Advance directives of will: nurses' perceptions of benefits and new demands

Saioron, Isabela; Ramos, Flávia Regina Souza; Schneider, Dulcinéia Ghizoni; Silveira, Rosemary Silva da; Silveira, Luciana Ramos

doi:10.1590/2177-9465-ean-2017-0100

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…Assim, a DAV constitui-se no primeiro instrumento legal, para podermos comunicar formalmente a nossa vontade relativa aos cuidados de saúde no fim da vida. Saioron et al (2017), definem a DAV como os desejos previamente manifestados pelo doente sobre cuidados e tratamentos que quer, ou não, receber quando estiver incapacitado de expressar livre e autonomamente a sua vontade A DAV vem reforçar, assim, a autonomia da pessoa doente face à evolução médica e científica, essencialmente quando o doente já não estiver capaz cognitivamente de decidir ou manifestar a sua vontade. Podemos também considerar que a criação de um documento como a DAV, em que a pessoa deixa escrito o tratamento que pretende ou não, no caso da sua capacidade de tomada de decisão ficar reduzida ou inexistente, vem aproximar a medicina da sociedade atual.…”

Section: Enquadramentounclassified

As experiências dos profissionais de saúde no cumprimento da Diretiva Antecipada de Vontade na prática clínica

Santos¹,

Cerqueira²

2022

Rev. Enf. Ref.

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ResumoEnquadramento: A Diretiva Antecipada de Vontade, permite à pessoa manifestar o seu desejo relativo à sua vivencia no final da vida. Cumprir esta diretiva exige aos profissionais de saúde competências na medida em que envolve vivências de grande complexidade. Objetivo: Identificar as experiências dos profissionais de saúde no cumprimento da Diretiva Antecipada de Vontade, na prática clínica. Metodologia: Estudo qualitativo, exploratório descritivo com recurso a entrevista semiestruturada. Foram incluídos como participantes os profissionais de saúde de um hospital do norte de Portugal. Efetuada análise de conteúdo segundo o referencial de Bardin. Foram respeitados todos os princípios éticos e legais. Resultados: Os participantes do estudo consideram a diretiva antecipada de vontade como um instrumento que especifica os desejos do doente quanto aos cuidados a receber em fim de vida. Enfatizam que no seu cumprimento experienciam uma variabilidade de emoções e sentimentos, medo, impotência, respeito. Conclusão: Para cumprir a diretiva antecipada de vontade é urgente construir critérios para a tomada de decisão perfilhada e partilhada. Para isto, é necessário uma maior aposta na formação.Palavras-chave: testamentos quanto à vida; experiência de vida; profissionais de saúde

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Section: Enquadramentounclassified

As experiências dos profissionais de saúde no cumprimento da Diretiva Antecipada de Vontade na prática clínica

Santos¹,

Cerqueira²

2022

Rev. Enf. Ref.

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“…실제로 중환자실에 입원하는 환자 의 약 6~11%가 연명의료를 받고 있고, 중환자실에서 발생하는 사망의 50~90%가 연명의료 중단과 관련이 있다고 알려져 있다 (Opgenorth et al, 2018 (Moon, 2015;Myburgh et al, 2016;Peicius, Blazeviciene, & Kaminskas, 2017). 중환자실은 주로, 급성 중증 환자들을 치료하는데 목 적을 두고 있으며, 고도의 기술적, 치료적인 관점에 중 점을 두고 있어 생애말 환자간호에 대한 관심은 상대적 으로 부족한 실정이다 Moon, 2015 (Chan et al, 2019;Jimenez et al, 2018;Saloron, Ramos, Schnelder, da Silveira, & Silveira, 2017;Vuong, Kittelson, McCullough, Yingwei, & Hartjes, 2019 (Han, Chung, Moon, Han, & Ko, 2001 [18]; Bae et al, 2009 [A14]; Revised by author [A4])…”

Section: 연명의료란 회복 불가능한 말기 환자에게 주 질환에unclassified

Attitudes, Perceptions, and Experiences toward End-of-Life Care Decision-Making among Intensive Care Unit Nurses in Korea : An Integrative Review

Choi¹,

Son²,

Lee³

2020

J Korean Crit Care Nurs

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This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses' attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)'s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the "The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018)." All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients' comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses' emotional stress and moral distress during communication, decision-making, and implementation.

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“…Giving a voice to family members is essential when patients are incapacitated (5) , however, appointing a family member or even a friend to make decisions may lead to issues permeated by affectivity, hindering the process (16) . Conflicts concerned with advance directives are challenging to handle because these are usually closely linked to values, beliefs, and the experiences of different stakeholders (19) .…”

Section: Lack Of "Affective Availability" To Be Able To Accept the Fimentioning

confidence: 99%

Implementation of early will directives: facilities and difficulties experienced by palliative care teams

Nogario

Barlem

Tomaschewski-Barlem

et al. 2020

Rev. Gaúcha Enferm.

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Objective: To know the facilities and difficulties the palliative care team professionals experience in the implementation process of advance healthcare directives. Method: Exploratory-descriptive study with a qualitative approach, involving 51 professionals from seven palliative care teams in the state of Rio Grande do Sul, Brazil. The data were collected between December 2018 and April 2019 and discursive textual analysis was applied. Results: The facilities found were: the approach by the palliative care team; listening and respecting patients' wishes; effective communication between professionals, patients, and family members and resolution of difficult situations. The difficulties reported were: legal issues; the lack of knowledge of professionals about the subject; the lack of institutional protocols; the difficulty in talking about death and the family barrier. Conclusion: Despite the perceived facilities and difficulties, palliative care professionals intend to work based on the patients' desires and will, aiming to offer dignity in the dying process.

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Advance directives of will: nurses' perceptions of benefits and new demands

Cited by 5 publications

References 14 publications

As experiências dos profissionais de saúde no cumprimento da Diretiva Antecipada de Vontade na prática clínica

As experiências dos profissionais de saúde no cumprimento da Diretiva Antecipada de Vontade na prática clínica

Attitudes, Perceptions, and Experiences toward End-of-Life Care Decision-Making among Intensive Care Unit Nurses in Korea : An Integrative Review

Implementation of early will directives: facilities and difficulties experienced by palliative care teams

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