期刊
出版社
MDPI
DOI: 10.3390/ijerph19084550
关键词
advance care planning; dignity; autonomy; end of life; person-centered care; interprofessional ethics
资金
- AMED [21dk0110038s0403]
- Health Labor Sciences Research Grant [21GB1001]
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.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据