[An exploratory qualitative study on decisions to reduce current active therapeutic staff working in emergency care and the decisions-making of health care teams in emergency room treatment.].
During the last decade, end of life care has become a public health problem in France. The objective of this study is to give an account of the limitations of decisions made by emergency room staff. An analysis was conducted to better understand practices and the logical decision-making processes by two emergency room teams. Twenty-three interviews (22 individual interviews and one focus group) were conducted with doctors, nurses, nursing auxiliaries and members of families. Based on the recommendations of the French society of emergency medicine, we examine the place of the doctor, the healthcare team, the family and the patient in these decisions. The study reveals that, beyond general principles approved by health professionals, today it is the practical implementation of these recommendations that is necessary in order to for a change in practice.
Magali
M
Tourneret
Jean-Christophe
JC
Mino
D001291:Attitude of Health Personnel; D003657:Decision Making; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D006801:Humans; D010348:Patient Care Team; D036301:Qualitative Research; D013727:Terminal Care