Perceptions of health care professionals about end-of-life care, obstacles and ethical dilemmas in hospitals, primary care and nursing homes.

Mancilla, Plácido Guardia; Montoya‐Juárez, Rafael; Martí‐García, Celia; Herrero-Hahn, Raquel; García, MP; Quintana, F Cruz

doi:10.23938/assn.0170

Cited by 5 publications

(1 citation statement)

References 17 publications

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“…Among the former, almost all of the standards are considered to be more feasible. This finding is in line with Guardia-Mancilla et al [ 45 ], whose comparative study of perceptions of end-of-life care in nursing homes, hospitals and PHC centres concluded that nursing home staff were the most optimistic in this regard. Indeed, it is logical that those providing care in nursing homes should believe it easier to achieve recommended standards since they are more aware of their own resources.…”

Section: Discussionsupporting

confidence: 89%

Impact of the COVID-19 Pandemic on the Perceived Quality of Palliative Care in Nursing Homes

Mota-Romero

Campos-Calderón

Puente‐Fernández

et al. 2022

JCM

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The Nursing Homes End-of-life Programme (NUHELP) was developed in 2017 and is based on quality standards of palliative care, but it was not implemented due to the outbreak of the COVID-19 pandemic. Objectives: To describe perceptions among staff at nursing homes and primary health care (PHC) centres regarding the relevance, feasibility, and degree of achievement of quality standards for palliative care in nursing homes and to determine the differences in these perceptions before and after the pandemic. Methodology: Cross-sectional descriptive study. Professionals at eight nursing homes and related PHC centres who participated in NUHELP development assessed 42 palliative care standards at two time points (2018 and 2022). The Mann–Whitney U test was applied to analyse differences in the scores between these two times and between perceptions at nursing homes and at PHC centres. Results: The study population consisted of 58 professionals in 2018 and 50 in 2022. The standard regarding communication with persons affected by the death of a family member was considered less relevant (p = 0.05), and that concerning the culturally sensitive and dignified treatment of the body was less fully achieved (p = 0.03) in 2022 than in 2018. Social support (p = 0.04), sharing information among the care team (p = 0.04), patient participation (p = 0.04) and information about the treatment provided (p = 0.03) were all more poorly achieved in 2022 than in 2018. The perceptions of nursing home and PHC workers differed in several respects. Conclusions: Professional intercommunication and social support should be reinforced, and residents should be more actively involved in decision-making.

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Section: Discussionsupporting

confidence: 89%

Impact of the COVID-19 Pandemic on the Perceived Quality of Palliative Care in Nursing Homes

Mota-Romero

Campos-Calderón

Puente‐Fernández

et al. 2022

JCM

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¿Qué conocen las enfermeras de Galicia sobre las voluntades anticipadas?

et al. 2020

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Dilemas éticos en enfermería desde una reflexión multicéntrica

Acosta

Cedeño-Tapia²,

Pérez

et al. 2022

Rev. cienc. cuidad.

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Objetivo: Describir la percepción de enfermería respecto a los dilemas éticos y bioéticos en el ejercicio de su profesión. Materiales y Métodos: Se realizó un estudio cualitativo, de tipo etnográfico, y con paradigma sociocrítico. La técnica empleada fue la observación participante. Para obtener la información, se aplicó también una entrevista semiestructurada, orientada por preguntas abiertas, las cuales se realizaron mediadas por la virtualidad, fueron grabadas previo consentimiento informado y transcriptas para su análisis de discurso. Resultados: Luego del análisis de los discursos, emergieron 5 categorías que fueron: Representaciones éticas percibidas por los profesionales de enfermería; Comités de Bioética y el posicionamiento de enfermería; Dilemas éticos y bioéticos que persisten en el tiempo; Retos que representan los dilemas éticos en la humanización para enfermería y La persona detrás de la profesión. Todas con sus respectivas subcategorías y códigos. Conclusiones: Hay una realidad común sobre los dilemas éticos más frecuentes que enfrenta enfermería desde su formación hasta el ejercicio profesional. Así mismo, existen diferencias según el marco legal de cada país o situación en particular. Es importante la participación de enfermería en los Comités de Bioética, ya que aporta significativamente a los debates internos a la hora de abordar las problemáticas o dilemas éticos, orientando el actuar del equipo de salud, ocupando distintos cargos desde consultoría hasta la presidencia de estos equipos interdisciplinarios. Palabras clave: Ética; Bioética; Enfermería; Comités de Ética

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Perceptions of health care professionals about end-of-life care, obstacles and ethical dilemmas in hospitals, primary care and nursing homes.

Abstract: Primary care and hospitalization presented similar results on the perception of end-of-life care, and lower results than those of nursing homes, although in these centres more ethical dilemmas and more obstacles were identified.

Cited by 5 publications

References 17 publications

Impact of the COVID-19 Pandemic on the Perceived Quality of Palliative Care in Nursing Homes

Impact of the COVID-19 Pandemic on the Perceived Quality of Palliative Care in Nursing Homes

¿Qué conocen las enfermeras de Galicia sobre las voluntades anticipadas?

Dilemas éticos en enfermería desde una reflexión multicéntrica

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