Orden de no reanimar y limitación del esfuerzo terapéutico
Desafíos éticos en equipos sanitarios en Chile
Bibliographic Data
| ID | 15530703 |
|---|---|
| Authors | Ana López-Ávila (Hospital Regional de Talca, corresponding author), Edith Rivas Rivero (0000-0002-9832-4534, Universidad de La Frontera), Edith Rivas-Riveros, Maggie Campillay-Campillay (0000-0002-4054-1595, University of Atacama) |
| Year | 2024 |
| Volume | 20 |
| Pages | e4821-e4821 |
| Publication date | 2024-06-05 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Salud Colectiva (JOURNAL) |
| Journal identifiers | ISSN: 1669-2381 • E-ISSN: 1851-8265 |
| Publisher | Instituto de Salud Colectiva, Universidad Nacional de Lanús (PUBLISHER • AR) |
| DOI | 10.18294/sc.2024.4821 |
| PMID | 38961602 |
| OpenAlex | W4399364802 |
| Language | ES |
| References cited | 37 |
The purpose of this paper is to delve into the ethical aspects experienced by the healthcare team when they receive the directive to limit therapeutic effort or a do-not-resuscitate order. From an interpretative, qualitative paradigm with a content analysis approach, a process based on three phases was conducted: pre-analysis in which categories were identified, the projection of the analysis, and inductive analysis. During 2023, interviews were conducted in the clinical setting of a high-complexity hospital in Chile with 56 members of the healthcare teams from critical and emergency units, from which four categories emerged: a) the risk of violating patients' rights by using do-not-resuscitate orders and limiting therapeutic effort; b) the gap in the interpretation of the legal framework addressing the care and attention of patients at the end of life or with terminal illnesses by the healthcare team; c) ethical conflicts in end-of-life care; and d) efficient care versus holistic care in patients with terminal illness. There are significant gaps in bioethics training and aspects of a good death in healthcare teams facing the directive to limit therapeutic effort and not resuscitate. It is suggested to train personnel and work on a consensus guide to address the ethical aspects of a good death
Humanities · Ethics in medical practice · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Philosophy
| Highly cited | No |
|---|