The concept of futility in health: A scoping review

Detalhes bibliográficos
Autor(a) principal: Vieira, João Vítor
Data de Publicação: 2020
Outros Autores: Deodato, Sérgio, Mendes, Felismina Rosa Parreira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/20.500.12207/6231
Resumo: Introduction:Duetotheconstant scientificandtechnological development, healthprofessionalsareregularlyconfrontedwithsituations inwhichtherearealways therapeuticoptions, regardlessof theseverityof thepatient’scondition.However, regardingthesetherapeuticoptionsas feasible inall situationscanbeharmful, since it isuniversally acceptedthat,despitealladvancesinhealth,thereareinevitablelimitsandthepromotionofsomeinterventionsmaybe uselessor futile. Objective:Tocharacterizetheuseof theconceptof futility inthehealthliterature. Method:ReviewoftheliteraturefollowingtheScopingReviewprotocoloftheJoannaBriggsInstitute.Theresearchwas performed inCINAHL,Cochrane, Pubmed, Scopus eWebof Science to identify studies publishedprior to2020. Nineteenstudieswereselected. Results:There isnouniversallyaccepteddefinition for theconceptof futility. Inthe literature therearedifferent conceptionsfortheconceptoffutilitythatpointtoqualitativeandquantitativerootsandthatareassociatedwithethical dilemmasthatmakeitdifficult toconceptualizethisconceptandmakeitoperational inclinicalpractice. Conclusion:Thecentralelementsoftheconceptof futilityinclude: thediagnosisof futilityiscloselyrelatedtoclinical judgment; futilityhasbothquantitativeandqualitativeroots; futilityisalwaysappreciatedposteriori; futilityisrelatedto thelackofbenefit. It isessential topromoteadiscussionthatenablesthedefinitionof theconceptandthatmakes it possibletopromoteethicalprinciples incare,especiallywhentheinevitablelimitsof treatmentsarereached.
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spelling The concept of futility in health: A scoping reviewBioethicsClinical ethicsEthicsMedical futilityProfessional ethicsIntroduction:Duetotheconstant scientificandtechnological development, healthprofessionalsareregularlyconfrontedwithsituations inwhichtherearealways therapeuticoptions, regardlessof theseverityof thepatient’scondition.However, regardingthesetherapeuticoptionsas feasible inall situationscanbeharmful, since it isuniversally acceptedthat,despitealladvancesinhealth,thereareinevitablelimitsandthepromotionofsomeinterventionsmaybe uselessor futile. Objective:Tocharacterizetheuseof theconceptof futility inthehealthliterature. Method:ReviewoftheliteraturefollowingtheScopingReviewprotocoloftheJoannaBriggsInstitute.Theresearchwas performed inCINAHL,Cochrane, Pubmed, Scopus eWebof Science to identify studies publishedprior to2020. Nineteenstudieswereselected. Results:There isnouniversallyaccepteddefinition for theconceptof futility. Inthe literature therearedifferent conceptionsfortheconceptoffutilitythatpointtoqualitativeandquantitativerootsandthatareassociatedwithethical dilemmasthatmakeitdifficult toconceptualizethisconceptandmakeitoperational inclinicalpractice. Conclusion:Thecentralelementsoftheconceptof futilityinclude: thediagnosisof futilityiscloselyrelatedtoclinical judgment; futilityhasbothquantitativeandqualitativeroots; futilityisalwaysappreciatedposteriori; futilityisrelatedto thelackofbenefit. It isessential topromoteadiscussionthatenablesthedefinitionof theconceptandthatmakes it possibletopromoteethicalprinciples incare,especiallywhentheinevitablelimitsof treatmentsarereached.Sage2024-03-07T15:14:36Z2020-11-26T00:00:00Z2020-11-262023-05-25T10:16:42Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12207/6231eng1758-101X2-s2.0-85096855818cv-prod-2100677http://dx.doi.org/10.1177/1477750920977109metadata only accessinfo:eu-repo/semantics/openAccessVieira, João VítorDeodato, SérgioMendes, Felismina Rosa Parreirareponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-14T20:59:38Zoai:repositorio.ipbeja.pt:20.500.12207/6231Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:58.553887Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The concept of futility in health: A scoping review
title The concept of futility in health: A scoping review
spellingShingle The concept of futility in health: A scoping review
Vieira, João Vítor
Bioethics
Clinical ethics
Ethics
Medical futility
Professional ethics
title_short The concept of futility in health: A scoping review
title_full The concept of futility in health: A scoping review
title_fullStr The concept of futility in health: A scoping review
title_full_unstemmed The concept of futility in health: A scoping review
title_sort The concept of futility in health: A scoping review
author Vieira, João Vítor
author_facet Vieira, João Vítor
Deodato, Sérgio
Mendes, Felismina Rosa Parreira
author_role author
author2 Deodato, Sérgio
Mendes, Felismina Rosa Parreira
author2_role author
author
dc.contributor.author.fl_str_mv Vieira, João Vítor
Deodato, Sérgio
Mendes, Felismina Rosa Parreira
dc.subject.por.fl_str_mv Bioethics
Clinical ethics
Ethics
Medical futility
Professional ethics
topic Bioethics
Clinical ethics
Ethics
Medical futility
Professional ethics
description Introduction:Duetotheconstant scientificandtechnological development, healthprofessionalsareregularlyconfrontedwithsituations inwhichtherearealways therapeuticoptions, regardlessof theseverityof thepatient’scondition.However, regardingthesetherapeuticoptionsas feasible inall situationscanbeharmful, since it isuniversally acceptedthat,despitealladvancesinhealth,thereareinevitablelimitsandthepromotionofsomeinterventionsmaybe uselessor futile. Objective:Tocharacterizetheuseof theconceptof futility inthehealthliterature. Method:ReviewoftheliteraturefollowingtheScopingReviewprotocoloftheJoannaBriggsInstitute.Theresearchwas performed inCINAHL,Cochrane, Pubmed, Scopus eWebof Science to identify studies publishedprior to2020. Nineteenstudieswereselected. Results:There isnouniversallyaccepteddefinition for theconceptof futility. Inthe literature therearedifferent conceptionsfortheconceptoffutilitythatpointtoqualitativeandquantitativerootsandthatareassociatedwithethical dilemmasthatmakeitdifficult toconceptualizethisconceptandmakeitoperational inclinicalpractice. Conclusion:Thecentralelementsoftheconceptof futilityinclude: thediagnosisof futilityiscloselyrelatedtoclinical judgment; futilityhasbothquantitativeandqualitativeroots; futilityisalwaysappreciatedposteriori; futilityisrelatedto thelackofbenefit. It isessential topromoteadiscussionthatenablesthedefinitionof theconceptandthatmakes it possibletopromoteethicalprinciples incare,especiallywhentheinevitablelimitsof treatmentsarereached.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-26T00:00:00Z
2020-11-26
2023-05-25T10:16:42Z
2024-03-07T15:14:36Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/20.500.12207/6231
url http://hdl.handle.net/20.500.12207/6231
dc.language.iso.fl_str_mv eng
language eng
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2-s2.0-85096855818
cv-prod-2100677
http://dx.doi.org/10.1177/1477750920977109
dc.rights.driver.fl_str_mv metadata only access
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dc.publisher.none.fl_str_mv Sage
publisher.none.fl_str_mv Sage
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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