From ovid to COVID: the metamorphosis of advanced decisions to refuse treatment into a safeguarding issue
Authors: Lyne, M. and Parker, J.
Journal: Journal of Adult Protection
Volume: 22
Issue: 6
Pages: 361-369
ISSN: 1466-8203
DOI: 10.1108/JAP-07-2020-0027
Abstract:Purpose: This paper aims to examine advance decisions to refuse treatment (ADRTs) in the context of the COVID-19 (Coronavirus 2019) pandemic. This study considers the development of ADRTs, the lack of take up and confusion among the general public, clinicians and health and social care staff. Design/methodology/approach: The paper is a conceptual piece that reflects on ADRTs in the particular context of COVID-19. It considers professional concerns and pronouncements on ADRTs. Findings: ADRTs have a low take up currently. There is misunderstanding among public and professionals. There is a need for raising awareness, developing practice and a need to allay fears of misuse and abuse of ADRTs in clinical, health and social care settings. Practical implications: The authors make recommendations that reflexive training and awareness become the norm in health and social care, that reform of ADRTs is undertaken to prevent misunderstandings and that the person becomes central in all decision-making processes. Originality/value: This paper is original in considering ADRTs as a safeguarding issue from two perspectives: that of the person making the ADRT and being confident in respect for the decisions made; and that of clinicians and other professionals being reflexively aware of the need to accept advance decisions and not acting according to unconscious biases in times of crisis.
https://eprints.bournemouth.ac.uk/34462/
Source: Scopus
From ovid to COVID: the metamorphosis of advanced decisions to refuse treatment into a safeguarding issue
Authors: Lyne, M. and Parker, J.
Journal: JOURNAL OF ADULT PROTECTION
Volume: 22
Issue: 6
Pages: 361-369
eISSN: 2042-8669
ISSN: 1466-8203
DOI: 10.1108/JAP-07-2020-0027
https://eprints.bournemouth.ac.uk/34462/
Source: Web of Science (Lite)
From Ovid to Covid: The metamorphosis of Advanced Decisions to Refuse Treatment into a safeguarding issue
Authors: Lyne, M. and Parker, J.
Journal: Journal of Adult Protection
ISSN: 1466-8203
Abstract:Purpose This paper aims to examine Advance Decisions to Refuse Treatment (ADRTs) in the context of the COVID-19 pandemic. We consider the development of ADRTs, the lack of take up and confusion among the general public, clinicians and health and social care staff.
Design/methodology/approach The paper is a conceptual piece that reflects on ADRTs in the particular context of COVID-19. It considers professional concerns and pronouncements on ADRTs.
Findings ADRTs have a low take up currently. There is misunderstanding among public and professionals. There is a need for raising awareness, developing practice and a need to allay fears of misuse and abuse of ADRTs in clinical, health and social care settings.
Originality This paper is original in considering ADRTs as a safeguarding issue from two perspectives: that of the person making the ADRT and being confident in respect for the decisions made, and of clinicians and other professionals being reflexively aware of the need to accept advance decisions and not acting according to unconscious biases in times of crisis.
Practical implications We make recommendations that reflexive training and awareness becomes the norm in health and social care, that reform of ADRTs is undertaken to prevent misunderstandings and that the person becomes central in all decision-making processes.
https://eprints.bournemouth.ac.uk/34462/
Source: Manual
From Ovid to Covid: The metamorphosis of Advanced Decisions to Refuse Treatment into a safeguarding issue
Authors: Lyne, M. and Parker, J.
Journal: Journal of Adult Protection
Volume: 22
Issue: 6
Pages: 361-369
ISSN: 1466-8203
Abstract:Purpose This paper aims to examine Advance Decisions to Refuse Treatment (ADRTs) in the context of the COVID-19 pandemic. We consider the development of ADRTs, the lack of take up and confusion among the general public, clinicians and health and social care staff. Design/methodology/approach The paper is a conceptual piece that reflects on ADRTs in the particular context of COVID-19. It considers professional concerns and pronouncements on ADRTs. Findings ADRTs have a low take up currently. There is misunderstanding among public and professionals. There is a need for raising awareness, developing practice and a need to allay fears of misuse and abuse of ADRTs in clinical, health and social care settings. Originality This paper is original in considering ADRTs as a safeguarding issue from two perspectives: that of the person making the ADRT and being confident in respect for the decisions made, and of clinicians and other professionals being reflexively aware of the need to accept advance decisions and not acting according to unconscious biases in times of crisis. Practical implications We make recommendations that reflexive training and awareness becomes the norm in health and social care, that reform of ADRTs is undertaken to prevent misunderstandings and that the person becomes central in all decision-making processes.
https://eprints.bournemouth.ac.uk/34462/
Source: BURO EPrints