安乐死：加泰罗尼亚参照对象经验的混合方法研究

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2024-01-01 DOI:10.1016/j.gaceta.2024.102435

Núria Masnou , Anna Quintanas , Carla Planas , Albert Planes

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引用次数: 0

摘要

目的：根据加泰罗尼亚卫生研究所（ICS）安乐死参照物的经验，确定临终协助（PAM）提供的优势和挑战。方法：混合方法研究（n=31），采用两个封闭式问卷（定量分析）和两个开放式领域的结构化访谈（定性分析），通过电子邮件进行自我管理。所有ICS参试者（n=50）均接受了治疗。第一份问卷（n=31）和访谈（n=12）针对所有参试者。第二份问卷（n=7）和访谈（n=6）只针对那些也直接参与了PAM的人。结果被三角化，并作为一个综合分析。结果：从定量和定性反应的整合中，出现了六个主题块：1)奉献与补偿；2)培训;3)薄弱环节和难点；4)情绪和心理影响；5)对生命终结问题的考虑；6)动机和来自联系人的建议。从联合分析中，得出了改进建议：补偿PAM所带来的工作量，改进培训，确保良心反对符合法律，并审查法律的各个方面，如程序，截止日期，跨学科性，模糊性和排除案例。它确立了：参照作用的有用性；尊重患者自主权可抵消专业人员的负性情绪；PAM促进对医学目的的反思。结论：安乐死参照者的经验可以指导其他专业人员，并为机构领导和卫生管理人员提供指导。

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La eutanasia: un estudio de metodología mixta sobre la experiencia de los referentes en Cataluña

Objective

To identify strengths and challenges in the provision of assistance in dying (PAM) based on the experiences of the Catalan Health Institute (ICS) euthanasia referents.

Method

Mixed-methods study (n = 31), using two closed-ended questionnaires (quantitative analysis) and two structured interviews with open-ended fields (qualitative analysis), self-administered via email. All ICS referents (n = 50) received them. The first questionnaire (n = 31) and interview (n = 12) were addressed to all referents. The second questionnaire (n = 7) and interview (n = 6) were directed only to those who had also directly participated in a PAM. The results were triangulated and are presented as an integrated analysis.

Results

From the integration of quantitative and qualitative responses, six thematic blocks emerged: 1) dedication and compensation; 2) training; 3) weak points and difficulties; 4) emotional and psychological impact; 5) considerations on end-of-life issues; and 6) motivations and advice from contacts. From the joint analysis, proposals for improvement were concluded: compensate for the workload that PAM implies, improve training, ensure that conscientious objection is in accordance with the law, and review aspects of the LORE, as procedures, deadlines, interdisciplinarity, ambiguities, and excluded cases. It was established: the usefulness of the referent role; respecting patient autonomy offsets negative emotions in professionals; PAM promotes reflection on the purposes of medicine.

Conclusions

Euthanasia referents’ experiences can guide other professionals and suggest guidelines for institutional leaders and health managers.

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.