دورية أكاديمية
أعرض في EDS

The Right to Refuse: Understanding Healthcare Providers' Perspectives on Patient Autonomy in Emergency Care.

التفاصيل البيبلوغرافية
العنوان: The Right to Refuse: Understanding Healthcare Providers' Perspectives on Patient Autonomy in Emergency Care.
المؤلفون: Al-Wathinani AM; Department of Emergency Medical Services, Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh 11451, Saudi Arabia., Barten DG; Department of Emergency Medicine, VieCuri Medical Center, 5912 BL Venlo, The Netherlands., Alsahli H; Pharmaceutical Care Division, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia., Alhamid A; Primary Care Clinic and Emergency Department, Dental University Hospital-KSUMC, King Saud University, Riyadh 11451, Saudi Arabia., Alghamdi W; Department of Respiratory Services, King Abdulaziz Medical City, Ministry of National Guard, Riyadh 1154, Saudi Arabia., Alqahtani W; Department of Respiratory Services, King Abdulaziz Medical City, Ministry of National Guard, Riyadh 1154, Saudi Arabia., Alghamdi R; Department of Respiratory Services, King Abdulaziz Medical City, Ministry of National Guard, Riyadh 1154, Saudi Arabia., Aljuaid M; Department of Health Administration, College of Business Administration, King Saud University, Riyadh 11541, Saudi Arabia., Albaqami NA; Department of Emergency Medical Services, Prince Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh 11451, Saudi Arabia., Goniewicz K; Department of Security Studies, Polish Air Force University, 08-521 Dęblin, Poland.
المصدر: Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2023 Jun 15; Vol. 11 (12). Date of Electronic Publication: 2023 Jun 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101666525 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9032 (Print) Linking ISSN: 22279032 NLM ISO Abbreviation: Healthcare (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2013]-
مستخلص: Healthcare providers in prehospital care and emergency departments are often at the frontline of medical crises, facing a range of ethical dilemmas, particularly when it comes to patients refusing treatment. This study aimed to delve into the attitudes of these providers toward treatment refusal, unearthing the strategies they employ in navigating such challenging situations while actively working in prehospital emergency health services. Our findings showed that, as the participants' age and experience increased, so did their inclination to respect patient autonomy and avoid persuading them to change their decision about treatment. It was noted that doctors, paramedics, and emergency medical technicians demonstrated a deeper understanding of patients' rights than other medical specialists. However, even with this understanding, the prioritization of patients' rights tended to diminish in life-threatening situations, giving rise to ethical dilemmas. This underlines the complexity of balancing the healthcare professionals' responsibilities and the patients' autonomy, which can generate ethically challenging scenarios for those working in emergency healthcare. By investigating these attitudes and experiences, this study seeks to foster a more profound understanding of the ethical quandaries faced by emergency healthcare providers. Our ultimate aim is to contribute to the development of effective strategies that support both patients and professionals in managing these tough circumstances.
References: PLoS One. 2021 Mar 12;16(3):e0245900. (PMID: 33711025)
BMC Med Ethics. 2022 Aug 12;23(1):80. (PMID: 35962434)
J Subst Abuse Treat. 2020 May;112:23-28. (PMID: 32199542)
Ann Emerg Med. 2017 Nov;70(5):696-703. (PMID: 28559033)
J Med Ethics. 2022 Aug;48(8):504-509. (PMID: 34021059)
BMC Med Ethics. 2019 Nov 27;20(1):87. (PMID: 31775728)
Crit Care. 2019 Feb 22;23(1):64. (PMID: 30795786)
Ethics Med Public Health. 2021 Jun;17:100635. (PMID: 33553555)
West J Emerg Med. 2021 Feb 26;22(2):148-155. (PMID: 33856294)
Nurs Ethics. 2021 Feb;28(1):91-105. (PMID: 32996375)
Psychol Methods. 2009 Dec;14(4):323-48. (PMID: 19968396)
Int J Emerg Med. 2019 Jul 8;12(1):16. (PMID: 31286863)
J Interprof Care. 2020 May-Jun;34(3):324-331. (PMID: 31390903)
Resuscitation. 2021 Dec;169:143-145. (PMID: 34536561)
BMC Emerg Med. 2021 Jan 19;21(1):11. (PMID: 33468045)
Int J Environ Res Public Health. 2021 May 30;18(11):. (PMID: 34070882)
Healthcare (Basel). 2023 May 27;11(11):. (PMID: 37297715)
Emerg Med Australas. 2022 Feb;34(1):34-38. (PMID: 34258869)
Prehosp Disaster Med. 2023 Jun 05;:1-2. (PMID: 37272344)
Narrat Inq Bioeth. 2014 Spring;4(1):75-80. (PMID: 24748262)
Scand J Trauma Resusc Emerg Med. 2017 Jul 17;25(1):71. (PMID: 28716132)
Scand J Trauma Resusc Emerg Med. 2019 Aug 19;27(1):76. (PMID: 31426839)
Healthcare (Basel). 2020 Dec 24;9(1):. (PMID: 33374453)
Healthcare (Basel). 2023 Mar 10;11(6):. (PMID: 36981480)
Healthcare (Basel). 2023 Apr 29;11(9):. (PMID: 37174818)
BMC Med Ethics. 2022 Mar 19;23(1):29. (PMID: 35305627)
Telemed J E Health. 2023 Feb;29(2):156-171. (PMID: 35771956)
BMC Public Health. 2021 Oct 7;21(1):1801. (PMID: 34620136)
Educ Psychol Meas. 2015 Oct;75(5):785-804. (PMID: 29795841)
Saudi Med J. 2016 May;37(5):575-8. (PMID: 27146623)
Ann Emerg Med. 2003 Nov;42(5):689-96. (PMID: 14581923)
Prehosp Emerg Care. 2016 Jul-Aug;20(4):539-49. (PMID: 26836060)
East Mediterr Health J. 2020 Apr 16;26(4):468-476. (PMID: 32338366)
Prehosp Disaster Med. 2023 Jun;38(3):285-286. (PMID: 37264953)
BMC Med Ethics. 2021 Jun 30;22(1):82. (PMID: 34193147)
Int J Environ Res Public Health. 2022 May 05;19(9):. (PMID: 35565036)
فهرسة مساهمة: Keywords: emergency care; ethical dilemmas; healthcare providers; patient autonomy; prehospital care; treatment refusal
تواريخ الأحداث: Date Created: 20230628 Latest Revision: 20230701
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10297854
DOI: 10.3390/healthcare11121756
PMID: 37372874
قاعدة البيانات: MEDLINE
الوصف
تدمد:2227-9032
DOI:10.3390/healthcare11121756