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Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras / Ethical issues perceived by health care professionals working in chronic hemodialysis centers
Vukusich, Antonio; Catoni, María Isabel; Salas, Sofía P; Valdivieso, Andrés; Browne, Francisca; Roessler, Emilio.
Afiliação
  • Vukusich, Antonio; Sociedad Chilena de Nefrología. Comité de Ética. CL
  • Catoni, María Isabel; Sociedad Chilena de Nefrología. Comité de Ética. CL
  • Salas, Sofía P; Sociedad Chilena de Nefrología. Comité de Ética. CL
  • Valdivieso, Andrés; Sociedad Chilena de Nefrología. Comité de Ética. CL
  • Browne, Francisca; Sociedad Chilena de Nefrología. Comité de Ética. CL
  • Roessler, Emilio; Sociedad Chilena de Nefrología. Comité de Ética. CL
Rev. méd. Chile ; 144(1): 14-21, ene. 2016. tab
Article em Es | LILACS | ID: lil-776970
Biblioteca responsável: CL1.1
ABSTRACT

Background:

Clinical teams working at chronic hemodialysis centers (CHC) frequently have to face ethical problems, but there is no systematic approach to deal with them.

Aim:

To study the ethical problems perceived by health professionals at CHC. Material and

Methods:

Eighty randomly selected physicians and 139 nurses from 23 CHC, answered a structured questionnaire, devised by the research team.

Results:

Twenty-six percent of respondents had postgraduate studies in clinical ethics. The ethical problems mentioned by respondents were therapeutic disproportion in 66.7%, lack of communication between patients, their families and the clinical team in 25.9%, personal conflicts of interests related with hemodialysis prescription in 14.6% and conflicts of interests of other members of the clinical team in 30.6%. The percentage of respondents that experienced not starting or discontinuing hemodialysis treatment due to decision of patients’ relatives was 86.8%. Only 45.2% of health professionals had the opportunity to take part in decision-making meetings. Eighty seven percent of respondents supported the use of advanced directives in the event of a cardio respiratory arrest during treatment.

Conclusions:

To improve the approach to ethical problems in CHC, it is necessary to improve training in clinical ethics, promote an effective dialogue between the patients, their families and health professionals, and follow their advance directives in case of cardiac arrest during treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Diálise Renal / Pessoal de Saúde Tipo de estudo: Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Ethics Limite: Adult / Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Diálise Renal / Pessoal de Saúde Tipo de estudo: Guideline / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Ethics Limite: Adult / Female / Humans / Male Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile