[Ethical attitudes in Spanish pediatric critical care units]. / Encuesta de ética en las unidades de cuidados intensivos pediátricos españolas.
An Pediatr (Barc)
; 64(6): 542-9, 2006 Jun.
Article
en Es
| MEDLINE
| ID: mdl-16792962
ABSTRACT
OBJECTIVES:
To assess physicians' awareness and experience of ethical problems that arise when dealing with critically ill children in pediatric intensive care units (PICUs). MATERIAL ANDMETHODS:
Questionnaires containing 20 questions about ethical dilemmas and attitudes related to the care of children admitted to PICUs were mailed to 43 PICUs in Spain.RESULTS:
Ninety-five responses corresponding to 24 residents and 71 attending physicians were received from 21 PICUs. The occurrence of ethical dilemmas in the PICU was recognized by 96.8 % of the respondents. The most frequent method of solving these problems was through medical consensus (80 %), while family participation in the decision making process was highly variable. A total of 95.8 % of respondents stated that decisions to limit therapy were made in their PICU, although only one third of these decisions were written in the medical record. The most frequent form of therapeutic limitation was the do not resuscitate order. One third (32.6 %) of participants considered there were ethical differences between withdrawal and withholding of treatment. Attending physicians had greater experience of therapeutic limitation than did residents, but their opinions on the subject were similar.CONCLUSIONS:
Ethical dilemmas are common in the PICU. In this setting, decisions about limitation of therapy are frequent, although many physicians admit to not being clear on this issue or on other aspects of clinical ethics. Family members' participation in the decision making process is insufficient in Spanish PICUs.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pediatría
/
Cuidados Críticos
/
Ética Clínica
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Aspecto:
Ethics
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Es
Revista:
An Pediatr (Barc)
Asunto de la revista:
PEDIATRIA
Año:
2006
Tipo del documento:
Article
País de afiliación:
España