Nurses' and social workers' attitudes and beliefs about and involvement in life-sustaining treatment decisions.
Data were collected from 213 nurses and 61 social workers at major hospitals across Israel. Whereas nurses reported being more involved in the daily care of terminally ill patients, social workers reported being more involved in discussions with patients and family members. Nurses were more willing than social workers to use artificial feeding and less willing to use mechanical ventilation and CPR for all conditions. Social workers expressed stronger beliefs about their involvement in end-of-life issues. These findings, which reflect the differences in the professional values and experiences of both groups, encourage the use of interdisciplinary teams to improve end-of-life decision making.
Werner
Perla
P
Department of Gerontology, Faculty of Social Welfare and Health Studies, University of Haifa, Mt. Carmel, Haifa 31905, Israel. wernerp@netvision.net.il
Carmel
Sara
S
Ziedenberg
Hanna
H
D000328:Adult; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D016887:Cardiopulmonary Resuscitation / Q000706:statistics & numerical data; D004750:Enteral Nutrition / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007557:Israel; D007585:Jews / Q000523:psychology; D008020:Life Support Care / Q000523:psychology / Q000706:statistics & numerical data*; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D010348:Patient Care Team; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D012067:Religion; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D012947:Social Work / Q000706:statistics & numerical data*; D013727:Terminal Care / Q000523:psychology