Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life

Objectives—To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect Design, subjects and setting–A 138-item attitudinal questionnaire c...

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Veröffentlicht in:Journal of medical ethics 2000-08, Vol.26 (4), p.254-260
1. Verfasser: Dickenson, Donna L
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description Objectives—To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect Design, subjects and setting–A 138-item attitudinal questionnaire completed by 469 UK nurses studying the Open University course on “Death and Dying” was compared with a similar questionnaire administered to 759 US nurses and 687 US doctors taking the Hastings Center course on “Decisions near the End of Life”. Results–Practitioners accept the relevance of concepts widely disparaged by bioethicists: double effect, medical futility, and the distinctions between heroic/ordinary interventions and withholding/ withdrawing treatment. Within the UK nurses' group a “rationalist” axis of respondents who describe themselves as having “no religion” are closer to the bioethics consensus on withholding and withdrawing treatment. Conclusions—Professionals' beliefs differ substantially from the recommendations of their professional bodies and from majority opinion in bioethics. Bioethicists should be cautious about assuming that their opinions will be readily accepted by practitioners.
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Practitioner attitudes in the US and UK towards decisions at the end of life</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>Objectives—To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect Design, subjects and setting–A 138-item attitudinal questionnaire completed by 469 UK nurses studying the Open University course on “Death and Dying” was compared with a similar questionnaire administered to 759 US nurses and 687 US doctors taking the Hastings Center course on “Decisions near the End of Life”. Results–Practitioners accept the relevance of concepts widely disparaged by bioethicists: double effect, medical futility, and the distinctions between heroic/ordinary interventions and withholding/ withdrawing treatment. 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Practitioner attitudes in the US and UK towards decisions at the end of life</title><author>Dickenson, Donna L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b673t-7be9010e6d7a038f5277e1363530cdd535a8897fd173baa33fdb0c6d8b5ad88b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Attitude of Health Personnel</topic><topic>Attitude to Death</topic><topic>Attitudes</topic><topic>Bioethics</topic><topic>Death</topic><topic>Death &amp; dying</topic><topic>Death and dying</topic><topic>Decision Making</topic><topic>Double effect</topic><topic>Double Effect Principle</topic><topic>Ethicists</topic><topic>Ethics</topic><topic>Ethics, Medical</topic><topic>Euthanasia</topic><topic>Euthanasia, Active</topic><topic>Futile medical care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intention</topic><topic>Internationality</topic><topic>Life Support Care - standards</topic><topic>Life Support Care - statistics &amp; 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Results–Practitioners accept the relevance of concepts widely disparaged by bioethicists: double effect, medical futility, and the distinctions between heroic/ordinary interventions and withholding/ withdrawing treatment. Within the UK nurses' group a “rationalist” axis of respondents who describe themselves as having “no religion” are closer to the bioethics consensus on withholding and withdrawing treatment. Conclusions—Professionals' beliefs differ substantially from the recommendations of their professional bodies and from majority opinion in bioethics. Bioethicists should be cautious about assuming that their opinions will be readily accepted by practitioners.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Institute of Medical Ethics</pub><pmid>10951920</pmid><doi>10.1136/jme.26.4.254</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Attitude of Health Personnel
Attitude to Death
Attitudes
Bioethics
Death
Death & dying
Death and dying
Decision Making
Double effect
Double Effect Principle
Ethicists
Ethics
Ethics, Medical
Euthanasia
Euthanasia, Active
Futile medical care
Hospitals
Humans
Intention
Internationality
Life Support Care - standards
Life Support Care - statistics & numerical data
Medical ethics
Medical Futility
Morality
Morals
Motivation
Nurses
Nurses - psychology
Nurses - statistics & numerical data
Patient care
Philosophers
Physicians
Physicians - psychology
Physicians - statistics & numerical data
Questionnaires
refusal of treatment
Social Values
Surveys and Questionnaires
Terminal Care - standards
United Kingdom
United States
withdrawal of care
Withdrawal of treatment
Withholding Treatment
Writers
title Are medical ethicists out of touch? Practitioner attitudes in the US and UK towards decisions at the end of life
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