Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras

Background: Clinical teams working at chronic hemodialysis centers (CHC) frequently have to face ethical problems, but there is no systematic approach to deal with them. Aim: To study the ethical problems perceived by health professionals at CHC. Material and Methods: Eighty randomly selected physic...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Vukusich,Antonio, Catoni,María Isabel, Salas,Sofía P, Valdivieso,Andrés, Browne,Francisca, Roessler,Emilio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Ethics Patient rights Renal dialysis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000100003
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872016000100003
record_format	dspace
spelling	oai:scielo:S0034-988720160001000032016-03-17Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermerasVukusich,AntonioCatoni,María IsabelSalas,Sofía PValdivieso,AndrésBrowne,FranciscaRoessler,Emilio Ethics Patient rights Renal dialysis Background: Clinical teams working at chronic hemodialysis centers (CHC) frequently have to face ethical problems, but there is no systematic approach to deal with them. Aim: To study the ethical problems perceived by health professionals at CHC. Material and Methods: Eighty randomly selected physicians and 139 nurses from 23 CHC, answered a structured questionnaire, devised by the research team. Results: Twenty-six percent of respondents had postgraduate studies in clinical ethics. The ethical problems mentioned by respondents were therapeutic disproportion in 66.7%, lack of communication between patients, their families and the clinical team in 25.9%, personal conflicts of interests related with hemodialysis prescription in 14.6% and conflicts of interests of other members of the clinical team in 30.6%. The percentage of respondents that experienced not starting or discontinuing hemodialysis treatment due to decision of patients relatives was 86.8%. Only 45.2% of health professionals had the opportunity to take part in decision-making meetings. Eighty seven percent of respondents supported the use of advanced directives in the event of a cardio respiratory arrest during treatment. Conclusions: To improve the approach to ethical problems in CHC, it is necessary to improve training in clinical ethics, promote an effective dialogue between the patients, their families and health professionals, and follow their advance directives in case of cardiac arrest during treatment.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.1 20162016-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000100003es10.4067/S0034-98872016000100003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Ethics Patient rights Renal dialysis
spellingShingle	Ethics Patient rights Renal dialysis Vukusich,Antonio Catoni,María Isabel Salas,Sofía P Valdivieso,Andrés Browne,Francisca Roessler,Emilio Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras
description	Background: Clinical teams working at chronic hemodialysis centers (CHC) frequently have to face ethical problems, but there is no systematic approach to deal with them. Aim: To study the ethical problems perceived by health professionals at CHC. Material and Methods: Eighty randomly selected physicians and 139 nurses from 23 CHC, answered a structured questionnaire, devised by the research team. Results: Twenty-six percent of respondents had postgraduate studies in clinical ethics. The ethical problems mentioned by respondents were therapeutic disproportion in 66.7%, lack of communication between patients, their families and the clinical team in 25.9%, personal conflicts of interests related with hemodialysis prescription in 14.6% and conflicts of interests of other members of the clinical team in 30.6%. The percentage of respondents that experienced not starting or discontinuing hemodialysis treatment due to decision of patients relatives was 86.8%. Only 45.2% of health professionals had the opportunity to take part in decision-making meetings. Eighty seven percent of respondents supported the use of advanced directives in the event of a cardio respiratory arrest during treatment. Conclusions: To improve the approach to ethical problems in CHC, it is necessary to improve training in clinical ethics, promote an effective dialogue between the patients, their families and health professionals, and follow their advance directives in case of cardiac arrest during treatment.
author	Vukusich,Antonio Catoni,María Isabel Salas,Sofía P Valdivieso,Andrés Browne,Francisca Roessler,Emilio
author_facet	Vukusich,Antonio Catoni,María Isabel Salas,Sofía P Valdivieso,Andrés Browne,Francisca Roessler,Emilio
author_sort	Vukusich,Antonio
title	Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras
title_short	Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras
title_full	Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras
title_fullStr	Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras
title_full_unstemmed	Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras
title_sort	problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000100003
work_keys_str_mv	AT vukusichantonio problemaseticoclinicosenhemodialisiscronicapercepciondemedicosyenfermeras AT catonimariaisabel problemaseticoclinicosenhemodialisiscronicapercepciondemedicosyenfermeras AT salassofiap problemaseticoclinicosenhemodialisiscronicapercepciondemedicosyenfermeras AT valdiviesoandres problemaseticoclinicosenhemodialisiscronicapercepciondemedicosyenfermeras AT brownefrancisca problemaseticoclinicosenhemodialisiscronicapercepciondemedicosyenfermeras AT roessleremilio problemaseticoclinicosenhemodialisiscronicapercepciondemedicosyenfermeras
_version_	1718436859385741312

Problemas ético-clínicos en hemodiálisis crónica: percepción de médicos y enfermeras

Ejemplares similares