Medical students' knowledge about end-of-life decision-making

Detalhes bibliográficos
Autor(a) principal: Pinheiro,Anielli
Data de Publicação: 2011
Outros Autores: Nakazone,Marcelo Arruda, Leal,Fernanda Silva, Pinhel,Marcela Augusta Souza, Souza,Dorotéia Rossi Silva, Cipullo,José Paulo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Educação Médica (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022011000200005
Resumo: The influence of medical students' knowledge concerning end-of-life care, considering ethical theories and clinical practice, remains controversial. We aimed to investigate medical students' knowledge of bioethical concepts related to moral kinds of death (euthanasia, disthanasia, and orthothanasia) and to analyze the influence of their clinical experience on practicing such approaches in a tertiary hospital in the state of São Paulo, Brazil. We interviewed 180 medical students [distributed in Group 1 (G1) - first to third- year students, and Group 2 (G2) - fourth to sixth-year students] to evaluate the influence of the course on "medical ethics" on ethical theories and clinical practice, using a closed questionnaire. The course on "medical ethics" did not distinguish the groups (P=0.704) in relation to bioethical concepts. Neologisms such as "cacothanasia" and "idiothanasia" were incorrectly viewed as bioethical concepts by 28% of the interviewees. Moreover, 45.3% of the sample considered health care professionals incapable of managing terminally ill patients, especially G2 (29%) as compared to G1 (16.5%, P=0.031). The concept of euthanasia was accepted by 41% of sample, as compared to 98.2% for orthothanasia. Among medical students that accepted ways to abbreviate life (22.9%), 30.1% belonged to G1, and only 16.1% to G2 (P=0.049). These medical students were unfamiliar with common bioethical concepts. Moreover, they considered healthcare professionals incapable of managing terminally ill patients. The ethical ideal of the "good death" reflects better acceptance of orthothanasia by medical students, suggesting a tendency to apply it in their future clinical practice.
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spelling Medical students' knowledge about end-of-life decision-makingBioethicsMedical EthicsMedical StudentsAttitude towards DeathEuthanasiaThe influence of medical students' knowledge concerning end-of-life care, considering ethical theories and clinical practice, remains controversial. We aimed to investigate medical students' knowledge of bioethical concepts related to moral kinds of death (euthanasia, disthanasia, and orthothanasia) and to analyze the influence of their clinical experience on practicing such approaches in a tertiary hospital in the state of São Paulo, Brazil. We interviewed 180 medical students [distributed in Group 1 (G1) - first to third- year students, and Group 2 (G2) - fourth to sixth-year students] to evaluate the influence of the course on "medical ethics" on ethical theories and clinical practice, using a closed questionnaire. The course on "medical ethics" did not distinguish the groups (P=0.704) in relation to bioethical concepts. Neologisms such as "cacothanasia" and "idiothanasia" were incorrectly viewed as bioethical concepts by 28% of the interviewees. Moreover, 45.3% of the sample considered health care professionals incapable of managing terminally ill patients, especially G2 (29%) as compared to G1 (16.5%, P=0.031). The concept of euthanasia was accepted by 41% of sample, as compared to 98.2% for orthothanasia. Among medical students that accepted ways to abbreviate life (22.9%), 30.1% belonged to G1, and only 16.1% to G2 (P=0.049). These medical students were unfamiliar with common bioethical concepts. Moreover, they considered healthcare professionals incapable of managing terminally ill patients. The ethical ideal of the "good death" reflects better acceptance of orthothanasia by medical students, suggesting a tendency to apply it in their future clinical practice.Associação Brasileira de Educação Médica2011-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022011000200005Revista