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The involvement of nurses in end-of-life decision making: a cross cultural exploration

Processo: 11/50181-6
Linha de fomento:Auxílio à Pesquisa - Regular
Vigência: 01 de maio de 2011 - 30 de abril de 2013
Área do conhecimento:Ciências da Saúde - Enfermagem
Convênio/Acordo: University of Surrey
Pesquisador responsável:Regina Szylit
Beneficiário:Regina Szylit
Pesq. responsável no exterior: Ann Gallagher
Instituição no exterior: University of Surrey, Inglaterra
Instituição-sede: Escola de Enfermagem (EE). Universidade de São Paulo (USP). São Paulo , SP, Brasil
Assunto(s):Filosofia da enfermagem  Ética da enfermagem 
Palavra(s)-Chave do Pesquisador:Cross Cultural | Decision Making | End Of Life | Ethics | Nurses


Developments in medical technology and pharmacology make it possible to extend life, to alleviate pain and to hasten death at the end of life. End of life (EOL) decision-making is, therefore, becoming increasingly complex and challenging for health professionals and also for patients and families. Nurses are active participants in end-of-life decision-making. As such, it is important to consider what involvement they have and what influences are brought to bear on that process. The project aims: to identify the range of EOL decisions that nurses see themselves either making or contributing to; to identify features of the decision-making process; to describe the nature of nurses' involvement in EOL decision-making; to explore factors in two different cultural contexts (Brazil and UK) that influence nurses' EOL decision-making; and to develop educational materials to assist nurses to engage ethically with EOL decision-making. A literature review is currenly underway and will inform the study design, however, it is invisaged that this will be a mixed-methods study involving: qualitative interviews with nurses; and a survey using a previously validated questionnaire. Outputs will include: the development of an international research team; a research report; publications in high impact nursing and ethics journals; and research seminars in both universities. (AU)

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