title: [Knowledge and attitudes of health professionals to the living will declaration process].
abstract: OBJECTIVE
  To identify the underlying interests of the Living Will Declaration (LWD) process and to determine the consensus, using a questionnaire, of the knowledge and attitudes of health professionals.
  
  
  METHODS
  A study was performed in two phases using a Delphi technique with a Rand method. 1. Dimensions proposed: generation of ideas and their subsequent prioritizing; 2. Proposal and prioritizing of items grouped into blocks of Knowledge and Attitudes, developed between August 2012 and January 2013.
  
  
  METHODS
  The work was carried out by initial telephone contact with panellists, and then later by the panellists belonged to the Andalusia Public Health System.
  
  
  METHODS
  The criteria for selecting the eight components of the panel were knowledge and experience in the field of the freedom of the patient in Andalusia.
  
  
  RESULTS
  The Knowledge identified included: 1 A) Legal and general aspects; 2 A) A conceptual definition; 3 A) Standardised LWD documents: 4 A) Practical experience; 5 A) Procedure and registering of the LWDs. The second block included Attitudes: 1 B) Attitudes of the professional in the application of LWDs in clinical practice, and 2 B) Attitudes of the professional in «complex» ethical scenarios The 7 panellists who finally took part proposed 165 items. After applying the prioritizing criteria, scores, and scenario selection, 58 (35.2%) items were identified as suitable scenarios.
  
  
  CONCLUSIONS
  The proposed questionnaire included wide parcels of concepts and contents that, once validated, will help to measure the training interventions carried out on health professionals in order to improve knowledge and attitudes on the subject of LWDs.
authors.affiliation: Distrito Sanitario Costa del Sol, Servicio Andaluz de Salud, Mijas, Málaga, España. Electronic address: eugenio.contreras.sspa@juntadeandalucia.es.
authors.forename: Eugenio
authors.initials: E
authors.lastname: Contreras-Fernández
authors.affiliation: Unidad Investigación, Agencia Sanitaria Costa del Sol, Marbella, Málaga, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), ISCIII, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Rivas-Ruiz
authors.affiliation: Unidad Gestión Clínica Arroyo de la Miel, Distrito Sanitario Costa del Sol, Mijas, Málaga, España.
authors.forename: Jose
authors.initials: J
authors.lastname: Castilla-Soto
authors.affiliation: Registro de Voluntades Vitales Anticipadas de Andalucía, Consejería de Igualdad, Salud y Políticas Sociales, Sevilla, España.
authors.forename: Camila
authors.initials: C
authors.lastname: Méndez-Martínez
mesh_terms: D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D016224:Living Wills; D011795:Surveys and Questionnaires
keywords: Bioethics; Bioética; Derechos del paciente; Early decision planning; Instrucciones previas; Living will; Patient rights; Planificación anticipada de decisiones; Previous instructions; Testamento vital