Alleviation of Pain and Symptoms With a Life-Shortening Intention
This article reports the findings of a study into the role of Dutch nurses in the alleviation of pain and symptoms with a life-shortening intention, conducted as part of a study into the role of nurses in medical end-of-life decisions. A questionnaire survey was carried out using a population of 150...
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| Veröffentlicht in: | Nursing ethics 2008-09, Vol.15 (5), p.682-695 |
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| container_title | Nursing ethics |
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| creator | van Bruchem-van de Scheur, Grada (Ada) G van der Arend, Arie JG Abu-Saad, Huda Huijer van Wijmen, Frans CB Spreeuwenberg, Cor ter Meulen, Ruud HJ |
| description | This article reports the findings of a study into the role of Dutch nurses in the alleviation of pain and symptoms with a life-shortening intention, conducted as part of a study into the role of nurses in medical end-of-life decisions. A questionnaire survey was carried out using a population of 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The response rate was 82.0%; 78.1% (1179) were suitable for analysis. The results show that in about half of the cases (55.8%) nurses were involved in the decision making by the physician and that nurses were frequently (81.5%) involved in administering the medication. The authors' conclusion is that alleviation of pain and symptoms with a life-shortening intention represents a `grey' area, in which physicians and nurses act on the basis of personal ethical norms rather than legal rules, professional guidelines or shared moral values. |
| doi_str_mv | 10.1177/0969733008092876 |
| format | Article |
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A questionnaire survey was carried out using a population of 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The response rate was 82.0%; 78.1% (1179) were suitable for analysis. The results show that in about half of the cases (55.8%) nurses were involved in the decision making by the physician and that nurses were frequently (81.5%) involved in administering the medication. The authors' conclusion is that alleviation of pain and symptoms with a life-shortening intention represents a `grey' area, in which physicians and nurses act on the basis of personal ethical norms rather than legal rules, professional guidelines or shared moral values.</description><identifier>ISSN: 0969-7330</identifier><identifier>EISSN: 1477-0989</identifier><identifier>DOI: 10.1177/0969733008092876</identifier><identifier>PMID: 18687821</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Alleviation ; Assisted suicide ; Decision making ; Decision Making - ethics ; End of life decisions ; Ethics ; Ethics, Nursing ; Euthanasia ; Euthanasia - ethics ; Female ; Humans ; Male ; Middle Aged ; Netherlands ; Nurse's Role ; Nurses ; Nursing ; Nursing homes ; Pain ; Pain - drug therapy ; Pain - nursing ; Patients ; Physicians ; Symptoms ; Terminal Care - ethics</subject><ispartof>Nursing ethics, 2008-09, Vol.15 (5), p.682-695</ispartof><rights>SAGE Publications © Sep 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-912363058f3a2d93aea6b5552741752751534b884beff066f6d6bfe86202a67d3</citedby><cites>FETCH-LOGICAL-c425t-912363058f3a2d93aea6b5552741752751534b884beff066f6d6bfe86202a67d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0969733008092876$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0969733008092876$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,12846,21819,27924,27925,30999,31000,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18687821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Bruchem-van de Scheur, Grada (Ada) G</creatorcontrib><creatorcontrib>van der Arend, Arie JG</creatorcontrib><creatorcontrib>Abu-Saad, Huda Huijer</creatorcontrib><creatorcontrib>van Wijmen, Frans CB</creatorcontrib><creatorcontrib>Spreeuwenberg, Cor</creatorcontrib><creatorcontrib>ter Meulen, Ruud HJ</creatorcontrib><title>Alleviation of Pain and Symptoms With a Life-Shortening Intention</title><title>Nursing ethics</title><addtitle>Nurs Ethics</addtitle><description>This article reports the findings of a study into the role of Dutch nurses in the alleviation of pain and symptoms with a life-shortening intention, conducted as part of a study into the role of nurses in medical end-of-life decisions. A questionnaire survey was carried out using a population of 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The response rate was 82.0%; 78.1% (1179) were suitable for analysis. The results show that in about half of the cases (55.8%) nurses were involved in the decision making by the physician and that nurses were frequently (81.5%) involved in administering the medication. The authors' conclusion is that alleviation of pain and symptoms with a life-shortening intention represents a `grey' area, in which physicians and nurses act on the basis of personal ethical norms rather than legal rules, professional guidelines or shared moral values.