Advance directives of patient’s will: A study among resident physicians
Introduction: The advance directives of the patient's will are a tool that prioritizes the will, intention and discernment of the patient, it was conducted in the form of a document that expresses the types of treatments that the individual wishes to receive in the instant that he or she is not able to make their own decisions anymore.
Objective: To investigate the level of agreement of resident physicians in a public hospital, about the Resolution 1995/2012 of the Federal Council of Medicine of Brazil which deals with Advance Directives.
Methods: This is a descriptive and exploratory study with a quantitative approach. To collect data, an adapted questionnaire containing socio-demographic questions and also questions about the subject was used, using the Likert scale. It was performed a descriptive and inferential statistical analysis by the Chi square adherence test.
Results: It was found that about 98% of the participants fully or partly agree to respect the wishes of the patients or their representatives, if they are unable to express themselves. However, 73% of participants reported to disregard the wishes of the patient if they contravene the Medical Ethics Code and 76.9% of physicians agree that advance directives should be recorded in the medical record. It is noteworthy that expressed favorable that the wishes of the patient prevails over the wishes of the family.
Conclusion: It is noticed that the physicians participating in the research, understand and agree with the assumptions of Resolution 1995/2012 of the Federal Council of Medicine of Brazil, which guides as the Advance Directives, considering it adequate and appropriate to direct medical action against dilemmas and conflictive situations that commonly arise in the management of patients in terminal condition.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).