| Attitudes towards ethical problems in critical care medicine: the Chinese perspective. | |
| | |
MedLine Citation:
|
PMID: 21264669 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
INTRODUCTION: Critical care doctors are frequently faced with clinical problems that have important ethical and moral dimensions. While Western attitudes and practice are well documented, little is known of the attitudes or practice of Chinese critical care doctors. METHODS: An anonymous, written, structured questionnaire survey was translated from previously reported ethical surveys used in Europe and Hong Kong. A snowball method was used to identify 534 potential participants from 21 regions in China. RESULTS: A total of 315 (59%) valid responses were analysed. Most respondents (66%) reported that admission to an intensive care unit (ICU) was commonly limited by bed availability, but most (63%) would admit patients with a poor prognosis to ICU. Only 19% of respondents gave complete information to patients and family, with most providing individually adjusted information, based on prognosis and the recipient's educational level. Only 28% disclosed all details of an iatrogenic incident, despite 62% stating that they should. The use of do not resuscitate orders or limitation of life-sustaining therapy in terminally ill patients reported as uncommon and according to comparable reports, both are more common practice in Hong Kong or Europe. In contrast to European practices, doctors were more acquiescent to families in decision-making at the end of life. CONCLUSIONS: A number of differences in ethical attitudes and related behaviour between Chinese, Hong Kong and European ICU doctors were documented. A likely explanation is differing cultural background, and doctors should be aware of likely expectations when treating patients from a different culture. |
| | |
Authors:
|
Li Weng; Gavin M Joynt; Anna Lee; Bin Du; Patricia Leung; Jinming Peng; Charles D Gomersall; Xiaoyun Hu; Hui Y Yap; |
Related Documents
:
|
21538039 - Palliative care and end-of-life issues in patients treated with left ventricular assist... 21485939 - A two-round delphi study examining consensus of recommended clinical practices for pati... 10162709 - Book adds new chapters to managed-care debate. 21412629 - Predictive validity of the braden scale for pressure ulcer risk in critical care patients. 8017539 - Ethnic differences in midwife-attended us births. 21277449 - Management principles of the critically ill obstetric patient. 15286539 - Factors associated with nurse assessment of the quality of dying and death in the inten... 10900369 - Effects of transmural care on coordination and continuity of care. 11570539 - Inverted television and video games to maintain neck extension. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-1-25 |
Journal Detail:
|
Title: Intensive care medicine Volume: - ISSN: 1432-1238 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-1-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7704851 Medline TA: Intensive Care Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Medical Intensive Care Unit, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, People's Republic of China. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Description of early gastric cancer with wall-carving technique on multidetector computed tomography...
Next Document: Degenerative cervical spondylolisthesis: a systematic review.