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dc.creatorHaverkate, Ilinkaen
dc.creatorMuller, Martien T.en
dc.creatorCappetti, Mirjamen
dc.creatorJonkers, Freerk J.en
dc.creatorvan der Wal, Gerriten
dc.date.accessioned2015-05-05T19:10:51Zen
dc.date.available2015-05-05T19:10:51Zen
dc.date.created2000-02-14en
dc.date.issued2000-02-14en
dc.identifier10.1001/archinte.160.3.317en
dc.identifier.bibliographicCitationArchives of Internal Medicine. 2000 Feb 14; 160(3): 317-322.en
dc.identifier.issn0003-9926en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Prevalence+and+Content+Analysis+of+Guidelines+on+Handling+Requests+for+Euthanasia+or+Assisted+Suicide+in+Dutch+Nursing+Homes&title=Archives+of+Internal+Medicine.++&volume=160&issue=3&pages=317-322&date=2000&au=Haverkate,+Ilinkaen
dc.identifier.urihttp://dx.doi.org/10.1001/archinte.160.3.317en
dc.identifier.urihttp://hdl.handle.net/10822/758884en
dc.description.abstractBACKGROUND: The growing number of requests for euthanasia or assisted suicide (EAS) makes it imperative for health care institutions, such as nursing homes, to have written guidelines on how to handle requests for EAS. The objective of this study was to determine the prevalence of EAS guidelines in Dutch nursing homes and to analyze the content. METHODS: Directors of patient care in 324 Dutch nursing homes were asked, by means of a mailed short list of questions, if they had an institutional guideline on EAS and, if so, to provide a copy. Guidelines were analyzed according to a structured list of items based on current jurisprudence, model documents, and opinions of experts. RESULTS: Of the 324 directors, 313 (97%) responded. In 58% of the nursing homes that responded, there existed written guidelines for EAS. Of those guidelines, 74% concerned EAS; in 26%, EAS was integrated in a guideline on terminal care. Of the guidelines, 165 (90%) were based on the policy that EAS is acceptable under specific conditions, and 18 (10%) banned EAS completely. Of the first-mentioned guidelines, 81% described one or more procedures for in-principle objections. In 65% of these guidelines, all official requirements for prudent practice were described. CONCLUSIONS: Despite the rapidly growing number of nursing-home guidelines on EAS and the existence of model documents, there is still considerable variation in the guidelines, and they can be improved in many aspects. A basic prerequisite is that the guidelines include all the official requirements for prudent practice.en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:MEDKIE/20132267en
dc.subjectActive Euthanasiaen
dc.subjectAdministratorsen
dc.subjectAllowing to Dieen
dc.subjectAssisted Suicideen
dc.subjectCompetenceen
dc.subjectConscienceen
dc.subjectConsenten
dc.subjectConsultationen
dc.subjectDecision Makingen
dc.subjectDissenten
dc.subjectEuthanasiaen
dc.subjectEvaluationen
dc.subjectEvaluation Studiesen
dc.subjectFamily Membersen
dc.subjectGuidelinesen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectInformed Consenten
dc.subjectInstitutional Policiesen
dc.subjectInvoluntary Euthanasiaen
dc.subjectLiving Willsen
dc.subjectMethodsen
dc.subjectNursesen
dc.subjectNursing Homesen
dc.subjectPatient Careen
dc.subjectPatientsen
dc.subjectPhysiciansen
dc.subjectPrevalenceen
dc.subjectReferral and Consultationen
dc.subjectSuicideen
dc.subjectSurveyen
dc.subjectTerminal Careen
dc.subjectTreatment Refusalen
dc.subjectVoluntary Euthanasiaen
dc.subjectWillsen
dc.titlePrevalence and Content Analysis of Guidelines on Handling Requests for Euthanasia or Assisted Suicide in Dutch Nursing Homesen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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