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Table 2 Self-Confidence and knowledge related to topics

From: Self-confidence and knowledge of German ICU physicians in palliative care – a multicentre prospective study

Topic

Self-confidence

Knowledge

 

“Confident” and “Rather confident”

“Rather not confident” and “Not confident”

Percentage of correct answers

Basics of palliative care

32,4%

67,6%

64.2%

Symptom control

pain

78,7%

21,3%

44.4%

dyspnoea

81,6%

18,4%

72.1%

nausea and vomiting

89,7%

10,3%

50.0%

delirium

57,4%

42,6%

52.9%

the dying patient

55,1%

44,9%

43.4%

Ways of drug administration

60,7%

39,3%

20.6%

Communication with the patient

85,8%

41,2%

77.2%

Considering the patient’s wishes

76.5%

23.5%

83.9%

Euthanasia

46,3%

53,7%

55.2%

  1. Self-confidence and knowledge according to topics. In Germany, “considering the patient’s wishes” is a hierarchical step-wise approach driven by the obligation to respect the patient’s autonomy. The wishes of an awake patient is mandatory. If the patient is not awake, wishes that eventually have been declared in written form and that account for the present situation have to be considered. If such a document does not exist, the patient’s presumable wishes has to be evaluated with him or her relatives based on earlier oral statements of the patient. If this is not possible (e.g. due to missing statements / relatives), medically indicated procedures have to be conducted.
  2. In Germany, only passive euthanasia is legal. Passive euthanasia is defined as either the renunciation of life prolonging procedures or ending life prolonging procedures. It aims to not intentionally prolongate the process of dying and may include the initiation of a treatment (e.g. morphine) to relieve symptoms (pain, dyspnea) even if time until death is shortened