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Verfasst von:Mehlis, Katja [VerfasserIn]   i
 Bierwirth, Elena [VerfasserIn]   i
 Laryionava, Katsiaryna [VerfasserIn]   i
 Mumm, Friederike H. A. [VerfasserIn]   i
 Hiddemann, Wolfgang [VerfasserIn]   i
 Heußner, Pia [VerfasserIn]   i
 Winkler, Eva C. [VerfasserIn]   i
Titel:High prevalence of moral distress reported by oncologists and oncology nurses in end-of-life decision making
Verf.angabe:Katja Mehlis, Elena Bierwirth, Katsiaryna Laryionava, Friederike H.A. Mumm, Wolfgang Hiddemann, Pia Heußner, Eva C. Winkler
E-Jahr:2018
Jahr:29 August 2018
Umfang:7 S.
Fussnoten:Gesehen am 25.03.2020
Titel Quelle:Enthalten in: Psycho-oncology
Ort Quelle:New York, NY [u.a.] : Wiley, 1992
Jahr Quelle:2018
Band/Heft Quelle:27(2018), 12, Seite 2733-2739
ISSN Quelle:1099-1611
Abstract:OBJECTIVE: Decisions to limit life-prolonging treatment (DLT) are often accompanied by psychological and ethical difficulties. The aim of the study is to investigate prevalence and intensity of moral distress (MD) as well as potential causes experienced by oncology physicians and nurses in DLT situations. - METHODS: This prospective study at a German university hospital included n = 100 advanced cancer inpatients with DLT. We surveyed their respective physicians and nurses to assess MD in DLT using an adapted distress thermometer and an open-ended question to specify reasons of MD. We also collected data on the decision-making process from the perspective of the clinicians. - RESULTS: Physicians report MD in 67% (n = 51) and nurses in 74% (n = 67) of the cases. The MD level in nurses (mean 2.3; SD 2.3) is significantly higher (P = .005) than in physicians (mean 1.5; SD 1.4). Uncertainties concerning ethical aspects in DLT in a patient case are associated with MD in both physicians (P = .024) and nurses (P = .004). Involvement of nurses in DLT is the strongest predictor (P = .000) for MD as indicated by physicians. Nurses experience MD especially, if the patient has a low quality of life (P = .001). - CONCLUSIONS: Moral distress is experienced by both oncologists and nurses in DLT. Nurses report higher MD intensity compared with physicians although the ultimate responsibility for DLT lies with the physicians. Support for the challenging decisions may be provided through the implementation of an ethical guideline and enhanced interprofessional communication.
DOI:doi:10.1002/pon.4868
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1002/pon.4868
 DOI: https://doi.org/10.1002/pon.4868
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adult
 Attitude of Health Personnel
 Attitude to Death
 Burnout, Professional
 cancer
 Compassion Fatigue
 Decision Making
 end-of-life
 Humans
 life sustaining treatment
 Male
 Medical Oncology
 Middle Aged
 moral distress
 Morals
 nurses
 Nurses
 oncology
 Physicians
 Prevalence
 Prospective Studies
 Terminal Care
 treatment limitation
 withdrawal
 withholding
K10plus-PPN:1693267721
Verknüpfungen:→ Zeitschrift

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