Brasileira de Educação Médica v.35 n.2 2011reponame:Revista Brasileira de Educação Médica (Online)instname:Associação Brasileira de Educação Médica (ABEM)instacron:ABEM10.1590/S0100-55022011000200005info:eu-repo/semantics/openAccessPinheiro,AnielliNakazone,Marcelo ArrudaLeal,Fernanda SilvaPinhel,Marcela Augusta SouzaSouza,Dorotéia Rossi SilvaCipullo,José Pauloeng2011-07-22T00:00:00Zoai:scielo:S0100-55022011000200005Revistahttp://www.educacaomedica.org.br/https://old.scielo.br/oai/scielo-oai.phprevista@abem-educmed.org.br||revista@educacaomedica.org.br1981-52710100-5502opendoar:2011-07-22T00:00Revista Brasileira de Educação Médica (Online) - Associação Brasileira de Educação Médica (ABEM)false
dc.title.none.fl_str_mv Medical students' knowledge about end-of-life decision-making
title Medical students' knowledge about end-of-life decision-making
spellingShingle Medical students' knowledge about end-of-life decision-making
Pinheiro,Anielli
Bioethics
Medical Ethics
Medical Students
Attitude towards Death
Euthanasia
title_short Medical students' knowledge about end-of-life decision-making
title_full Medical students' knowledge about end-of-life decision-making
title_fullStr Medical students' knowledge about end-of-life decision-making
title_full_unstemmed Medical students' knowledge about end-of-life decision-making
title_sort Medical students' knowledge about end-of-life decision-making
author Pinheiro,Anielli
author_facet Pinheiro,Anielli
Nakazone,Marcelo Arruda
Leal,Fernanda Silva
Pinhel,Marcela Augusta Souza
Souza,Dorotéia Rossi Silva
Cipullo,José Paulo
author_role author
author2 Nakazone,Marcelo Arruda
Leal,Fernanda Silva
Pinhel,Marcela Augusta Souza
Souza,Dorotéia Rossi Silva
Cipullo,José Paulo
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Pinheiro,Anielli
Nakazone,Marcelo Arruda
Leal,Fernanda Silva
Pinhel,Marcela Augusta Souza
Souza,Dorotéia Rossi Silva
Cipullo,José Paulo
dc.subject.por.fl_str_mv Bioethics
Medical Ethics
Medical Students
Attitude towards Death
Euthanasia
topic Bioethics
Medical Ethics
Medical Students
Attitude towards Death
Euthanasia
description The influence of medical students' knowledge concerning end-of-life care, considering ethical theories and clinical practice, remains controversial. We aimed to investigate medical students' knowledge of bioethical concepts related to moral kinds of death (euthanasia, disthanasia, and orthothanasia) and to analyze the influence of their clinical experience on practicing such approaches in a tertiary hospital in the state of São Paulo, Brazil. We interviewed 180 medical students [distributed in Group 1 (G1) - first to third- year students, and Group 2 (G2) - fourth to sixth-year students] to evaluate the influence of the course on "medical ethics" on ethical theories and clinical practice, using a closed questionnaire. The course on "medical ethics" did not distinguish the groups (P=0.704) in relation to bioethical concepts. Neologisms such as "cacothanasia" and "idiothanasia" were incorrectly viewed as bioethical concepts by 28% of the interviewees. Moreover, 45.3% of the sample considered health care professionals incapable of managing terminally ill patients, especially G2 (29%) as compared to G1 (16.5%, P=0.031). The concept of euthanasia was accepted by 41% of sample, as compared to 98.2% for orthothanasia. Among medical students that accepted ways to abbreviate life (22.9%), 30.1% belonged to G1, and only 16.1% to G2 (P=0.049). These medical students were unfamiliar with common bioethical concepts. Moreover, they considered healthcare professionals incapable of managing terminally ill patients. The ethical ideal of the "good death" reflects better acceptance of orthothanasia by medical students, suggesting a tendency to apply it in their future clinical practice.
publishDate 2011
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dc.publisher.none.fl_str_mv Associação Brasileira de Educação Médica
publisher.none.fl_str_mv Associação Brasileira de Educação Médica
dc.source.none.fl_str_mv Revista Brasileira de Educação Médica v.35 n.2 2011
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