Author/Editor | Eisemann, Martin; Richter, Jorg | |
Title | Stališča in odločanje medicinskih sester pri obravnavi življenjsko ogroženih starejših bolnikov: primerjava dveh različnih kulturnih okolij | |
Translated title | Nurses attitudes and decision-making in the treatment of critically-ill elderly patients: a cross-cultural study | |
Type | članek | |
Source | In: Klemenc D, Pahor M, editors. Nasilje in spolno nadlegovanje na delovnih mestih medicinskih sester v Sloveniji. Zbornik člankov s strokovnega srečanja z mednarodno udeležbo Društva medicinskih sester in zdravstvenih tehnikov; 1999 dec 4; Ljubljana. Ljubljana: Društvo medicinskih sester in zdravstvenih tehnikov, | |
Publication year | 2000 | |
Volume | str. 59-67 | |
Language | slo | |
Abstract | By means of a case vignette with three levels of available information (no info, no CPR, advance directive) about an incompetent moderately demented elderly patient with an acute lifethreatening but potentially reversible illness, Swedish and German nurses were investigated concerning their treatment decisionmaking and its underlying factors. Generally, the Swedish nurses, compared with their German counterparts would choose less aggressive treatment options and would less frequently perform cardio-pulmonary resuscitation. (CPR) against the patients written will. The compliance with the treatment preferences of the patient was among nurses from both countries related with their evaluation of the patient directive as a useful tool for their decision-making process. As a predictor of the treatment decision the "level of dementia" of fhe patient appeared. Our results highlight the necessity to integrate issues such as death and dying and ethical aspects of end-of-life treatment, pros and cons of patient directives in the curriculum and training of nurses. | |
Descriptors | CRITICAL ILLNESS NURSES DECISION MAKING AGED ALZHEIMER'S DISEASE HEMATEMESIS MELENA GERMANY SWEDEN |