Decisions near the end of life: professional views on life-sustaining treatments. Solomon, Z, M., O'Donnell, L., Jennings, B., Guilfoy, V., Wolf, M, S., Nolan, K., Jackson, R., Koch-Weser, D., & Donnelley, S. American journal of public health, 83(1):14--23, January, 1993. abstract bibtex OBJECTIVES: How do health care professionals assess the care of hospital patients near the end of life? Are physicians and nurses aware of and in agreement with national recommendations regarding patients' rights to forgo life-sustaining medical treatments and to receive adequate pain control? METHODS: We surveyed 687 physicians and 759 nurses in 5 hospitals. RESULTS: Almost half (47%) of all respondents and fully 70% of the house officers reported that they had acted against their conscience in providing care to the terminally ill. Four times as many respondents were concerned about the provision of overly burdensome treatment than about undertreatment. CONCLUSIONS: In summary, many physicians and nurses were disturbed by the degree to which technological solutions influence care during the final days of a terminal illness and by the undertreatment of pain. However, changes in the care of dying patients may not have kept pace with national recommendations, in part because many physicians and nurses disagreed with and may have been unaware of some key guidelines, such as the permissibility of withdrawing treatments.
@article{ solomon_decisions_1993,
title = {Decisions near the end of life: professional views on life-sustaining treatments},
volume = {83},
issn = {0090-0036},
shorttitle = {Decisions near the end of life},
abstract = {{OBJECTIVES}: How do health care professionals assess the care of hospital patients near the end of life? Are physicians and nurses aware of and in agreement with national recommendations regarding patients' rights to forgo life-sustaining medical treatments and to receive adequate pain control?
{METHODS}: We surveyed 687 physicians and 759 nurses in 5 hospitals.
{RESULTS}: Almost half (47%) of all respondents and fully 70% of the house officers reported that they had acted against their conscience in providing care to the terminally ill. Four times as many respondents were concerned about the provision of overly burdensome treatment than about undertreatment.
{CONCLUSIONS}: In summary, many physicians and nurses were disturbed by the degree to which technological solutions influence care during the final days of a terminal illness and by the undertreatment of pain. However, changes in the care of dying patients may not have kept pace with national recommendations, in part because many physicians and nurses disagreed with and may have been unaware of some key guidelines, such as the permissibility of withdrawing treatments.},
language = {eng},
number = {1},
journal = {American journal of public health},
author = {Solomon, M Z and O'Donnell, L and Jennings, B and Guilfoy, V and Wolf, S M and Nolan, K and Jackson, R and Koch-Weser, D and Donnelley, S},
month = {January},
year = {1993},
pmid = {8417600},
pmcid = {PMC1694502},
keywords = {Attitude of Health Personnel, Consensus, Decision Making, Disclosure, Ethics, Medical, Ethics, Nursing, Euthanasia, Passive, Health Knowledge, Attitudes, Practice, Humans, Life Support Care, Nurses, Patient Participation, Physicians, Practice Guidelines as Topic, Questionnaires, Risk Assessment, United States, Withholding Treatment},
pages = {14--23}
}
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Four times as many respondents were concerned about the provision of overly burdensome treatment than about undertreatment. CONCLUSIONS: In summary, many physicians and nurses were disturbed by the degree to which technological solutions influence care during the final days of a terminal illness and by the undertreatment of pain. However, changes in the care of dying patients may not have kept pace with national recommendations, in part because many physicians and nurses disagreed with and may have been unaware of some key guidelines, such as the permissibility of withdrawing treatments.","author":["Solomon","Z, M","O'Donnell, L","Jennings, B","Guilfoy, V","Wolf","M, S","Nolan, K","Jackson, R","Koch-Weser, D","Donnelley, S"],"author_short":["Solomon","Z, M.","O'Donnell, L.","Jennings, B.","Guilfoy, V.","Wolf","M, S.","Nolan, K.","Jackson, R.","Koch-Weser, D.","Donnelley, S."],"bibtex":"@article{ solomon_decisions_1993,\n title = {Decisions near the end of life: professional views on life-sustaining treatments},\n volume = {83},\n issn = {0090-0036},\n shorttitle = {Decisions near the end of life},\n abstract = {{OBJECTIVES}: How do health care professionals assess the care of hospital patients near the end of life? Are physicians and nurses aware of and in agreement with national recommendations regarding patients' rights to forgo life-sustaining medical treatments and to receive adequate pain control?