Matches in SemOpenAlex for { <https://semopenalex.org/work/W2474420220> ?p ?o ?g. }
- W2474420220 endingPage "148" @default.
- W2474420220 startingPage "140" @default.
- W2474420220 abstract "Background The different considerations involved in decisions regarding whether or not to initiate mechanical ventilation for patients with severe chronic obstructive pulmonary disease (COPD) are challenging for health professionals. Aim To investigate the considerations and values that influences decision-making regarding mechanical ventilation in older patients (≥65-years-old) with severe to very severe COPD. Furthermore, it aims to elucidate how physicians involve their patient in decision-making process. Participants and setting Seven intensive care physicians and seven physicians working in the respiratory units at two university hospitals and two district hospitals in Norway. Methods This study had a qualitative design consisting of focus group interviews with 14 physicians. The data was analysed according to the interpretative contexts: self-understanding, critical common-sense understanding and theoretical understanding. Results Decisions regarding mechanical ventilation were mainly based on the physicians' own experiences, their perceptions of the patients' situation, and biomedical data. The patients were not involved in the decision-making and such decisions were only occasionally made in a multi-professional context. Conclusion To decide whether older patients with severe COPD should be treated with mechanical ventilation is both medically and ethically challenging for physicians. Decision making in this context seems to be mainly driven by a paternalistic attitude, since the physicians interviewed in our study, in general, make such decisions without involving either the patient, their next of kin or the nurses. There is a need for broader cooperation between health professional and for the involvement of patients in the decision-making process regarding mechanical ventilation in cases of late stage COPD." @default.
- W2474420220 created "2016-07-22" @default.
- W2474420220 creator A5007052386 @default.
- W2474420220 creator A5044571347 @default.
- W2474420220 creator A5053145976 @default.
- W2474420220 creator A5091389992 @default.
- W2474420220 date "2016-07-07" @default.
- W2474420220 modified "2023-10-17" @default.
- W2474420220 title "Considerations and values in decision making regarding mechanical ventilation for older patients with severe to very severe COPD" @default.
- W2474420220 cites W1575663915 @default.
- W2474420220 cites W1593672900 @default.
- W2474420220 cites W1604323897 @default.
- W2474420220 cites W1714304212 @default.
- W2474420220 cites W1821520914 @default.
- W2474420220 cites W1821600744 @default.
- W2474420220 cites W1960180074 @default.
- W2474420220 cites W1968179780 @default.
- W2474420220 cites W1973384067 @default.
- W2474420220 cites W1979287183 @default.
- W2474420220 cites W2014266602 @default.
- W2474420220 cites W2029767050 @default.
- W2474420220 cites W2032290128 @default.
- W2474420220 cites W2037049861 @default.
- W2474420220 cites W2040740376 @default.
- W2474420220 cites W2040804058 @default.
- W2474420220 cites W2041255056 @default.
- W2474420220 cites W2045507107 @default.
- W2474420220 cites W2045770491 @default.
- W2474420220 cites W2059143621 @default.
- W2474420220 cites W2074622299 @default.
- W2474420220 cites W2075954477 @default.
- W2474420220 cites W2100138677 @default.
- W2474420220 cites W2102654428 @default.
- W2474420220 cites W2109280091 @default.
- W2474420220 cites W2112646875 @default.
- W2474420220 cites W2113218132 @default.
- W2474420220 cites W2115581813 @default.
- W2474420220 cites W2118269576 @default.
- W2474420220 cites W2121145929 @default.
- W2474420220 cites W2124523627 @default.
- W2474420220 cites W2125262290 @default.
- W2474420220 cites W2126323206 @default.
- W2474420220 cites W2128802856 @default.
- W2474420220 cites W2137401089 @default.
- W2474420220 cites W2147756688 @default.
- W2474420220 cites W2147867922 @default.
- W2474420220 cites W2149674243 @default.
- W2474420220 cites W2160120716 @default.
- W2474420220 cites W2162105909 @default.
- W2474420220 cites W2166846078 @default.
- W2474420220 cites W3023157667 @default.
- W2474420220 doi "https://doi.org/10.1177/1477750916657657" @default.
- W2474420220 hasPublicationYear "2016" @default.
- W2474420220 type Work @default.
- W2474420220 sameAs 2474420220 @default.
- W2474420220 citedByCount "2" @default.
- W2474420220 countsByYear W24744202202017 @default.
- W2474420220 countsByYear W24744202202021 @default.
- W2474420220 crossrefType "journal-article" @default.
- W2474420220 hasAuthorship W2474420220A5007052386 @default.
- W2474420220 hasAuthorship W2474420220A5044571347 @default.
- W2474420220 hasAuthorship W2474420220A5053145976 @default.
- W2474420220 hasAuthorship W2474420220A5091389992 @default.
- W2474420220 hasBestOaLocation W24744202202 @default.
- W2474420220 hasConcept C118552586 @default.
- W2474420220 hasConcept C144024400 @default.
- W2474420220 hasConcept C144133560 @default.
- W2474420220 hasConcept C151730666 @default.
- W2474420220 hasConcept C15744967 @default.
- W2474420220 hasConcept C159110408 @default.
- W2474420220 hasConcept C160735492 @default.
- W2474420220 hasConcept C162324750 @default.
- W2474420220 hasConcept C162853370 @default.
- W2474420220 hasConcept C169760540 @default.
- W2474420220 hasConcept C17744445 @default.
- W2474420220 hasConcept C177713679 @default.
- W2474420220 hasConcept C190248442 @default.
- W2474420220 hasConcept C199539241 @default.
- W2474420220 hasConcept C26760741 @default.
- W2474420220 hasConcept C2679804 @default.
- W2474420220 hasConcept C2776780178 @default.
- W2474420220 hasConcept C2777080012 @default.
- W2474420220 hasConcept C2779343474 @default.
- W2474420220 hasConcept C36289849 @default.
- W2474420220 hasConcept C50522688 @default.
- W2474420220 hasConcept C56995899 @default.
- W2474420220 hasConcept C71924100 @default.
- W2474420220 hasConcept C86803240 @default.
- W2474420220 hasConceptScore W2474420220C118552586 @default.
- W2474420220 hasConceptScore W2474420220C144024400 @default.
- W2474420220 hasConceptScore W2474420220C144133560 @default.
- W2474420220 hasConceptScore W2474420220C151730666 @default.
- W2474420220 hasConceptScore W2474420220C15744967 @default.
- W2474420220 hasConceptScore W2474420220C159110408 @default.
- W2474420220 hasConceptScore W2474420220C160735492 @default.
- W2474420220 hasConceptScore W2474420220C162324750 @default.
- W2474420220 hasConceptScore W2474420220C162853370 @default.
- W2474420220 hasConceptScore W2474420220C169760540 @default.