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Association Between Knowledge and Attitudes Towards Advance Directives in Emergency Services / Silvia Poveda-Moral, Pilar José-Maria de la Casa, Pere Sánchez-Valero, Núria Pomares-Quintana, Mireia Vicente-García, Anna Falcó-Pegueroles

Creator: Poveda-Moral, Silvia, https://orcid.org/0000-0003-3447-7627 [autor].
Creators: José-Maria de la Casa, Pilar [autor] | Sánchez Valero, Pere [autor] | Pomares-Quintana, Núria [autor] | Vicente-García, Mireia | Falcó-Pegueroles, Anna [autor] | Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa.
Material type: ArticleArticleContent type: text Media type: informàtic Carrier type: recurs en líniaNew identifier: doi: 10.1186/s12910-021-00646-ySubject(s): Urgències hospitalàries | Urgències mèdiques | Testament vital | Voluntats anticipades | Ètica | Infermeria | Personal sanitari | Infermeres | Actitud (Psicologia) | Coneixements | Ètica infermera | Professors -- EUIT | Hospital emergency department | Emergencias hospitalarias | Urgencias médicas | Emergencias médicas | Urgencias hospitalarias | Emergency medical services | Advance directives | Advance healthcare directive | Voluntades anticipadas | Attitudes | Actitudes | Knowledges | Conocimientos | Nurses | Enfermeras | Ethical conflictsGenre/Form: info:eu-repo/semantics/articleOnline resources: Enllaç permanent | Accés lliure pdf | Accés lliure (adreça alternativa) | Almetric: Cites | Google Acadèmic: Cites | OpenCitations: Cites | PubMed: Cites | WoS: Cites i ús -- Informació de la revista (accés lliure previ registre) | Segell de qualitat editorial: DOAJ | The Lens: Registre complet | The Lens: Influència social In: BMC Medical Ethics 2021;22:75Summary: Aim: To assess the levels and relationship of knowledge and attitudes of nursing and medical professionals towards advance directives in hospital emergency departments and emergency medical services, and determine the correlated and predictor variables of favourable attitudes towards advance directives. Design: Observational, descriptive and cross-sectional study. Methods: The study was conducted in the emergency department of a second-level hospital and in the emergency medical service. Data collection was performed from January 2019 to February 2020. The guidelines STROBE were followed for the preparation of the study. Results: A total of 173 responses were obtained. Among them, 91.3% considered that they were not suciently informed about advance directives, and 74% acknowledged not having incorporated them into their usual practice. The multinomial analysis indicated a statistically signicant relationship between (a) the variables age and emergency service and (b) having more favourable attitudes on the part of the professionals by consulting their patients (OR 1.07 [95% CI: 1.02-1.12]; p = 0.003) and compliance with patient advance directives (OR 3.53 [95% CI: 1.64-7.61]; p = 0.001). The fact of working the afternoon shift was a predictor variable for obtaining a higher score with respect to attitudes in complex scenarios. Conclusion: Implementing the consultation of patient advance directives in practice makes it possible to adjust decision-making to the wishes and preferences of the patients served, probably reducing the ethical and legal conicts generated in the context of emergency services.
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Item type Current library Collection Call number URL Status Date due Barcode
Journal article Journal article Dipòsit Digital EUIT Internet En línia Text complet Not for loan 0010173101749
Journal article Journal article Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet En línia Text complet Not for loan 0010173102180
Journal Journal Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet En línia Not for loan 101088680

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