Finnish Nurses' Views on End-of-Life Discussions and a Comparison With Physicians' Views
Nursing Ethics 2004 March; 11(2): 165-178
This study investigated Finnish nurses' experiences and views on end-of-life decision making and compared them with physicians' views. For this purpose, a questionnaire was sent to 800 nurses, of which 51% responded. Most of the nurses had a positive attitude towards and respect for living wills, more often than physicians. Most also believed that a will had an effect on decision making. Almost all of the nurses considered it their responsibility to talk to physicians about respecting living wills. Do-not-resuscitate (DNR) orders were often interpreted to imply partial or complete palliative (symptom-orientated) care, which may cause confusion. Half of the nurses reported that a DNR decision was discussed always or often with a patient who was able to communicate; physicians were more positive in this respect. Surprisingly, many nurses (44%) stated that active treatment continued too long. Two- thirds thought that their opinions were taken into account sufficiently, even though only half believed that, in general, they had some impact.
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Hilden, Hanna-Mari; Honkasalo, Marja-Liisa (2006-01)Our aim was to study how nurses interpret patient autonomy in end-of-life decision making. This study built on our previous quantitative study, which evaluated the experiences of and views on end-of-life decision making ...
Unethical Bunglers or Humane Professionals? Discussions in the Media of End-of-Life Treatment Decisions Hildén, Hanna-Mari; Honkasalo, Marja-Liisa (2006)
Hilden, H.M.; Louhiala, P.; Palo, J. (2004-08)OBJECTIVES: This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders and also their views on the role of patients and family members in these decisions. ...