Evaluating Decision-Making Capacity: Challenges Faced by Clinicians in Switzerland

IF 0.8 Q4 PSYCHOLOGY, DEVELOPMENTAL
L. M. Iseli, T. Wangmo, Helena Hermann, M. Trachsel, B. Elger
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引用次数: 5

Abstract

The study identified factors that make an evaluation of decision-making capacity (DMC) difficult for clinicians in their daily work. Semistructured interviews were carried out with 24 healthcare professionals from Switzerland and subsequently thematically analyzed. The challenges they faced when evaluating DMC stemmed from three main concerns: patient characteristics that impede DMC evaluation; differing opinions and consequences of DMC evaluation; and familial and legal situations that complicate such evaluations. Physicians must be adequately trained to evaluate DMC as it is closely related to basic ethical principles of respect for patients’ autonomy and beneficence. Extensive training on DMC evaluation and the legal concept of capacity should be part of pre- and postgraduate education.
评估决策能力:瑞士临床医生面临的挑战
该研究确定了临床医生在日常工作中难以评估决策能力(DMC)的因素。对来自瑞士的24名医疗保健专业人员进行了半结构化访谈,随后进行了主题分析。他们在评估DMC时面临的挑战主要来自三个方面:阻碍DMC评估的患者特征;DMC评价的不同意见和后果;以及家庭和法律情况使这种评估复杂化。医生必须经过充分的培训来评估DMC,因为它与尊重患者自主和慈善的基本伦理原则密切相关。在学前教育和研究生教育中,应广泛培训DMC评价和法律能力概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.00
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0.00%
发文量
30
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