Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 19, Issue 8, Pages -Publisher
MDPI
DOI: 10.3390/ijerph19084550
Keywords
advance care planning; dignity; autonomy; end of life; person-centered care; interprofessional ethics
Funding
- AMED [21dk0110038s0403]
- Health Labor Sciences Research Grant [21GB1001]
Ask authors/readers for more resources
This study aimed to identify tips for clinicians managing ethical challenges in advance care planning (ACP) practices. By analyzing the content of nine ACP textbooks, two major themes were identified: interprofessional ethics and informed consent. The findings suggested recommendations for managing ethical challenges in ACP.
(1) Background: While advance care planning (ACP) provides healthcare professionals with valuable tools to meet patients' needs in a person-centered manner, several potential ethical challenges are inherent to the process. However, recent studies have largely focused on ACP practicalities such as implementation, execution, and completion rather than on the ethical challenges that clinicians routinely encounter in ACP practices. (2) Research question/aim/objectives: This study aimed to identify tips for clinicians managing ethical challenges in ACP practices. (3) Methods: It performed a brief search for all Japanese published books pertaining to ACP practice available as of January 2021 using the keywords advance care planning (ACP) and autonomy and analyze the content of nine practical ACP textbooks for clinicians. (4) Results: Two major themes capturing the essential recommendations for managing ethical challenges in ACP were ultimately identified, namely interprofessional ethics and informed consent. (5) Conclusion: The findings suggested tips for managing ethical challenges in ACP: refer to ethical frameworks for interprofessional collaboration and ethical decision making, assess decision-making capacity of family substitute decision makers and one's eligibility for the role, understand the standard process of informed consent and how to handle situations when the patient are not well informed about the diagnosis and prognosis of non-cancer illness.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available