OBJECTIVE: : to understand the difficulties and limitations in the implementation of advance directives of will in the hospital context. METHOD: : qualitative, exploratory and descriptive study conducted by means of semi-structured interviews with nurses, resident physicians and family caregivers. The data were analyzed by using discursive textual analysis based on the framework of bioethics principles. RESULTS: : the following categories emerged: Terminality as an expression of loss and cure as an option for care; concerns about legal implications; advance directives of will demand patient autonomy and proper communication. CONCLUSION: : limitations and difficulties in practice of advance directives of will from the perspective of the participants show, apart from countless conflicts and dilemmas regarding end-of life matters, that impending death experiences obstruct patients' wishes.
OBJECTIVE: : to understand the difficulties and limitations in the implementation of advance directives of will in the hospital context. METHOD: : qualitative, exploratory and descriptive study conducted by means of semi-structured interviews with nurses, resident physicians and family caregivers. The data were analyzed by using discursive textual analysis based on the framework of bioethics principles. RESULTS: : the following categories emerged: Terminality as an expression of loss and cure as an option for care; concerns about legal implications; advance directives of will demand patient autonomy and proper communication. CONCLUSION: : limitations and difficulties in practice of advance directives of will from the perspective of the participants show, apart from countless conflicts and dilemmas regarding end-of life matters, that impending death experiences obstruct patients' wishes.
Authors: Vania Novelli Domingues; Luísa Castro; Monica Domingues Monteiro; José Antonio Cordero da Silva; Francisca Rego; Guilhermina Rego Journal: Front Public Health Date: 2022-02-23