¿Cumplimos nuestros deberes respecto a los Documentos de Voluntades Anticipadas?

Sanz, Carolina Yllera

doi:10.4321/s1886-58872014000300008

Cited by 4 publications

(11 citation statements)

References 16 publications

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“…of practitioners about the ADD have shown that their attitudes are favorable but their knowledge is weak and probably insufficient. (11)(12)(13)(14)(15) In Colombia there are few studies assessing this variables.…”

Section: Métodosmentioning

confidence: 99%

“…Willingness to honor the ADD % (n) the professionals who had themselves an ADD, had palliative care training, those who were asked to provide information by their patients, and those who had read and were familiar with the ADD law. (11,12) The overall perception of the healthcare professionals regarding the number of ADDs prepared by patients is the same after the enactment of the Law in Colombia. This observation is in contrast with the results obtained regarding the poor knowledge of the requirements to sign the ADD and the low number of ADDs prepared but practitioners themselves, in addition to the low numbers of ADDs prepared by patients.…”

Section: Work Areamentioning

confidence: 99%

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Advance Directives Document: knowledge and experiences of healthcare professionals in Colombia

Acuña

Ribero

2021

Colomb. J. Anesthesiol.

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Introduction: The Advanced Directives Document (ADD) is a bioethical quality benchmark for healthcare and assurance of compliance with the rights of autonomy, self-determination and dignity of the patient. This document was established over the past decade and currently there is no evidence about the attitudes and knowledge of the healthcare professionals with regards to the use of this tool in clinical practice in Colombia. Objective: To describe the knowledge and experiences of healthcare professionals members of six Colombian Scientific Societies regarding the right to sign an ADD and explore the barriers to its applicability in clinical daily practice. Methods: Descriptive, cross-sectional study conducted using an anonymous and voluntary e-survey with the participation of six Colombian Medical Societies. A questionnaire was designed comprising five groups of variables: general, ADD knowledge, medical experiences and personal experiences regarding advanced directives and potential obstacles to its implementation. Results: 533 professionals participated in the survey. 54 % (n = 286) expressed their lack of awareness about the fact that there is law governing the ADD in Colombia; 34.33 % (n = 183) said they were familiar with the requirements of the document. Over the last year, 24 % of the professionals received one or more ADDs from their patients. Only 11.7 % of healthcare practitioners had themselves completed an ADD. 77.1 % of the professionals surveyed believe that the number of individuals with an ADD has not changed after the approval and regulation of the right to an advanced directives document. 86.6 % of the practitioners said they respected the ADD, notwithstanding the fact that the patient could benefit otherwise. Conclusions: The overall perception of healthcare professionals with regards to the number of ADDs signed by patients is that the number has not changed after the approval of the Law in Colombia. This study evidenced that medical practitioners have a poor knowledge about the ADD and that there is a need to educate healthcare professionals about the ADD and to promptly implement institutional programs about Planning of Advanced Directives (PAD). Both strategies are challenging for the applicability of AD in Colombia.

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Section: Métodosmentioning

confidence: 99%

Section: Work Areamentioning

confidence: 99%

Advance Directives Document: knowledge and experiences of healthcare professionals in Colombia

Acuña

Ribero

2021

Colomb. J. Anesthesiol.

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“…Las limitaciones descritas durante el desarrollo de las VA tienen que ver, en primera instancia, con la falta de homogeneidad de este proceso, las confusiones conceptuales por la variedad de nombres que se da a este tipo de documento (34,37), además del uso de un lenguaje jurídico complejo durante su ejercicio (38). Lo anterior podría explicar la falta de conocimiento entre los profesionales de la salud (22,23).…”

Section: B Limitacionesunclassified

“…En el ámbito sanitario, se describe el respeto por la autonomía del paciente a partir de la condición de que el individuo cuente con capacidad para la toma de decisiones para que las VA sean válidas (19); de esta manera, se puede establecer que una acción es autónoma cuando el que actúa comprende lo que hace, tiene una intencionalidad y lo hace sin influencias que determinan su acción (37).…”

Section: Aspectos éTicos De La Planificación De Las Voluntades Anticipadas En Saludunclassified

