Decision Making With Bioethical Perspective in Palliative Care en Mexico

All clinical practice includes decision making, and sometimes you are ethically challenging because of the consequences it will bring to the patient, the health professional or society in general. Ethics seeks the best solution to a better treatment and seeks to increase the quality of life of the patient with correct decision making. Ethical / bioethical considerations are of a generic nature, and do not apply to specific situations. Therefore, it is suggested that there should be guidelines or recommendations in the field of palliative care in Mexico that may be an adjunct to decision making. The relevance of knowledge, application and management of ethical / bioethical recommendations is unknown as part of decision-making by professionals dedicated to palliative care in our country, taking into consideration the principles of autonomy, beneficence, non-malfeasance and Justice. It is necessary to consider the participation of patients, caregivers and health personnel in this decision making process of decisions. This study intends to identify the current situation of this issue in Mexico.

To analyze the characteristics of decision-making with bioethical involvement in palliative care in a representative sample of care professionals in some regions of the country.

Quantitative method:

* Describe the current situation in decision-making with bioethical involvement in palliative care. * Identify if the personnel dedicated to palliative care know guidelines or recommendations related to decision-making in palliative care and the current legal framework. * Know the strategies that palliative care personnel follow in situations in which the decision to make is difficult or problematic.

Qualitative method:

* Know the particular situations that signify a conflict or situation with bioethical implications for health professionals in palliative care. * Analyze the variables that influence decision-making around the application of bioethics in palliative care.

Completed

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Key information

Conditions

Palliative Care

Sex eligibility

All sexes

Study type

Observational

Primary location

Rosa Margarita Alvarez Alvarez

Zapopan, Jalisco, 45170, Mexico

About this study

Mixed study, for the quantitative part, it was prospective, descriptive, and cross-sectional investigation; on the qualitative part it was a case study. A sample of 72 health professionals was considered for the quantitative part and 8 for the qualitative part. The sampling strategy was for convenience. Data collection was achieved through a semi-structured survey applied in a virtual environment with the Google Forms platform. The quantitative data analysis was with descriptive measures of central tendency using the Statistical Package for the Social Sciences 21® (SPSS) software, and the qualitative ones with thematic content analysis techinique through the Qualitative Data Analysis Atlas Ti version 6.0® software.

Informed consent was obtained from the participants for the use of the data.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

for the quantitative sample:

Agree to participate in the study.
Health personnel engaged in palliative care
Work in the public and/or private sector.

Non- inclusion criteria:

Incomplete survey.

Elegibility criteria for the qualitative sample:

The participants who answered questions 19 and 20 of the survey sent by Google Forms were chosen.
Of these, the profession of origin was identified to select those that belonged to professions that are from the disciplines that make up the multidisciplinary teams in palliative care, additionally; The time of work experience in this area was considered, they were included with more than 10 years of experience and less than 10.
Likewise, the variability of cases and those that reflected an ethical conflict were looked for.

Ineligibility criteria for the qualitative sample:

Those cases where similar situations or scenarios were described were discarded.

Treatment and study plan

Primary outcomes

Quantitative results

Time frame: 1 year

Demographic data, Bioethics training, Experience with clinical situations with bioethical implication.
Qualitative results

Time frame: 1 year

The last two questions with a qualitative approach, the objective is to obtain a broader view of the characteristics of decision-making, considering that palliative care by definition is an approach to care from different disciplines

Sponsors and collaborators

Lead sponsor

University of Guadalajara

Other

Registry information

Official study title

Descriptive Study on Decision Making With a Bioethical Perspective in Some Cities of Mexico

Important dates

Study start: 2019
Primary completion: 2019
Study completion: 2020
First posted: Apr 12, 2019
Registry last updated: Dec 11, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed