Table 4 Prevalence of factors contributing to CDS-related burden in healthcare professionals

It's difficult to accurately determinate medical indications for CDS^a

Associations with the risk to shorten life^a

There's a high risk of sedation being performed inappropriately^a

Insufficient alleviation of patients suffering^a

Difficulties to distinguish CDS from acts to hasten death^a

Possibility that less effort would be made for necessary palliative care if the use of CDS became widespread^a

Being criticized by the law^a

Being criticized by colleagues^a

Losing patient trust^a

Frequent experience of unclear patient wishes^b

Insufficient time^b

Belief that it is difficult to diagnose refractory symptoms^b

Nurse-perceived inadequate interpersonal skills^b

Nurses-perceived inadequate coping with own grief^b

Lack of common understanding of sedation between physicians and nurses^b

Frequent experience of conflicting wishes between patient and family^b

Belief that sedation would hasten death^b

Belief that sedation is indistinguishable from euthanasia^b

Nurses' personal values contradictory to sedation^b

Team conference unavailable^b

Experience with CDS

Experience with CDS