RESUMEN
End-of-life care and the limitation of therapeutic effort are among the most controversial aspects of medical practice. Many subjective factors can influence decision-making regarding these issues. The Q methodology provides a scientific basis for the systematic study of subjectivity by identifying different thought patterns. This methodology was performed to find student profiles in 143 students at Cantabria University (Spain), who will soon deal with difficult situations related to this topic. A chi-square test was used to compare proportions. We obtained three profiles: the first seeks to ensure quality of life and attaches great importance to the patient's wishes; the second prioritizes life extension above anything else; the third incorporates the economic perspective into medical decision-making. Those who had religious beliefs were mostly included in profile 2 (48.8% vs. 7.3% in profile 1 and 43.9% in profile 3), and those who considered that their beliefs did not influence their ethical principles, were mainly included in profile 3 (48.5% vs. 24.7% in profile 1 and 26.8% in profile 2). The different profiles on end-of-life care amongst medical students are influenced by personal factors. Increasing the clinical experience of students with terminally ill patients would contribute to the development of knowledge-based opinion profiles and would avoid reliance on personal experiences.
Asunto(s)
Estudiantes de Medicina , Cuidado Terminal , Toma de Decisiones Clínicas , Humanos , Percepción , Calidad de Vida , Cuidado Terminal/métodosRESUMEN
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Asunto(s)
Humanos , Tratamiento de Urgencia/tendencias , Respiración Artificial/enfermería , Cuidados Críticos , Relaciones Médico-Enfermero , Apoyo Vital Cardíaco AvanzadoRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Cetoacidosis Diabética/terapia , Resultado del Tratamiento , Hemofiltración , FluidoterapiaRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Fallo Hepático Agudo/clasificación , Fallo Hepático Agudo/diagnóstico , Atención Terciaria de Salud , Terminología como AsuntoRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Fallo Hepático Agudo/clasificación , Fallo Hepático Agudo/diagnóstico , Atención Terciaria de Salud , Terminología como AsuntoRESUMEN
No disponible