\n{METHODS}: We surveyed 687 physicians and 759 nurses in 5 hospitals.\n{RESULTS}: Almost half (47%) of all respondents and fully 70% of the house officers reported that they had acted against their conscience in providing care to the terminally ill. Four times as many respondents were concerned about the provision of overly burdensome treatment than about undertreatment.\n{CONCLUSIONS}: In summary, many physicians and nurses were disturbed by the degree to which technological solutions influence care during the final days of a terminal illness and by the undertreatment of pain. However, changes in the care of dying patients may not have kept pace with national recommendations, in part because many physicians and nurses disagreed with and may have been unaware of some key guidelines, such as the permissibility of withdrawing treatments.},\n language = {eng},\n number = {1},\n journal = {American journal of public health},\n author = {Solomon, M Z and O'Donnell, L and Jennings, B and Guilfoy, V and Wolf, S M and Nolan, K and Jackson, R and Koch-Weser, D and Donnelley, S},\n month = {January},\n year = {1993},\n pmid = {8417600},\n pmcid = {PMC1694502},\n keywords = {Attitude of Health Personnel, Consensus, Decision Making, Disclosure, Ethics, Medical, Ethics, Nursing, Euthanasia, Passive, Health Knowledge, Attitudes, Practice, Humans, Life Support Care, Nurses, Patient Participation, Physicians, Practice Guidelines as Topic, Questionnaires, Risk Assessment, United States, Withholding Treatment},\n pages = {14--23}\n}","bibtype":"article","id":"solomon_decisions_1993","issn":"0090-0036","journal":"American journal of public health","key":"solomon_decisions_1993","keywords":"Attitude of Health Personnel, Consensus, Decision Making, Disclosure, Ethics, Medical, Ethics, Nursing, Euthanasia, Passive, Health Knowledge, Attitudes, Practice, Humans, Life Support Care, Nurses, Patient Participation, Physicians, Practice Guidelines as Topic, Questionnaires, Risk Assessment, United States, Withholding Treatment","language":"eng","month":"January","number":"1","pages":"14--23","pmcid":"PMC1694502","pmid":"8417600","shorttitle":"Decisions near the end of life","title":"Decisions near the end of life: professional views on life-sustaining treatments","type":"article","volume":"83","year":"1993","bibbaseid":"solomon-z-odonnell-jennings-guilfoy-wolf-m-nolan-jackson-kochweser-donnelley-decisionsneartheendoflifeprofessionalviewsonlifesustainingtreatments-1993","role":"author","urls":{},"keyword":["Attitude of Health Personnel","Consensus","Decision Making","Disclosure","Ethics","Medical","Ethics","Nursing","Euthanasia","Passive","Health Knowledge","Attitudes","Practice","Humans","Life Support Care","Nurses","Patient Participation","Physicians","Practice Guidelines as Topic","Questionnaires","Risk Assessment","United States","Withholding Treatment"],"downloads":0,"html":""},"bibtype":"article","biburl":"https://oncourse.iu.edu/access/content/user/jdodell/Public%20Folder/colib.bib","creationDate":"2014-12-11T22:13:23.975Z","downloads":0,"keywords":["attitude of health personnel","consensus","decision making","disclosure","ethics","medical","ethics","nursing","euthanasia","passive","health knowledge","attitudes","practice","humans","life support care","nurses","patient participation","physicians","practice guidelines as topic","questionnaires","risk assessment","united states","withholding treatment"],"search_terms":["decisions","near","end","life","professional","views","life","sustaining","treatments","solomon","z","o'donnell","jennings","guilfoy","wolf","m","nolan","jackson","koch-weser","donnelley"],"title":"Decisions near the end of life: professional views on life-sustaining treatments","year":1993,"dataSources":["jzatBN8frdsbSEMvG"]}