Decision Making With Bioethical Perspective in Palliative Care en Mexico

NCT03913390 | Completed

• 1 other identifier: 218901374
• Study Type: observational
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

All clinical practice includes decision making, and sometimes you are ethically challenging because of the consequences it will bring to the patient, the health professional or society in general. Ethics seeks the best solution to a better treatment and seeks to increase the quality of life of the patient with correct decision making. Ethical / bioethical considerations are of a generic nature, and do not apply to specific situations. Therefore, it is suggested that there should be guidelines or recommendations in the field of palliative care in Mexico that may be an adjunct to decision making. The relevance of knowledge, application and management of ethical / bioethical recommendations is unknown as part of decision-making by professionals dedicated to palliative care in our country, taking into consideration the principles of autonomy, beneficence, non-malfeasance and Justice. It is necessary to consider the participation of patients, caregivers and health personnel in this decision making process of decisions. This study intends to identify the current situation of this issue in Mexico. To analyze the characteristics of decision-making with bioethical involvement in palliative care in a representative sample of care professionals in some regions of the country. Quantitative method:

• Describe the current situation in decision-making with bioethical involvement in palliative care.
• Identify if the personnel dedicated to palliative care know guidelines or recommendations related to decision-making in palliative care and the current legal framework.
• Know the strategies that palliative care personnel follow in situations in which the decision to make is difficult or problematic. Qualitative method:
• Know the particular situations that signify a conflict or situation with bioethical implications for health professionals in palliative care.
• Analyze the variables that influence decision-making around the application of bioethics in palliative care.

Conditions

Palliative Care

Keywords

Guideline; Decision Making; Bioethics; Palliative Care; Terminal Care

Outcome Measures

Primary Outcomes (2)

• Quantitative results

  Demographic data, Bioethics training, Experience with clinical situations with bioethical implication.

  1 year

• Qualitative results

  The last two questions with a qualitative approach, the objective is to obtain a broader view of the characteristics of decision-making, considering that palliative care by definition is an approach to care from different disciplines

  1 year

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Quantitative sampling: Non-probabilistic sampling for convenience, of an open nature. Aimed at a specific professional profile according to the theme, the study identified the characteristics of decision-making of the health personnel working in the context of palliative care in different cities of Mexico, the result was not considered generalizable. The Statistical Package for the Social Sciences 21® (SPSS) software was used for statistical analysis. Qualitative sampling: A sampling called critical case was followed, according to which cases are chosen based on characteristics that can provide different perspectives on the phenomenon, this choice was based on the profession of the participant, the years of seniority in palliative care and that the cases reflected a bioethical conflict or dilemma. Qualitative Data Analysis Atlas Ti version 6.0® software was used for statistical analysis.

You may qualify if:

• Agree to participate in the study.
• Health personnel engaged in palliative care
• Work in the public and/or private sector.
• Incomplete survey.
• Elegibility criteria for the qualitative sample:
• The participants who answered questions 19 and 20 of the survey sent by Google Forms were chosen.
• Of these, the profession of origin was identified to select those that belonged to professions that are from the disciplines that make up the multidisciplinary teams in palliative care, additionally; The time of work experience in this area was considered, they were included with more than 10 years of experience and less than 10.
• Likewise, the variability of cases and those that reflected an ethical conflict were looked for.
• Ineligibility criteria for the qualitative sample:
• Those cases where similar situations or scenarios were described were discarded.

Sponsors & Collaborators

• University of Guadalajara: lead

Study Sites (1)

Rosa Margarita Alvarez Alvarez

Zapopan, Jalisco, 45170, Mexico

Location

Study Officials

• Rodrigo Ramos-Zuñiga, MD PhD

  University of Guadalajara

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: April 7, 2019
• First Posted: April 12, 2019
• Study Start: April 12, 2019
• Primary Completion: August 20, 2019
• Study Completion: November 5, 2020
• Last Updated: December 11, 2020

Record last verified: 2020-12

Locations

ME (1)