Ethical conflicts and decision making on renal replacement therapy
Bibliographic Data
| ID | 15693230 |
|---|---|
| Authors | Tatiane da Silva Campos (0000-0002-9790-0632, Universidade do Estado do Rio de Janeiro, corresponding author), Aramis Pereira Gomes (0000-0002-5046-6883, Universidade Federal de Viçosa) |
| Year | 2024 |
| Volume | 32 |
| Publication date | 2024-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Revista Bioética (JOURNAL) |
| Journal identifiers | ISSN: 1983-8034 • E-ISSN: 1983-8042 |
| Publisher | FapUNIFESP (SciELO) (PUBLISHER) |
| DOI | 10.1590/1983-803420243715en |
| OpenAlex | W4402730626 |
| Language | EN |
| References cited | 9 |
This article aimed to explore whether healthcare professionals perceive ethical conflicts and issues related to decision making and to highlight the significance of patient involvement in this process. This is a descriptive cross-sectional study, where 63 professionals from four nephrology services in Rio de Janeiro were interviewed. Through analysis using Bardin’s technique, two main themes emerged: 1) the decision-making process; and 2) bioethical considerations regarding renal replacement therapy referral. The findings suggest that decision-making is primarily guided by the principles of beneficence and non-maleficence, with an emphasis on improving the clinical condition associated with renal failure. However, there is often a lack of consideration for patient autonomy and participation, and ethical conflicts and decision-making issues may not always be recognized. Paternalistic attitudes remain prevalent and strong within the studied population
Ethical decision · Intensive care medicine · Psychotherapist · Renal replacement therapy · Ethics in medical practice · Medicine · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology · Social Psychology
| Highly cited | No |
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