Awareness and use of practice guidelines on medical end-of-life decisions in Dutch hospitals

Hesselink, B.A.M.; Pasman, H. Roeline W.; Wal, Gerrit van der; Maas, P.J. van der; Heide, Agnes van der; Onwuteaka‐Philipsen, Bregje D.

doi:10.1016/j.pec.2009.08.009

Cited by 8 publications

(9 citation statements)

References 10 publications

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“…These findings are consistent with data from another Dutch study on the availability/presence and use of guidelines on medical end-of-life decisions in institutions [18].…”

Section: Experienced Supportiveness Of Written Institutional Practicesupporting

confidence: 91%

Development and dissemination of institutional practice guidelines on medical end-of-life decisions in Dutch health care institutions

et al. 2010

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“…These findings are consistent with data from another Dutch study on the availability/presence and use of guidelines on medical end-of-life decisions in institutions [18].…”

Section: Experienced Supportiveness Of Written Institutional Practicesupporting

confidence: 91%

Development and dissemination of institutional practice guidelines on medical end-of-life decisions in Dutch health care institutions

et al. 2010

Self Cite

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“…However, that was not the scope of this part of the study, but of another part of our study about awareness and the use of practice guidelines on medical end-of-life decisions. We found that hospital physicians (of hospitals of which the guidelines are evaluated in this study) do feel supported by the EAS guideline of their institution 15. Physicians who had used the practice guideline and felt supported by it most often mentioned the ‘clear procedure/decision-making’ as a reason for the support 15…”

Section: Discussionmentioning

confidence: 77%

Do guidelines on euthanasia and physician-assisted suicide in Dutch hospitals and nursing homes reflect the law? A content analysis

et al. 2011

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To describe the content of practice guidelines on euthanasia and assisted suicide (EAS) and to compare differences between settings and guidelines developed before or after enactment of the euthanasia law in 2002 by means of a content analysis. Most guidelines stated that the attending physician is responsible for the decision to grant or refuse an EAS request. Due care criteria were described in the majority of guidelines, but aspects relevant for assessing these criteria were not always described. Half of the guidelines described the role of the nurse in the performance of euthanasia. Compared with hospital guidelines, nursing home guidelines were more often stricter than the law in excluding patients with dementia (30% vs 4%) and incompetent patients (25% vs 4%). As from 2002, the guidelines were less strict in categorically excluding patients groups (32% vs 64%) and in particular incompetent patients (10% vs 29%). Healthcare institutions should accurately state the boundaries of the law, also when they prefer to set stricter boundaries for their own institution. Only then can guidelines provide adequate support for physicians and nurses in the difficult EAS decision-making process.

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“…According to a recent Dutch study [13], the majority of physicians agreed that a hospital should have practice guidelines on medical ELD, and that every professional should be aware of the existence and content of the institutional guidelines on medical ELD. This indicates that it is important to develop and introduce practice guidelines on medical ELD in hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…Even though studied in a country where Euthanasia is legalized only 63% and 35% of physicians were aware of the existence of the practice guidelines for do-not-resuscitate decisions and palliative sedation [13].…”

Section: Short Communicationmentioning

confidence: 99%

Awareness and use of recommendations for withholding and withdrawing therapy in Austrian intensive care units

Wiedermann

Joannidis

Valentin

2011

Wien Med Wochenschr

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During the past decade there has been growing interest in the development of practice guidelines on medical end-of-life decisions. A questionnaire about awareness and use of end-of-life decision guidelines was applied by e-mail in a cross-sectional survey among 1494 attendants of Austrian intensive care medicine conferences held in 2008. Of a total of 246 evaluable responses from physicians, only 140 said to have been aware of national end-of-life decision-making guidelines (56.9%). Those who read the recommendations at least in part believe to have derived benefit from the recommendations. Even though the response rate was low, Austrian intensive care medicine societies should be encouraged to better disseminate end-of-life decision guidelines among caregivers.

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Awareness and use of practice guidelines on medical end-of-life decisions in Dutch hospitals

Cited by 8 publications

References 10 publications

Development and dissemination of institutional practice guidelines on medical end-of-life decisions in Dutch health care institutions

Development and dissemination of institutional practice guidelines on medical end-of-life decisions in Dutch health care institutions

Do guidelines on euthanasia and physician-assisted suicide in Dutch hospitals and nursing homes reflect the law? A content analysis

Awareness and use of recommendations for withholding and withdrawing therapy in Austrian intensive care units

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