Do Spanish Hospital Professionals Educate Their Patients About Advance Directives?: A Descriptive Study in a University Hospital in Madrid, Spain
Journal of Bioethical Inquiry 13 (2):295-303 (2016)
AbstractIt is unknown whether hospital-based medical professionals in Spain educate patients about advance directives. The objective of this research was to determine the frequency of hospital-based physicians’ and nurses’ engagement in AD discussions in the hospital and which patient populations merit such efforts. A short question-and-answer-based survey of physicians and nurses taking care of inpatients was conducted at a university hospital in Madrid, Spain. In total, 283 surveys were collected from medical professionals, of whom 71 per cent were female, with an average age of thirty-four years. Eighty-four per cent had never educated patients about ADs because of lack of perceived responsibility, time, or general knowledge of ADs. Patient populations that warranted AD discussions included those with terminal illnesses, chronic diseases, and elderly patients. Regarding degree of AD understanding in medical professionals: 57 per cent of medical professionals claimed sufficient general knowledge of ADs, 19 per cent understood particulars regarding AD document creation, and 16 per cent were aware of AD regulatory policies. Engagement in AD discussions was considered important by 83 per cent of medical professionals, with 79 per cent interested in participating in such discussions themselves. The majority of hospital physicians and nurses do not educate their patients about ADs, despite acknowledging their importance. Patient populations of highest priority included those with terminal diseases or chronic illness or who are of advanced age.
Added to PP
Historical graph of downloads
References found in this work
Protecting Prisoners’ Autonomy with Advance Directives: Ethical Dilemmas and Policy Issues.Roberto Andorno, David M. Shaw & Bernice Elger - 2015 - Medicine, Health Care and Philosophy 18 (1):33-39.
Citations of this work
The Use of Advance Directives in Specialized Care Units: A Focus Group Study With Healthcare Professionals in Madrid.Benjamín Herreros, María José Monforte, Julia Molina, María Velasco, Karmele Olaciregui Dague & Emanuele Valenti - 2020 - Journal of Bioethical Inquiry 17 (3):395-405.
Why Have Advance Directives Failed in Spain?Benjamín Herreros, María Benito, Pablo Gella, Emanuele Valenti, Beatriz Sánchez & Tayra Velasco - 2020 - BMC Medical Ethics 21 (1):1-13.
Similar books and articles
Comparison of Patients' and Health Care Professionals' Attitudes Towards Advance Directives.D. Blondeau, P. Valois, E. W. Keyserlingk, M. Hebert & M. Lavoie - 1998 - Journal of Medical Ethics 24 (5):328-335.
An Analysis of Common Arguments Against Advance Directives.M. Mitchell - 2012 - Nursing Ethics 19 (2):245-251.
Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations.J. Vollmann - 2001 - Medicine, Health Care and Philosophy 4 (2):161-167.
Minority Populations and Advance Directives: Insights From a Focus Group Methodology.Joshua M. Hauser, Sharon F. Kleefield, Troyen A. Brennan & Ruth L. Fischbach - 1997 - Cambridge Quarterly of Healthcare Ethics 6 (1):58-71.
Physicians's Reports on the Impact of Living Wills at the End of Life in Japan.Y. Masuda - 2003 - Journal of Medical Ethics 29 (4):248-252.
Advance Directives in Turkey's Cultural Context: Examining the Potential Benefits for the Implementation of Patient Rights.Tolga Guven & Gurkan Sert - 2010 - Bioethics 24 (3):127-133.
Advance Directives for Voluntary Euthanasia: A Volatile Combination?Leslie Pickering Francis - 1993 - Journal of Medicine and Philosophy 18 (3):297-322.
The Role of Advance Directives in End-of-Life Decisions in Austria: Survey of Intensive Care Physicians. [REVIEW]Eva Schaden, Petra Herczeg, Stefan Hacker, Andrea Schopper & Claus G. Krenn - 2010 - BMC Medical Ethics 11 (1):1-6.
Korean Nurses' Attitudes to Good and Bad Death, Life-Sustaining Treatment and Advance Directives.Shinmi Kim & Yunjung Lee - 2003 - Nursing Ethics 10 (6):624-637.
Advance Directives in Turkey's Cultural Context: Examining the Potential Benefits for the Implementation of Patient Rights.Gurkan Sert Tolga Guven - 2010 - Bioethics 24 (3):127-133.
Advance Medical Directives: A Proposed New Approach and Terminology From an Islamic Perspective. [REVIEW]Hamdan Al-Jahdali, Salim Baharoon, Abdullah Al Sayyari & Ghiath Al-Ahmad - 2013 - Medicine, Health Care and Philosophy 16 (2):163-169.
Advance Directives for Non-Therapeutic Dementia Research: Some Ethical and Policy Considerations.R. L. Berghmans - 1998 - Journal of Medical Ethics 24 (1):32-37.
Survey of the General Public's Attitudes Toward Advance Directives in Japan: How to Respect Patients' Preferences. [REVIEW]Hiroaki Miyata, Hiromi Shiraishi & Ichiro Kai - 2006 - BMC Medical Ethics 7 (1):1-9.
The Value History: A Necessary Family Document.Renate G. Justin - 1987 - Theoretical Medicine and Bioethics 8 (3).