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alleviation</subject><subject>Assisted suicide</subject><subject>Decision making</subject><subject>Decision Making - ethics</subject><subject>End of life decisions</subject><subject>Ethics</subject><subject>Ethics, Nursing</subject><subject>Euthanasia</subject><subject>Euthanasia - ethics</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Nurse's Role</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing homes</subject><subject>Pain</subject><subject>Pain - drug therapy</subject><subject>Pain - nursing</subject><subject>Patients</subject><subject>Physicians</subject><subject>Symptoms</subject><subject>Terminal Care - 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ethics</topic><topic>End of life decisions</topic><topic>Ethics</topic><topic>Ethics, Nursing</topic><topic>Euthanasia</topic><topic>Euthanasia - ethics</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Nurse's Role</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing homes</topic><topic>Pain</topic><topic>Pain - drug therapy</topic><topic>Pain - nursing</topic><topic>Patients</topic><topic>Physicians</topic><topic>Symptoms</topic><topic>Terminal Care - ethics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Bruchem-van de Scheur, Grada (Ada) G</creatorcontrib><creatorcontrib>van der Arend, Arie JG</creatorcontrib><creatorcontrib>Abu-Saad, Huda Huijer</creatorcontrib><creatorcontrib>van Wijmen, Frans CB</creatorcontrib><creatorcontrib>Spreeuwenberg, Cor</creatorcontrib><creatorcontrib>ter Meulen, Ruud HJ</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Bruchem-van de Scheur, Grada (Ada) G</au><au>van der Arend, Arie JG</au><au>Abu-Saad, Huda Huijer</au><au>van Wijmen, Frans CB</au><au>Spreeuwenberg, Cor</au><au>ter Meulen, Ruud HJ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alleviation of Pain and Symptoms With a Life-Shortening Intention</atitle><jtitle>Nursing ethics</jtitle><addtitle>Nurs Ethics</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>15</volume><issue>5</issue><spage>682</spage><epage>695</epage><pages>682-695</pages><issn>0969-7330</issn><eissn>1477-0989</eissn><abstract>This article reports the findings of a study into the role of Dutch nurses in the alleviation of pain and symptoms with a life-shortening intention, conducted as part of a study into the role of nurses in medical end-of-life decisions. A questionnaire survey was carried out using a population of 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The response rate was 82.0%; 78.1% (1179) were suitable for analysis. The results show that in about half of the cases (55.8%) nurses were involved in the decision making by the physician and that nurses were frequently (81.5%) involved in administering the medication. The authors' conclusion is that alleviation of pain and symptoms with a life-shortening intention represents a `grey' area, in which physicians and nurses act on the basis of personal ethical norms rather than legal rules, professional guidelines or shared moral values.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>18687821</pmid><doi>10.1177/0969733008092876</doi><tpages>14</tpages></addata></record> |
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| ispartof | Nursing ethics, 2008-09, Vol.15 (5), p.682-695 |
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| subjects | Adult Aged Aged, 80 and over Alleviation Assisted suicide Decision making Decision Making - ethics End of life decisions Ethics Ethics, Nursing Euthanasia Euthanasia - ethics Female Humans Male Middle Aged Netherlands Nurse's Role Nurses Nursing Nursing homes Pain Pain - drug therapy Pain - nursing Patients Physicians Symptoms Terminal Care - ethics |
| title | Alleviation of Pain and Symptoms With a Life-Shortening Intention |
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