and development of guidelines for communication about ELD between patients, nursing staff and physicians.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Albers G,Francke AL,de Veer AJ,Bilsen J,Onwuteaka-Philipsen BD

doi

10.1016/j.pec.2013.09.018

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

4-9

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(13)00393-5

journal_volume

94

pub_type

杂志文章,评审

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