Voluntades anticipadas: desafíos éticos en el cuidado del paciente

2019

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Las voluntades anticipadas en salud tienen como finalidad que la persona manifieste de manera anticipada su voluntad sobre los cuidados y el tratamiento de su salud, lo cual le permite expresar personalmente y de forma previa sus preferencias. Esta revisión de la literatura tiene por objetivo describir el concepto y la estructura de las voluntades anticipadas, así como los aspectos éticos involucrados durante el cuidado del paciente. Con las palabras clave “Advanced Health Care Directive” AND “Ethical Implication” y sus símiles en español (voluntades anticipadas, implicaciones éticas), se revisaron cinco bases de datos: ProQuest, Philosophy (JSTOR), PubMed, Web of Science y SciELO; las publicaciones se agruparon entre los años 2010 y 2018. Se obtuvieron 31 artículos de los cuales se realizó una lectura crítica. Los resultados de esta revisión fueron agrupados en las siguientes categorías: concepto, estructura, situaciones clínicas donde se aplican las voluntades anticipadas, fortalezas y limitaciones; así como los aspectos éticos involucrados. Actualmente, son más comunes las vivencias relacionadas con las situaciones al final de la vida, donde la persona pierde su capacidad de decidir y no puede manifestar sus deseos, por lo que es imposible conocer su voluntad. Gran parte de los profesionales de la salud no tienen capacitación adecuada sobre el desarrollo y la aplicación de las voluntades anticipadas, escenario que se convierte en una oportunidad para la investigación y profundización sobre el tema. Las voluntades anticipadas son una herramienta que proporciona al equipo de salud información fidedigna de los valores y deseos del paciente, por lo que es importante capacitar a estos profesionales para brindar una atención respetuosa y de calidad.

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“…Despite the regulations in place concerning living wills, the benefits of these directives and the existence of protocols and . A possible hypothesis for the limited registration of ADD is related to unawareness and lack of knowledge of its usefulness and/or doubts regarding the procedure for granting these directives as pointed out by different studies carried out both among the general population (Andrés Pretel et al, 2012;Angora Mazuecos, 2008;López Rey et al, 2008;Lozano Luzón et al, 2014) and among healthcare professionals (Álvarez Trabanco et al, 2015;Ameneiros Lago et al, 2013;Champer Blasco et al, 2010;Fajardo Contreras et al, 2015;Fernández Pujazón, 2011;León Paz & Miranda Barrero, 2014;Martínez Simón & Souza Oliveira, 2009;Mateos Rodríguez et al, 2007;Navarro Bravo et al, 2011;Nebot et al, 2010;Sepúlveda Sánchez et al, 2014;Simón Lorda, Tamayo Velázquez, González Rubio, et al, 2008;Toro Flores et al, 2013;Valle Sánchez et al, 2009;Yllera Sanz, 2014).…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes towards living wills among healthcare professionals, residents and relatives in nursing homes: A qualitative study

Fernández-Rodríguez

Sarabia‐Cobo

Molina-Mula

2021

Health Soc Care Community

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Living wills are a tool to support the principle of autonomy in end-of-life situations, when the person does not have the capacity to make decisions. The aim was to explore the knowledge and attitudes of residents, relatives and healthcare professionals in nursing homes in Cantabria regarding living wills. A qualitative phenomenological design was conducted. Two focus groups were held with seven participants in each group. A sample of 14 people participated in this study: four residents, five relatives and five professionals. This study was approved by the Clinical Research Ethics Committee of Cantabria. Two main categories were found, with six subcategories each: death, with six subcategories-as a social taboo, as a natural process, facing death, accompanying uncertainties, unnecessary lengthening of life and guilt-and living wills, with six subcategories-knowledge, unknowingness or misconceptions, usefulness, strategies to promote dissemination, intention of granting a living will and the professional's role in restricting or promoting autonomy. Unknowingness or misconceptions and uncertainties in relation to death were the most represented subcategories of each category. Although the attitudes among the study participants were mostly positive, there is a lack of knowledge concerning living wills, which is enhanced by the social taboo related to death.

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¿Cumplimos nuestros deberes respecto a los Documentos de Voluntades Anticipadas?

Cited by 4 publications

References 16 publications

Advance Directives Document: knowledge and experiences of healthcare professionals in Colombia

Advance Directives Document: knowledge and experiences of healthcare professionals in Colombia

Voluntades anticipadas: desafíos éticos en el cuidado del paciente

Knowledge and attitudes towards living wills among healthcare professionals, residents and relatives in nursing homes: A qualitative study

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