| Title: |
Development and Validation of a Case-Based Survey Assessing Ethical Decision-Making in Prehospital Resuscitation. |
| Authors: |
Milling, Louise, Kjær, Jeannett, Sørensen, Oliver B., Möller, Sören, Hansen, Peter M., Binderup, Lars G., Schaffalitzky de Muckadell, Caroline, Christensen, Erika F., Christensen, Helle C., Lassen, Annmarie T., Nielsen, Dorthe, Mikkelsen, Søren |
| Source: |
Healthcare (2227-9032); Feb2025, Vol. 13 Issue 3, p267, 11p |
| Subject Terms: |
CROSS-sectional method, SCALE analysis (Psychology), QUALITATIVE research, CRONBACH'S alpha, RESEARCH methodology evaluation, SCIENTIFIC observation, RESEARCH evaluation, RESUSCITATION, EMERGENCY medicine, ETHICAL decision making, EXPERIMENTAL design, RESEARCH methodology, DELPHI method, FACTOR analysis |
| Geographic Terms: |
DENMARK |
| Abstract: |
Objectives: Ethical considerations are central to deciding on resuscitation in a prehospital setting. A systematic study of ethical views can enlighten the area and potentially reveal variations in decision-making. We aimed to explore the ethical views on resuscitation and their impact on the reasoning of prehospital healthcare professionals using a qualitative approach and a structured questionnaire. This study describes the validation of a structured questionnaire designed to explore the ethical views on resuscitation and its impact on the reasoning of prehospital healthcare professionals. Methods: This observational cross-sectional study used a mixed-methods approach. The questionnaire included qualitative free-text fields and quantitative scales. Its first version was developed based on data from a systematic review and an ethnographic study. Validation involved face-to-face interviews and a two-round Delphi process with experts in qualitative research, philosophy, epidemiology, and prehospital medicine. The final questionnaire was field-tested among Danish prehospital physicians. Exploratory factor analysis assessed underlying relationships, and Cronbach's alpha measured internal consistency. Results: 216 out of 380 invited Danish prehospital physicians completed the questionnaire. The ethical aspects addressed in the cases included "do-not-attempt cardiopulmonary resuscitation," "socioeconomic status," "quality of life," "the patient and family's cultural background," and "relatives' emotional reaction." The questionnaire demonstrated satisfactory internal consistency, with a Cronbach's alpha of 0.71. Conclusions: The questionnaire was validated as a tool for assessing moral reasoning and variations in perspectives in prehospital decision-making. The survey can be used to assess the moral reasoning and variations therein in prehospital resuscitation decision-making. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
