French laypeople's and health professionals' views on the acceptability of terminal sedation

Aim: To study the views on the acceptability of terminal sedation (TS) of laypeople and health professionals in France. Method: In November 2013-June 2015, 223 laypeople and 53 health professionals (21 physicians and 32) judged the acceptability of TS in 48 realistic scenarios composed of all combin...

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Bibliographische Detailangaben
Veröffentlicht in:Journal of Medical Ethics. in. - Society for the Study of Medical Ethics. - 42(2016), 10, Seite 627-631
1. Verfasser: Mazoyer, Julie (VerfasserIn)
Weitere Verfasser: Sastre, María Teresa Muñoz, Sorum, Paul Clay, Mullet, Etienne
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2016
Zugriff auf das übergeordnete Werk:Journal of Medical Ethics. in
Schlagworte:Economics Social sciences Health sciences Behavioral sciences Biological sciences Environmental studies
Beschreibung
Zusammenfassung:Aim: To study the views on the acceptability of terminal sedation (TS) of laypeople and health professionals in France. Method: In November 2013-June 2015, 223 laypeople and 53 health professionals (21 physicians and 32) judged the acceptability of TS in 48 realistic scenarios composed of all combinations of four factors: (a) the patients' life expectancy, (b) their request for sedation, (c) the decision-making process and (d) the type of sedation. In all scenarios, the patients were women with a terminal illness suffering from intractable pain and receiving the best possible care. The ratings were subjected to cluster analysis and analyses of variance. Results: Five qualitatively different positions were found that were termed 75 acceptable if decision taken collectively (15%), 75 acceptable if patient explicitly requested it (19%), 75 acceptable if patient did not explicitly oppose it (47%), 24-hour sedation not acceptable (6%) and 75 always acceptable (13%). The percentage of older participants in the 'always acceptable' cluster was higher than the percentage of younger participants. Conclusions: Laypeople and health professionals do not appear to be systematically opposed to TS. The most important factors in increasing its acceptability were the patients' request for sedation and the collective character of the decision-making process.
ISSN:14734257