Surgeon Perspectives Regarding Death and Dying.
J Palliat Med
; 22(2): 132-137, 2019 02.
Article
en En
| MEDLINE
| ID: mdl-30457430
ABSTRACT
BACKGROUND:
Surgical patients most commonly receive palliative care services within 24-48 hours of death, and reasons for this delay are poorly understood. Research with nonsurgeons suggests that physician characteristics and beliefs about death and dying may contribute to late referral.OBJECTIVE:
To describe surgeon perspectives related to death and dying, and their relationship with delayed referrals to palliative care.DESIGN:
Using a previously validated survey instrument supplemented by open-ended questions, deductive content analysis was used to describe surgeon preferences for end-of-life care. SETTINGS Participants were all current nonretired members of the American Society of Colon and Rectal Surgeons. MAIN OUTCOMEMEASURES:
Surgeon descriptions of a "good death" and how personal experiences influence care provided.RESULTS:
Among 131 survey respondents (response rate 16.5%), 117 (89.3%) completed all or part of the qualitative portion of the survey. Respondents consistently reported their personal preferences for end-of-life care, and four central themes emerged (1) pain and symptom management, (2) clear decision making, (3) avoidance of medical care, and (4) completion. Surgeons also reflected on both good and bad experiences with patients and family members dying, and how these experiences impact practice.LIMITATIONS:
The small sample size inherent to Internet surveys may limit generalizability and contribute to selection bias.CONCLUSION:
This study reveals surgeon preferences for end-of-life care, which may inform initiatives aimed at surgeons who may underuse or delay palliative care services. Future studies are needed to better understand how surgeon preferences may directly impact treatment recommendations for their patients.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cuidados Paliativos
/
Cuidado Terminal
/
Actitud del Personal de Salud
/
Actitud Frente a la Muerte
/
Cuidados Paliativos al Final de la Vida
/
Cirujanos
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Qualitative_research
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Palliat Med
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2019
Tipo del documento:
Article