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OBJECTIVE:
Many healthcare personnel are worried about the supply of nonbeneficial treatment within the acute care setting. We searched for look around the perceptions of acute care practitioners to find out whether or not they perceived nonbeneficial treatment to become a problem, to create a suitable meaning of nonbeneficial treatment, to discover their perceptions from the impact and results in of nonbeneficial treatment, and also the ways in which they think could reduce and sometimes resolve nonbeneficial treatment.
DESIGN:
National, bilingual, mix-sectional survey of the convenience sample of nursing and medical staff who provide direct patient care in acute medical wards or ICUs in Canada.
Primary RESULTS:
We received 688 responses (response rate 61%) from 11 sites. 70-4 % of respondents were nurses. 80-2 % of respondents think that our current way of resolving nonbeneficial treatment are insufficient. Probably the most acceptable definitions of nonbeneficial treatment were "advanced curative/existence-prolonging treatments that will probably create a quality of existence the patient has formerly mentioned heOrshe don’t wantInch (88% agreement) and "advanced curative/existence-prolonging treatments that aren’t in conjuction with the goals of care (as shown by the individual)" (83% agreement). Respondents most generally thought that nonbeneficial treatment was brought on by substitute decision makers who don’t comprehend the limitations of treatment, or who cannot pay a poor prognosis (90% deal for each cause), and 52% thought that nonbeneficial treatment was "frequently" or "always" ongoing before the patient died or was discharged from hospital. Respondents thought that nonbeneficial treatment would be a prevalent problem having a negative effect on all stakeholders (> 80%) and perceived that improved advance care planning and communication training will be the best (92% and 88%, correspondingly) and morally acceptable (95% and 92%, correspondingly) way to resolve the issue of nonbeneficial treatment.
CONCLUSIONS:
Canadian nurses and physicians see our current way of resolving nonbeneficial treatment are insufficient, and now we have to adopt new techniques of resolving nonbeneficial treatment. Probably the most promising ways of reduce nonbeneficial treatment are felt to become improved advance care planning and communication practicing medical professionals.
Resourse: https://ncbi.nlm.nih.gov/pubmed/
