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Refractory suffering at the end of life and the assisted dying debate - an interview study with palliative care nurses and doctors

GUSTAD, Kristine Espegren ; ASKJER, Åsta ; NORTVEDT, Per ; FREDHEIM, Olav Magnus S ; MAGELSSEN, Morten
Clinical ethics, 28/07/2020, p. 1-7

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Barriers to end-of-life discussion with advanced cancer patient as perceived by oncologists, certified/specialized nurses in cancer nursing and medical social workers

KIMURA, Yasutaka ; HOSOYA, Miki ; TOJU, Kyoko ; SHIMIZU, Chikako ; MORITA, Tatsuya
Japanese journal of clinical oncology, 26/08/2020, Pagination inconnue

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Understanding nursing home staff attitudes toward death and dying - a survey

BUI, Nhat ; HALIFAX, Elizabeth ; DAVID, Daniel ; HUNT, Lauren ; UY, Edyssa ; RITCHIE, Christine ; STEPHENS, Caroline
The American journal of nursing, 08/2020, vol.120, n°8, p. 24-31

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Le rôle de la puéricultrice au sein d’une équipe ressource régionale en soins palliatifs pédiatriques

DURAND DU REPAIRE, Patricia ; JOUNIS-JAHAN, Florence
CAHIERS DE LA PUERICULTRICE, 02/2020, vol.57, n°334, p. 29-32

Neonatal end-of-life decision-making almost 20 years after the EURONIC study - a French survey

BOIZE, P. ; BORRHOMEE, S. ; MICHEL, P. ; BETREMIEUX, P. ; HUBERT, P. ; MORIETTE, G.
Archives de pédiatrie, 09/2019, vol.26, n°6, p. 330-336

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La personne face aux questions d'euthanasie - malades, proches, soignants

KARPLUS, Rivka
" Euthanasie, l'envers du décor ", Mols , 2019 , p. 109-126

Perception of provision of futile care among clinicians in the neuroscience intensive care unit

AMOROSO, Shanna ; CHALELA, Julio A.
The journal of neuroscience nursing, 10/2019, vol.51, n°5, p. 249-252

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What factors predict the confidence of palliative care delivery in long-term care staff? - a mixed-methods study

FREY, Rosemary ; BALMER, Deborah ; ROBINSON, Jackie ; BOYD, Michal ; GOTT, Merryn
International journal of older people nursing, 10/12/2019, Pagination inconnue

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"This is uncharted water for all of us" - challenges anticipated by hospital clinicians when voluntary assisted dying becomes legal in Victoria

MCDOUGALL, Rosalind ; HAYES, Barbara ; SELLARS, Marcus ; PRATT, Bridget ; HUTCHINSON, Anastasia ; TACEY, Mark ; DETERING, Karen ; SHADBOLT, Cade ; KO, Danielle
Australian health review, 22/11/2019, p. 1-6

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Medical assistance in dying - a point of care educational framework for attending physicians

GEWARGES, Mena ; GENCHER, Jason ; RODIN, Gary ; ABDULLAH, Nadine
Teaching and learning in medicine, 04/11/2019, p. 1-7

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Thème : Formation.

SUICIDE MEDICALEMENT ASSISTE ; FORMATION ; PERSONNEL MEDICAL

Issue: Medical assistance in dying (MAID) became legal in Quebec on December 10, 2015, and in the rest of Canada on June 17, 2016. This enabled 6,749 deaths through physician-assisted suicide or euthanasia between December 10, 2015 and October 31, 2018. While the death of a patient is a common experience for medical trainees, those that occur through MAID have unique features related to the methods, the timeline, the intended role of the physician in causing the death, and the request of the patient that initiates the process. These aspects necessitate a distinct approach to MAID medical education.
Evidence: Despite the legalization of MAID in a growing number of jurisdictions, there is virtually no literature to guide MAID education in clinical practice. The cumulative evidence regarding the impact of patient death on medical students, residents, and attending physicians suggests a need for supported discussion and debriefing to process and reflect on the emotional experiences that follow patient death. This is especially important with MAID, in which there are unique ethical and psychological issues related to the physician's direct role in causing the death of a patient. There is little published research on the impact such deaths have on physicians who provide MAID, or on others who are indirectly involved. However, there is evidence that learners desire MAID-specific education tailored to their unique needs. Didactic education about the medical and legal domains of MAID alone is insufficient to support learners' needs. Experiential case-based learning with supervisory support has the potential to enhance training in end-of-life care in general, and specifically in MAID. The authors' first clinical experience with a patient requesting MAID on an internal medicine clinical teaching unit (CTU) highlighted gaps in their preparedness to meet the associated professional and personal demands. Reflecting on these perceived gaps, and on the needs of learners identified in the literature on patient death and MAID education, the authors created a framework to guide learning at the point of care of a patient requesting MAID. Represented in a MAID Education Cogwheel and discussion guide, this framework specifies learning objectives and methods in six domains: medical, legal, moral, ethical, cultural, and psychosocial. Implications: Following a MAID request, attending physicians can use the framework to guide learners in ongoing conversations addressing these domains. Inter-professional participation can include such disciplines as psychiatry, palliative care, bioethics, pharmacy, nursing, physical and occupational therapy, social work, and spiritual care. Further research is necessary to test this framework to determine its' feasibility, efficacy, and generalizability.

