Table 2 Relationship between the levels of knowledge and attitudes in practical application (APA)
From: Association between knowledge and attitudes towards advance directives in emergency services
[ALL] | Unfavourable attitude towards AD | Intermediate attitude towards AD | Favourable attitude towards AD | p. overall | N | |
|---|---|---|---|---|---|---|
N = 172 | N = 50 (29.1%) | N = 58 (33.7%) | N = 64 (37.2%) | |||
Can the declaration of AD replace Informed Consent? | 0.028 | 171 | ||||
Yes | 40 (23.4%) | 8 (16.0%) | 9 (15.8%) | 23 (35.9%) | ||
No | 91 (53.2%) | 26 (52.0%) | 34 (59.6%) | 31 (48.4%) | ||
N/A | 40 (23.4%) | 16 (32.0%) | 14 (24.6%) | 10 (15.6%) | ||
Is one of the aims of Law 2/2010 (Spain) to ensure the autonomy of patients and respect for their will in the dying process, only when there is a living will? | 0.298 | 171 | ||||
Yes | 37 (21.6%) | 12 (24.0%) | 9 (15.8%) | 16 (25.0%) | ||
No | 70 (40.9%) | 17 (34.0%) | 23 (40.4%) | 30 (46.9%) | ||
N/A | 64 (37.4%) | 21 (42.0%) | 25 (43.9%) | 18 (28.1%) | ||
Can persons with a judicial resolution of incapacity register a living will if it does not specify this in the resolution? | 0.272 | 170 | ||||
Yes | 40 (23.5%) | 10 (20.0%) | 14 (25.0%) | 16 (25.0%) | ||
No | 55 (32.4%) | 13 (26.0%) | 16 (28.6%) | 26 (40.6%) | ||
N/A | 75 (44.1%) | 27 (54.0%) | 26 (46.4%) | 22 (34.4%) | ||
Are living wills valid throughout Spain? | 0.039 | 172 | ||||
Yes | 123 (71.5%) | 28 (56.0%) | 44 (75.9%) | 51 (79.7%) | ||
No | 8 (4.65%) | 4 (8.00%) | 1 (1.72%) | 3 (4.69%) | ||
N/A | 41 (23.8%) | 18 (36.0%) | 13 (22.4%) | 10 (15.6%) | ||
Are health professionals in Catalonia obliged to inform about AD? | 0.358 | 172 | ||||
Yes | 73 (42.4%) | 17 (34.0%) | 25 (43.1%) | 31 (48.4%) | ||
No | 33 (19.2%) | 13 (26.0%) | 8 (13.8%) | 12 (18.8%) | ||
N/A | 66 (38.4%) | 20 (40.0%) | 25 (43.1%) | 21 (32.8%) | ||
Can the representative appointed in the living will have his or her functions limited by the person granting the Living Will whom he or she represents? | 0.423 | 172 | ||||
Yes | 87 (50.6%) | 24 (48.0%) | 27 (46.6%) | 36 (56.2%) | ||
No | 23 (13.4%) | 10 (20.0%) | 7 (12.1%) | 6 (9.38%) | ||
N/A | 62 (36.0%) | 16 (32.0%) | 24 (41.4%) | 22 (34.4%) | ||
The living will must always be taken into account, regardless of the patient's state of consciousness | 0.492 | 172 | ||||
Yes | 120 (69.8%) | 33 (66.0%) | 42 (72.4%) | 45 (70.3%) | ||
No | 38 (22.1%) | 10 (20.0%) | 12 (20.7%) | 16 (25.0%) | ||
N/A | 14 (8.14%) | 7 (14.0%) | 4 (6.90%) | 3 (4.69%) | ||
In the case of deceased persons, does only their legal representative have access to the declaration of a Living Will? | 0.809 | 172 | ||||
Yes | 38 (22.1%) | 10 (20.0%) | 14 (24.1%) | 14 (21.9%) | ||
No | 64 (37.2%) | 17 (34.0%) | 20 (34.5%) | 27 (42.2%) | ||
N/A | 70 (40.7%) | 23 (46.0%) | 24 (41.4%) | 23 (35.9%) | ||
