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Objective: To investigate ED and intensive care unit healthcare professionals' perspectives and knowledge of the law that underpins end-of-life decision-making in Queensland, Australia.

Methods: An online survey with questions about perspectives, perceived, and actual, knowledge of the law was distributed by the professional organisations of medical practitioners, nurses and social workers who work in Queensland EDs and intensive care units.

Results: The survey responses of 126 healthcare professionals were included in the final analysis. Most respondents agreed that the law was relevant to end-of-life decision-making, but that clinician and family consensus mattered more than following the law. Generally, doctors' legal knowledge was higher than nurses'; however, there were significant gaps in the knowledge of all respondents about the operation of advance health directives in Queensland.

Conclusions: The legal framework that supports end-of-life decision-making for adults who lack decision-making capacity has been in place for more than two decades. Despite frequently being involved in making or enacting these decisions, gaps in the legal knowledge of healthcare professionals who work in EDs and intensive care units in Queensland are evident. Further research to better understand how to improve knowledge and application of the law is warranted.

Titel:	End-of-life decision-making in the emergency department and intensive care unit: Health professionals' perspectives on and knowledge of the law in Queensland.
Autor/in / Beteiligte Person:	Hewitt, J ; Alsaba, N ; May, K ; Kang, E ; Cartwright, C ; Willmott, L ; White, B ; Marshall, AP
Link:	Full Text Finder (Volltext)
Zeitschrift:	Emergency medicine Australasia : EMA, Jg. 36 (2024-06-01), Heft 3, S. 429-435
Veröffentlichung:	Wes Melbourne, Victoria : Blackwell Pub., c2004-, 2024
Medientyp:	academicJournal
ISSN:	1742-6723 (electronic)
DOI:	10.1111/1742-6723.14377
Schlagwort:	Humans Queensland Surveys and Questionnaires Adult Male Female Middle Aged Attitude of Health Personnel Health Knowledge, Attitudes, Practice Decision Making Terminal Care legislation & jurisprudence Intensive Care Units organization & administration Emergency Service, Hospital organization & administration Emergency Service, Hospital legislation & jurisprudence Health Personnel psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Emerg Med Australas] 2024 Jun; Vol. 36 (3), pp. 429-435. <i>Date of Electronic Publication: </i>2024 Feb 15. MeSH Terms: Decision Making* ; Terminal Care* / legislation & jurisprudence ; Intensive Care Units* / organization & administration ; Emergency Service, Hospital* / organization & administration ; Emergency Service, Hospital* / legislation & jurisprudence ; Health Personnel* / psychology ; Humans ; Queensland ; Surveys and Questionnaires ; Adult ; Male ; Female ; Middle Aged ; Attitude of Health Personnel ; Health Knowledge, Attitudes, Practice References: Mead N, Bower P. Patient‐centredness: a conceptual framework and review of the empirical literature. Soc. Sci. Med. 2000; 51: 1087–1110. https://doi.org/10.1016/S0277‐9536(00)00098‐8. ; Joseph‐Williams N, Elwyn G, Edwards A. 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Grant Information: RGS2020044 Gold Coast Health Collaborative Research Grant Scheme Contributed Indexing: Keywords: advance health directive; end‐of‐life decision‐making; medical record audit; substitute decision‐maker; withholding treatment Entry Date(s): Date Created: 20240216 Date Completed: 20240519 Latest Revision: 20240519 Update Code: 20240520

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End-of-life decision-making in the emergency department and intensive care unit: Health professionals' perspectives on and knowledge of the law in Queensland.