Perception of Good Death and Attitudes toward Death between ER Nurses and Coroners / 한국호스피스완화의료학회지

PURPOSE: This study was conducted to describe and compare how emergency room (ER) nurses and coroners perceive good death and their attitudes toward death. METHODS: A survey was performed with 51 ER nurses in P city and 44 coroners nationwide. Data were collected from October 1, 2010 through February 28, 2011. Data were analyzed with descriptive statistics, t-test, ANCOVA, Scheffe's test using the IBM SPSS statistics 21.0 program. RESULTS: For the perception of good death and attitudes toward death, coroners scored higher (3.01+/-0.43 and 2.87+/-0.35, respectively) than ER nurses group (2.95+/-0.40 and 2.61+/-0.33, respectively), but the differences were not significant. The results of perception of good death and attitudes toward death were not statistically significant between ER nurses and coroners. CONCLUSION: The study showed no difference between ER nurses' perception of good death and attitudes toward death and those held by coroners. The findings of the study show that it is necessary to offer steady education on death to nurses and coroners to help them build a proper understanding of good death and grow positive attitudes toward death.

Aspectos bioéticos da perícia médica previdenciária / Aspectos de la bioética en la gestión médica de las bajas laborales / Bioethical aspects of the social security medical expertise

A relação médico-paciente pauta-se pela confiança mútua e, da parte do médico, por preocupações beneficentes, não maleficentes, justiça e respeito à autonomia, presentes em proporções variáveis em cada atendimento, segundo os princípios da bioética principialista. Com a finalidade de dimensionar a representatividade relativa de cada um dos quatro princípios na relação perito-periciado foram pesquisados, mediante questionário, 118 peritos médicos previdenciários experientes de 20 unidades da Federação. O resultado revelou que em perícia médica previdenciária, ato médico legal cuja finalidade é o reconhecimento de direitos previdenciários, os peritos pouco se preocupam em ser beneficentes e em nada se preocupam com a autonomia da vontade do requerente; a preocupação predominantemente demonstrada pelos peritos médicos foi a aplicação correta da legislação, não se podendo, entretanto, afirmar que o princípio norteador predominante foi o da justiça.

La relación médico-paciente es guiada por la confianza mutua y, de la parte del médico, por sus preocupaciones de beneficencia, no maleficencia, justicia y el respeto por la autonomía, presente en proporciones variables, de acuerdo con los principios bioéticos propuestos por Beauchamp y Childress (1979). Ciento dieciocho expertos médicos de la seguridad social brasileña, de 20 estados de Brasil fueron encuestados usando el cuestionario a fin de ampliar la representaciónrelativa de cada uno de los cuatro principios en la relación de expertos con sus examinados. Los resultados mostraron que los conocimientos médicos en la seguridad social, procedimiento médico legal que tiene por objeto el reconocimiento de los derechos de seguridad social, los expertos se preocupan poco de ser beneficientes y de ninguna manera con la autonomía de la voluntad del demandante, el principio rector de la justicia es lo predominante.

The doctor-patient relationship is guided by mutual trust and, on physician?s side, by concerns with beneficence, non-maleficence, justice, and respect for autonomy, present in variable proportions at each assistance, according to the principialist bioethics. Aiming at dimensioningrelative representativeness of each of the four principles in expert-investigated relationship, one hundred and eighteen experienced social security medical experts from 20 Brazilian states were surveyed, through questionnaire. The result showed that, in social security medical expertise, in legal medical procedure, whose purpose is the recognition of rights to social security benefits, experts have little concern about being beneficent and, in any way, they are not concerned with the autonomy of the applicants? will. The predominant concern showed by medical experts was the correct application of legislation, while it not possible to state that guiding principle of justice was the predominant concern.