Origine : PubMed

The health care providers' perspectives on end-of-life patients' sense of dignity - a comparison among four different professionals' categories

BOVERO, Andrea ; TOSI, Chiara ; BOTTO, Rossana ; CITO, Alessandra ; MALERBA, Valentina ; MOLFETTA, Valentina ; IERACI, Valentina ; TORTA, Riccardo
Journal of cancer education, 13/07/2019, p. 1-9

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Social disparities and symptom burden in populations with advanced cancer - specialist palliative care providers' perspectives

SANTOS SALAS, Anna ; WATANABE, Sharon M. ; TARUMI, Yoko ; WILDEMAN, Tracy ; HERMOSA GARCÍA, Ana M. ; ADEWALE, Bisi ; DUGGLEBY, Wendy
Supportive care in cancer, 10/04/2019, p. 1-12

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Moral distress and attitudes about timing related to comfort care for hospitalized patients - a survey of inpatient providers and nurses

BENDER, Melissa A. ; ANDRILLA, C. Holly A. ; SHARMA, Rashmi K. ; HURD, Caroline ; SOLVANG, Nicole ; MAE-BALDWIN, Laura
The American journal of hospice and palliative care, 11/2019, vol.36, n°11, p. 967-973

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Perinatal palliative care - a qualitative study evaluating the perspectives of pregnancy counselors

FLAIG, Franziska ; LOTZ, Julia D. ; KNOCHEL, Kathrin ; BORASIO, Gian Domenico ; FÜHRER, Monika ; HEIN, Kerstin
PALLIATIVE MEDICINE, 06/2019, vol.33, n°6, p. 704-711

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Panorama de jurisprudence

FLAVIN, Patrick ; MAZEIRAT, Anne-Sophie
LA REVUE HOSPITALIERE DE FRANCE, Fédération Hospitalière de France, 01/03/2018, n°581, p. 12-14

End-of-life situations in cardiology - a qualitative study of physicians and nurses’ experience in a large university hospital

ECARNOT, F. ; CHOPARD, R. ; SERONDE, M. F. ; SCHIELE, F. ; MENEVEAU, N.
Archives of cardiovascular diseases supplements, 04/2018, vol.10, n°2, p. 205

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Is it acceptable to video-record palliative care consultations for research and training purposes? - a qualitative interview study exploring the views of hospice patients, carers and clinical staff

PINO, Marco ; PARRY, Ruth ; FEATHERS, Luke ; FAULL, Christina
PALLIATIVE MEDICINE, 09/2017, vol.31, n°8, p. 707-715

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Seizing the opportunity - exploring barriers to use of transmucosal midazolam in hospice patients

PERNA, Samuel J. ; RHINEWALT, James M. ; CURRIE, Erin R.
JOURNAL OF PALLIATIVE MEDICINE, 05/2018, vol.21, n°5, p. 674-677

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Réanimation pédiatrique - la fonction d'altérance et le soutien aux soignants

SEGURET, Sylvie
GESTIONS HOSPITALIERES, Hospices civils de Lyon, 01/10/2017, n°569, p. 473-476

Connaissances du personnel médical sur l’évaluation de la douleur et les freins à l’analgésie chez les personnes vivant avec le VIH au Centre National Hospitalier et Universitaire Hubert-Koutoukou-Maga de Cotonou (Bénin)

PRUDENCIO, Roberto Dossou Torès Kouassi ; AGBODANDE, Kouessi Anthelme ; AZON-KOUANOU, Angèle ; ZANNOU, Djimon Marcel ; HOUNGBE, Fabien
MEDECINE PALLIATIVE, 10/2017, vol.16, n°5, p. 241-244

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