Arie J. G. van der Arend, Huda Huijer Abu-Saad, Frans C. B. van Wijmen, Cor Spreeuwenberg & Ruud H. J. ter Meulen
Nursing Ethics 15 (5):682-695 (2008)
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
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DOI | 10.1177/0969733008092876 |
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