PMID: 16526149Mar 11, 2006Paper

Nurses' and physicians' opinions on aggressiveness of treatment for general ward patients

Nursing Ethics
Mia SvantessonGerd Ahlström

Abstract

The aim of this study was to evaluate agreement between nurses' and physicians' opinions regarding aggressiveness of treatment and to investigate and compare the rationales on which their opinions were based. Structured interviews regarding 714 patients were performed on seven general wards of a university hospital. The data gathered were then subjected to qualitative and quantitative analyses. There was 86% agreement between nurses' and physicians' opinions regarding full or limited treatment when the answers given as 'uncertain' were excluded. Agreement was less (77%) for patients with a life expectancy of less than one year. Disagreements were not associated with professional status because the physicians considered limiting life-sustaining treatment as often as the nurses. A broad spectrum of rationales was given but the results focus mostly on those for full treatment. The nurses and the physicians had similar bases for their opinions. For the majority of the patients, medical rationales were used, but age and quality of life were also expressed as important determinants. When considering full treatment, nurses used quality-of-life rationales for significantly more patients than the physicians. Respect for patients' wishes...Continue Reading

References

Jul 1, 1992·Health Care for Women International·B Downe-Wamboldt
Sep 1, 1992·Journal of Advanced Nursing·G UdénV Marhaug
Mar 1, 1991·Archives of Internal Medicine·R F Uhlmann, R A Pearlman
Nov 1, 1987·Journal of General Internal Medicine·M W Frampton, R J Mayewski
Sep 1, 1995·Journal of Advanced Nursing·M Farquhar
Aug 1, 1995·Research in Nursing & Health·J G Baggs, M H Schmitt
Sep 1, 1995·Critical Care Medicine·J G O'CallahanJ M Luce
Sep 1, 1996·Acta Anaesthesiologica Scandinavica·G Melltorp, T Nilstun
Feb 1, 1997·Journal of Advanced Nursing·T Bucknall, S Thomas
May 1, 1997·Journal of Internal Medicine·R Löfmark, T Nilstun
Sep 12, 1998·The Medical Journal of Australia·I H KerridgeM Lowe
Feb 23, 1999·Acta Anaesthesiologica Scandinavica·P SjokvistD J Cook
Sep 29, 1999·European Journal of Anaesthesiology·P SjökvistT Nilstun
Jan 6, 2000·Postgraduate Medical Journal·R Löfmark, T Nilstun
Feb 10, 2000·Neuropsychology Review·R Murrell
Mar 10, 2001·Social Science & Medicine·S Carmel
May 22, 2001·Journal of General Internal Medicine·C M BreenJ A Tulsky
Apr 6, 2002·Journal of Medical Ethics·H HinkkaP Kellokumpu-Lehtinen
May 10, 2003·American Journal of Respiratory and Critical Care Medicine·Edouard FerrandUNKNOWN French RESSENTI Group
Aug 14, 2003·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Mia SvantessonHåkan Thorsén
Sep 19, 2003·The New England Journal of Medicine·Deborah CookUNKNOWN Level of Care Study Investigators and the Canadian Critical Care Trials Group
Jun 29, 2004·Intensive Care Medicine·Lauren GriffithUNKNOWN Canadian Critical Care Trials Group
Sep 11, 2004·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Agnes van der HeidePaul van der Maas
Mar 2, 2005·Archives of Internal Medicine·Georg BosshardUNKNOWN European End-of-Life Consortium
Oct 1, 1996·Nurse Researcher·Gary Hickey, Cheryl Kipping

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Citations

Mar 23, 2011·Journal of Advanced Nursing·Trygve Johannes Saevareid, Susan Balandin
Oct 23, 2014·Nursing Ethics·Maria F Jiménez-Herrera, Christer Axelsson
Jan 24, 2009·Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship·Annette M Browning

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