Croatian physicians' and nurses' experience with ethical issues in clinical practice

Journal of Medical Ethics 34 (6):450-455 (2008)

Abstract
Aim: To assess ethical issues in everyday clinical practice among physicians and nurses of the University Hospital Rijeka, Rijeka, Croatia.Subjects and methods: We surveyed the entire population of internal medicine, oncology and intensive care specialists and associated nurses employed at the University Hospital Rijeka, Rijeka, Croatia . An anonymous questionnaire was used to explore the type and frequency of ethical dilemmas, rank of their difficulty, access to and use of ethics support services, training in ethics and confidence about knowledge in ethics. Physicians ranged in age from 27 to 61 years, and nurses , from 20 to 52.Results: The most frequent ethical dilemmas concerned uncertain or impaired decision-making capacity , limitation of treatment at the end of life and disagreements among family members . The most difficult dilemmas concerned euthanasia and physician-assisted suicide and limitation of treatment at the end of life . Only a minority reported ever using any kind of ethics support services or being very confident about knowledge in ethics .Conclusions: Similar ethical difficulties are present in the clinical practice of both physicians and nurses, with important differences in access and use of ethics support services. A need for systematic ethics educational activities was identified. Inclusion of individual ethics consultants in Croatian healthcare ethics support services is strongly advised
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1136/jme.2007.021402
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 46,355
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

View all 8 citations / Add more citations

Similar books and articles

Social Structure and Nursing Research.Stuart Nairn - 2009 - Nursing Philosophy 10 (3):191-202.
Moral Perception and the Pursuit of Medical Philosophy.David J. Casarett - 1999 - Theoretical Medicine and Bioethics 20 (2):125-139.
Challenging the Conception of Care in Nursing.David Perry - 1998 - Hastings Center Report 28 (5):44-45.
Why Physicians Should Not Do Ethics Consults.Frank H. Marsh - 1992 - Theoretical Medicine and Bioethics 13 (3).
Ethics in Nursing.Martin Benjamin - 1992 - Oxford University Press.

Analytics

Added to PP index
2010-08-24

Total views
17 ( #533,620 of 2,286,100 )

Recent downloads (6 months)
1 ( #835,155 of 2,286,100 )

How can I increase my downloads?

Downloads

My notes

Sign in to use this feature