Do you understand the meaning of limitation of therapeutic effort? | 0.140 | 172 | ||||
Yes | 156 (90.7%) | 49 (98.0%) | 53 (91.4%) | 54 (84.4%) | ||
No | 7 (4.07%) | 0 (0.00%) | 3 (5.17%) | 4 (6.25%) | ||
N/A | 9 (5.23%) | 1 (2.00%) | 2 (3.45%) | 6 (9.38%) | ||
Have you learned about the meaning and usefulness of the ACP: | 0.031 | 172 | ||||
Yes | 74 (43.0%) | 19 (38.0%) | 19 (32.8%) | 36 (56.2%) | ||
No | 66 (38.4%) | 24 (48.0%) | 23 (39.7%) | 19 (29.7%) | ||
N/A | 32 (18.6%) | 7 (14.0%) | 16 (27.6%) | 9 (14.1%) | ||
Do you know the documents necessary to carry out an AD | 0.292 | 172 | ||||
Yes | 79 (45.9%) | 21 (42.0%) | 25 (43.1%) | 33 (51.6%) | ||
No | 6 (3.49%) | 0 (0.00%) | 4 (6.90%) | 2 (3.12%) | ||
N/A | 87 (50.6%) | 29 (58.0%) | 29 (50.0%) | 29 (45.3%) | ||
Registration of the AD can only be made in person by the holder | 0.600 | 172 | ||||
Yes | 66 (38.4%) | 18 (36.0%) | 20 (34.5%) | 28 (43.8%) | ||
No | 50 (29.1%) | 16 (32.0%) | 15 (25.9%) | 19 (29.7%) | ||
N/A | 56 (32.6%) | 16 (32.0%) | 23 (39.7%) | 17 (26.6%) | ||
At present, ADs containing, exceptionally, elements contrary to the legislation in force are accepted | 0.534 | 172 | ||||
Yes | 16 (9.30%) | 3 (6.00%) | 4 (6.90%) | 9 (14.1%) | ||
No | 50 (29.1%) | 16 (32.0%) | 15 (25.9%) | 19 (29.7%) | ||
N/A | 106 (61.6%) | 31 (62.0%) | 39 (67.2%) | 36 (56.2%) | ||
Knows who is entitled to access the content of Ads | 0.009 | 172 | ||||
Yes | 36 (20.9%) | 7 (14.0%) | 8 (13.8%) | 21 (32.8%) | ||
No | 76 (44.2%) | 26 (52.0%) | 22 (37.9%) | 28 (43.8%) | ||
N/A | 60 (34.9%) | 17 (34.0%) | 28 (48.3%) | 15 (23.4%) | ||
In his/her usual practice, has consulted the AD register | 0.009 | 172 | ||||
Yes | 55 (32.0%) | 9 (18.0%) | 17 (29.3%) | 29 (45.3%) | ||
No | 111 (64.5%) | 37 (74.0%) | 40 (69.0%) | 34 (53.1%) | ||
N/A | 6 (3.49%) | 4 (8.00%) | 1 (1.72%) | 1 (1.56%) | ||
The professional has an obligation to provide information on AD | 0.276 | 172 | ||||
Yes | 99 (57.6%) | 23 (46.0%) | 34 (58.6%) | 42 (65.6%) | ||
No | 13 (7.56%) | 4 (8.00%) | 4 (6.90%) | 5 (7.81%) | ||
N/A | 60 (34.9%) | 23 (46.0%) | 20 (34.5%) | 17 (26.6%) | ||
AD consultation is part of his or her regular practice | 0.002 | 172 | ||||
Yes | 26 (15.1%) | 4 (8.00%) | 3 (5.17%) | 19 (29.7%) | ||
No | 127 (73.8%) | 41 (82.0%) | 47 (81.0%) | 39 (60.9%) | ||
N/A | 19 (11.0%) | 5 (10.0%) | 8 (13.8%) | 6 (9.38%) | ||
Health professionals should always consult the AD | 0.229 | 172 | ||||
Yes | 31 (18.0%) | 6 (12.0%) | 9 (15.5%) | 16 (25.0%) | ||
No | 95 (55.2%) | 27 (54.0%) | 32 (55.2%) | 36 (56.2%) | ||
N/A | 46 (26.7%) | 17 (34.0%) | 17 (29.3%) | 12 (18.8%) | ||
You think you have enough information about AD | 0.508 | 172 | ||||
Yes | 7 (4.07%) | 1 (2.00%) | 2 (3.45%) | 4 (6.25%) | ||
No | 158 (91.9%) | 47 (94.0%) | 52 (89.7%) | 59 (92.2%) | ||
N/A | 7 (4.07%) | 2 (4.00%) | 4 (6.90%) | 1 (1.56%) | ||
Knows where an AD is consulted | 0.052 | 172 | ||||
