Factors Affecting Life-Sustaining Treatment Decisions by Health Care Surrogates and Proxies: Assessing Benefits and Barriers

被引：4

作者：

Buckey, Julia W. ^{[2
]}

Abell, Neil ^{[1
]}

机构：

[1] Florida State Univ, Coll Social Work, Tallahassee, FL 32306 USA

[2] Univ Cent Florida, Sch Social Work, Orlando, FL 32816 USA

来源：

SOCIAL WORK IN HEALTH CARE | 2009年 / 48卷 / 04期

关键词：

health care surrogate; health care proxy; life-sustaining treatment decisions; health care decision-making; HBM (Health Belief Model); SUBSTITUTED JUDGMENT; END; SUPPORT; WITHDRAWAL; FAMILIES;

D O I：

10.1080/00981380802606680

中图分类号：

C916 [社会工作、社会管理、社会规划];

学科分类号：

1204 ;

摘要：

Terri Schiavo's life and death placed international focus on social workers' need to better understand and serve health care surrogates and proxies making life-sustaining treatment decisions on behalf of medical patients. This study (N = 132) reports initial validation of a new measure, the Acceptance of Treatment Choice Inventory (ATCI), designed to evaluate benefits and barriers considered by health care surrogates and proxies prior to making a life-sustaining treatment decision about CPR, tube-feedings, dialysis, and ventilation. Affirming a two-factor model with acceptable reliability and preliminary construct validity, surrogates sought decision support and desired to represent patients' wishes adequately.

引用

页码：386 / 401

页数：16

共 28 条

[1] Families looking back: One year after discussion of withdrawal or withholding of life-sustaining support [J].

Abbott, KH ;

Sago, JG ;

Breen, CM ;

Abernethy, AP ;

Tulsky, JA .

CRITICAL CARE MEDICINE, 2001, 29 (01) :197-201

[2] After-death interviews with surrogates/bereaved family members: Some issues of validity [J].

Addington-Hall, J ;

McPherson, C .

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2001, 22 (03) :784-790

[3] The need to revise assumptions about the end of life:: Implications for social work practice [J].

Bern-Klug, M ;

Gessert, C ;

Forbes, S .

HEALTH & SOCIAL WORK, 2001, 26 (01) :38-48

[4]

Buckey J. W., 2007, DISS ABSTR INT A, V68, P2169

[5] Validation of the health care surrogate preferences scale [J].

Buckey, JW ;

Abell, N .

SOCIAL WORK, 2004, 49 (03) :432-440

[6]

Christ GH, 1999, SOC WORK HEALTH CARE, V30, P81

[7] RESEARCH IN PATIENT AND FAMILY DECISION-MAKING REGARDING LIFE SUSTAINING AND LONG-TERM CARE [J].

COULTON, CJ .

SOCIAL WORK IN HEALTH CARE, 1990, 15 (01) :63-78

[8] Communication and decision-making in seriously ill patients: Findings of the SUPPORT project [J].

Covinsky, KE ;

Fuller, JD ;

Yaffe, K ;

Johnston, CB ;

Hamel, MB ;

Lynn, J ;

Teno, JM ;

Phillips, RS .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (05) :S187-S193

[9] Translating psychosocial insight into ethical discussions supportive of families in end-of-life decision-making [J].

Foster, LW ;

McLellan, LJ .

SOCIAL WORK IN HEALTH CARE, 2002, 35 (03) :37-51

[10]

George Linda K, 2002, Gerontologist, V42 Spec No 3, P86

← 1 2 3 →