[Professional and family perception on care and compliance with the end of life regulations. A qualitative study.]

Pablo Echeverría-Esparza, María José Lasanta-Sáez, Lázaro Elizalde-Soto,Elena Antoñanzas-Baztán

Revista espanola de salud publica(2021)

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摘要
OBJECTIVE:The scope and types of health interventions in the dying process are the subject of a social and professional debate that has been increasing in recent years. The objective of the study was focused on analyzing the perceptions of professionals and relatives of patients who have recently died and assessing the degree of compliance with the rights established in the current legislation on this subject. METHODS:Qualitative research with a hermeneutical phenomenological approach carried out in 2019 by conducting and analyzing two discussion groups with health professionals from hospital and primary care, and four groups with relatives of recently deceased patients, divided by age ranges: 18- 30 years old, 31-45, 46-60 and over 60. RESULTS:The total number of people included in the study was 28 participants. Family members and professionals find it difficult to communicate with each other in the context of health care at the end of life. Family members and professionals agree on their preference to die at home. There are specific deficiencies in knowledge about the terminology used at the end of life. The term "euthanasia" is the one best known by family members. CONCLUSIONS:Deficiencies in knowledge of the rights established in the regulations related to the death process have been detected, both in relatives of patients and in professionals. These deficiencies contribute to breaches of legal regulations. Communication difficulties related to death between the professionals-patient-family trinomial are the most relevant related factor.
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关键词
Advance wishes,Attitude towards death,Death,Family members,Health care,Health legislation,Professionals,Qualitative research,Rights,Spain
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