Yes | 46 (26.7%) | 11 (22.0%) | 11 (19.0%) | 24 (37.5%) | ||
No | 111 (64.5%) | 36 (72.0%) | 38 (65.5%) | 37 (57.8%) | ||
N/A | 15 (8.72%) | 3 (6.00%) | 9 (15.5%) | 3 (4.69%) | ||
Knows the documentation to be provided to register an AD | 0.001 | 172 | ||||
Yes | 31 (18.0%) | 3 (6.00%) | 7 (12.1%) | 21 (32.8%) | ||
No | 127 (73.8%) | 43 (86.0%) | 43 (74.1%) | 41 (64.1%) | ||
N/A | 14 (8.14%) | 4 (8.00%) | 8 (13.8%) | 2 (3.12%) | ||
The AD is legally valid even if it is not registered | 0.064 | 172 | ||||
Yes | 52 (30.2%) | 14 (28.0%) | 14 (24.1%) | 24 (37.5%) | ||
No | 34 (19.8%) | 11 (22.0%) | 7 (12.1%) | 16 (25.0%) | ||
N/A | 86 (50.0%) | 25 (50.0%) | 37 (63.8%) | 24 (37.5%) | ||
Find out where you have to go to register an AD | 0.440 | 172 | ||||
Yes | 36 (20.9%) | 7 (14.0%) | 12 (20.7%) | 17 (26.6%) | ||
No | 113 (65.7%) | 34 (68.0%) | 38 (65.5%) | 41 (64.1%) | ||
N/A | 23 (13.4%) | 9 (18.0%) | 8 (13.8%) | 6 (9.38%) | ||
Will only the AD registered in your Autonomous Community be valid? | 0.095 | 172 | ||||
Yes | 22 (12.8%) | 5 (10.0%) | 5 (8.62%) | 12 (18.8%) | ||
No | 50 (29.1%) | 14 (28.0%) | 13 (22.4%) | 23 (35.9%) | ||
N/A | 100 (58.1%) | 31 (62.0%) | 40 (69.0%) | 29 (45.3%) | ||
Can a person admitted to hospital register his or her AD? | 0.168 | 172 | ||||
Yes | 124 (72.1%) | 31 (62.0%) | 44 (75.9%) | 49 (76.6%) | ||
No | 1 (0.58%) | 0 (0.00%) | 0 (0.00%) | 1 (1.56%) | ||
N/A | 47 (27.3%) | 19 (38.0%) | 14 (24.1%) | 14 (21.9%) | ||
The appointment to register AD can only be requested through the app Salud Responde (Health Responds) | 0.033 | 171 | ||||
Yes | 52 (30.4%) | 13 (26.5%) | 15 (25.9%) | 24 (37.5%) | ||
No | 31 (18.1%) | 4 (8.16%) | 11 (19.0%) | 16 (25.0%) | ||
N/A | 88 (51.5%) | 32 (65.3%) | 32 (55.2%) | 24 (37.5%) | ||
Is the existence of a representative mandatory for ADs? | 0.009 | 172 | ||||
Yes | 85 (49.4%) | 17 (34.0%) | 26 (44.8%) | 42 (65.6%) | ||
No | 15 (8.72%) | 4 (8.00%) | 7 (12.1%) | 4 (6.25%) | ||
N/A | 72 (41.9%) | 29 (58.0%) | 25 (43.1%) | 18 (28.1%) | ||
Only physicians are authorised to consult the AD register? | 0.474 | 172 | ||||
Yes | 72 (41.9%) | 20 (40.0%) | 20 (34.5%) | 32 (50.0%) | ||
No | 4 (2.33%) | 1 (2.00%) | 2 (3.45%) | 1 (1.56%) | ||
N/A | 96 (55.8%) | 29 (58.0%) | 36 (62.1%) | 31 (48.4%) | ||
Are there other groups in addition to physicians who are authorised to consult the register? | 0.242 | 172 | ||||
Yes | 50 (29.1%) | 14 (28.0%) | 13 (22.4%) | 23 (35.9%) | ||
No | 36 (20.9%) | 8 (16.0%) | 12 (20.7%) | 16 (25.0%) | ||
N/A | 86 (50.0%) | 28 (56.0%) | 33 (56.9%) | 25 (39.1%) | ||
Do you know who can consult the AD once it has been entered in the Register? | 0.474 | 172 | ||||
Yes | 30 (17.4%) | 8 (16.0%) | 7 (12.1%) | 15 (23.4%) | ||
No | 57 (33.1%) | 16 (32.0%) | 19 (32.8%) | 22 (34.4%) | ||
N/A | 85 (49.4%) | 26 (52.0%) | 32 (55.2%) | 27 (42.2%) |