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Master Thesis

In the main population, what are the problems lead by the binding law of advance directives ? A thematic analysis based on a systematic literature review

Abstract : Advance directives (ADs) are little used in the French population. Their binding nature raises ethical problems. The objective of this study is to understand these problems with regard to the general population. Method : a systematic literature review was performed according to the PRISMA guide, in following databases : Pubmed and Psychinfo. Search queries were: "advance directives" and "ethic" (MESH terms). Exclusion criteria : "not about the ADs", "not about community", "not about ethic" and "no availability of the abstract". Inclusion criteria : "about the binding nature of the law", "about the ADs", "about the general population", "available language", “accessibility of the article", "adapted format of the article". A snowballing was performed, using the same protocol. A thematic analysis was compared to the current literature and the results of a parallel analysis made in the grey literature by Dr Zambonino. Results : documents extracted: 484 (Pubmed) + 586 (Psychinfo). 28 duplicates. 1042 abstracts submitted for analysis, 921 excluded. 121 articles submitted for eligibility, 17 were included, 2 not found. Snowballing : 436 references. 41 duplicates. 395 summaries submitted for analysis. 377 excluded. 18 articles subject to eligibility. 6 items included. 23 articles have been integrated. Thematic analysis : 156 axial codes, 23 selective codes grouped in 10 themes: individual sphere, entourage, caring sphere, society, the Court, the principles of bioethics, elaboration of the document, temporality, communication, interpretation. Conclusion : several problems have been identified, which may explain the low completion rate of ADs. Knowledge can improve end-of-life practice.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03525946
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Submitted on : Friday, January 14, 2022 - 10:55:30 AM
Last modification on : Saturday, January 15, 2022 - 3:40:19 AM
Long-term archiving on: : Friday, April 15, 2022 - 6:31:09 PM

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Énora Krurien. In the main population, what are the problems lead by the binding law of advance directives ? A thematic analysis based on a systematic literature review. Life Sciences [q-bio]. 2020. ⟨dumas-03525946⟩

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