Knowledge and attitudes of critically ill patients and their families on advance directives and the decision making process at the end of life

Toro-Flores, Rafael; López‐González, Rafael; López-Muñoz, Julián

doi:10.1016/j.enfie.2016.07.001

Cited by 2 publications

(2 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study conducted by Freer et al (2006), 86.2% of the participants reported that they did not know the concept of ADs. In the study conducted by Toro-Flores et al (2017) in Spain, AD awareness and preparation rates were low. In a study conducted by Sam and Singer (1993) in Canada, 16% of the participants reported that they had information about a living will, 11% reported that they had information about a health care proxy, and 4% reported that they had information about ADs.…”

Section: Discussionmentioning

confidence: 90%

Assessment of Knowledge and Preferences Regarding Advance Directives Among Patients in University Family Medicine Outpatient Clinics

Koşar

Akdeniz

Kavukçu

et al. 2020

Gerontology and Geriatric Medicine

View full text Add to dashboard Cite

Aim: The aim of this study is to draw attention to the subject of “advanced directives,” to create awareness, whether or not they want to investigate to determine the preferences for medical care and applications in the period of end-of-life while individuals can specify their preferences and wishes for medical decisions and take steps for it. Materials and Methods: The study was carried out on individuals aged 20 years and older in family medicine outpatient clinics. A questionnaire consisting of 30 questions was applied to 300 people who volunteered to participate in the study by a face-to-face interview. Results: Of all participants, 70% had not heard of advance directives (ADs) before this survey. Three quarters of participants thought that advanced directives were necessary. The rate of requesting cardiopulmonary resuscitation (CPR) to prolong survival in the case of end-of-life care was 55%; the rate of requesting the continuation of life-sustaining treatment was 24%. Conclusion: Most participants want their own decision to be taken into account in end-of-life care. Family physicians should talk to their patients about ADs via effective communication when people are still healthy.

show abstract

Section: Discussionmentioning

confidence: 90%

Assessment of Knowledge and Preferences Regarding Advance Directives Among Patients in University Family Medicine Outpatient Clinics

Koşar

Akdeniz

Kavukçu

et al. 2020

Gerontology and Geriatric Medicine

View full text Add to dashboard Cite

show abstract

“…Results of a systematic review [19] showed that critically ill patients and their relatives have low knowledge about ADs, nevertheless relatives were very interested in receiving information on ADs. Additionally, there are discrepancies between patients' decisions and relatives' decisions, therefore it was suggested that preparing for decision making should start by improving communication between healthcare team, patients and their relatives [19].…”

Section: Understand Perspectives Of Eol Discussionmentioning

confidence: 99%

Patients’ Involvement in Decision Making at End of Life—A Systematic Review of Literature

Othman¹,

Khalaf²,

Zeilani³

2019

OJN

View full text Add to dashboard Cite

Background: involving patient in end of life decision is important to understand their wishes and preference, which will help health care providers in improving the quality of dying and minimizing suffering. Aim: the aim of this review was to provide a detailed examination of the available literature related to patients' involvement in decision making at end of life. Design: a systematic review following the PRISMA protocol was used, the review protocol was registered on PROSPERO: CRD42019128556. Data sources: we conducted a literature search in two electronic databases "CINAHL and Medline" during March-April 2019. The retrieved articles were included if they were: research reports or literature review; examined patient involvement in end of life discussions; full text publications, written in English and published from 2000-2019. Results: a total of (22) articles were included in the review; there was diversity in the purposes and design approach of the retrieved studies. The available literature explored patient's involvement at end of life decision making through; describing current practices; understanding perspectives of end of life discussions; investigating the impact and identifying the barriers and facilitators of patients' involvement in end of life discussions. Conclusion: involvement in end of life discussions improved the recognition of patients' wishes, improved death experience, and decreased posttraumatic stress, depression, and anxiety among family members. Despite the documented benefits, some barriers against patient's involvement in EOL decisions were recognized; lack of awareness; lack of education, training and experience; concerns about ethical and legal issues; and personal preferences of doctors or nurses were among the most commonly identified barriers.

show abstract

Knowledge and attitudes of critically ill patients and their families on advance directives and the decision making process at the end of life

Cited by 2 publications

References 39 publications

Assessment of Knowledge and Preferences Regarding Advance Directives Among Patients in University Family Medicine Outpatient Clinics

Assessment of Knowledge and Preferences Regarding Advance Directives Among Patients in University Family Medicine Outpatient Clinics

Patients’ Involvement in Decision Making at End of Life—A Systematic Review of Literature

Contact Info

Product

Resources

About