Toma de decisiones al final de la vida. Encuesta sobre la actitud ante la muerte en el paciente crítico

Solsona, José F.; Sucarrats, Alexandra; Maull, Elena; Barbat, Cristina; García, Silvia; Villares, Sandra

doi:10.1016/s0025-7753(03)73694-x

Cited by 36 publications

(5 citation statements)

References 3 publications

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“…Además, diferentes estudios han mostrado que la población no se ha preparado con suficiente antelación para el proceso de la muerte, 21 ya sea en la forma más usual de testamento legal, o bien en forma de testamento vital o DVA.…”

Section: Resultsunclassified

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

Sanz

2014

Rev. Bioética y Derecho

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Esta es una revista de acceso abierto, lo que significa que todo el contenido es de libre acceso sin costo alguno para el usuario o su institución. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o enlazar los textos completos de los artículos en esta revista sin pedir permiso previo del editor o del autor, siempre que no medie lucro en dichas operaciones y siempre que se citen las fuentes. Esto está de acuerdo con la definición BOAI de acceso abierto.| 82

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Section: Resultsunclassified

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

Sanz

2014

Rev. Bioética y Derecho

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“…Most doctors found the policies relating to their implementation a positive development [233], [234]. However the public’s knowledge and use of ADs was very limited [202], [235], [236], [237], [238].…”

Section: Resultsmentioning

confidence: 99%

Culture and End of Life Care: A Scoping Exercise in Seven European Countries

et al. 2012

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Aim Culture is becoming increasingly important in relation to end of life (EoL) care in a context of globalization, migration and European integration. We explore and compare socio-cultural issues that shape EoL care in seven European countries and critically appraise the existing research evidence on cultural issues in EoL care generated in the different countries. Methods We scoped the literature for Germany, Norway, Belgium, the Netherlands, Spain, Italy and Portugal, carrying out electronic searches in 16 international and country-specific databases and handsearches in 17 journals, bibliographies of relevant papers and webpages. We analysed the literature which was unearthed, in its entirety and by type (reviews, original studies, opinion pieces) and conducted quantitative analyses for each country and across countries. Qualitative techniques generated themes and sub-themes. Results A total of 868 papers were reviewed. The following themes facilitated cross-country comparison: setting, caregivers, communication, medical EoL decisions, minority ethnic groups, and knowledge, attitudes and values of death and care. The frequencies of themes varied considerably between countries. Sub-themes reflected issues characteristic for specific countries (e.g. culture-specific disclosure in the southern European countries). The work from the seven European countries concentrates on cultural traditions and identities, and there was almost no evidence on ethnic minorities. Conclusion This scoping review is the first comparative exploration of the cultural differences in the understanding of EoL care in these countries. The diverse body of evidence that was identified on socio-cultural issues in EoL care, reflects clearly distinguishable national cultures of EoL care, with differences in meaning, priorities, and expertise in each country. The diverse ways that EoL care is understood and practised forms a necessary part of what constitutes best evidence for the improvement of EoL care in the future.

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“…Between the months of June and September 2000, relatives of the 88 patients receiving treatment in the ICU in a Spanish hospital reported that none of them had filled in an AD. 13 Nevertheless, when speaking with their families, 32.5% of these patients had, at some point, verbally expressed their wish to limit treatment in the event of a poor prognosis.…”

Section: Ads and Citizensmentioning

confidence: 99%

Advance Directives in Spain. Perspectives From a Medical Bioethicist Approach

2008

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Spain is one of the most advanced European countries in terms of the legislative and administrative development of ADs. Article 11 of Law 41/2002, concerning Patient Autonomy, regulates 'advance directives' and has prompted various Autonomous Regions to develop legislation in this area. Nevertheless, whilst the variety of legislations in different territories presents advantages, the disparity of criteria also presents problems. Despite significant legislative development, only 23,000 Spanish citizens have filled in an AD. Clearly, AD use is confined to a minority. Several surveys, however, show that the Spanish population views these documents in a positive light. Thus, we must analyse this discrepancy between attitude and practice. A similar situation exists amongst health professionals. Whilst they generally feel that the use of ADs is positive and necessary, they are frequently unwilling to employ them. Bioethical literature and research on ADs has significantly increased in Spain over the last six years. It is likely that this trend will continue in the foreseeable future; but more resources and effort are required if ADs are to become consolidated.

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Toma de decisiones al final de la vida. Encuesta sobre la actitud ante la muerte en el paciente crítico

Cited by 36 publications

References 3 publications

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

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

Culture and End of Life Care: A Scoping Exercise in Seven European Countries

Advance Directives in Spain. Perspectives From a Medical Bioethicist Approach

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