Table 3 Relationship between the levels of knowledge and attitudes in complex scenarios (ACS)
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 = 59 (34.3%) | N = 39 (22.7%) | N = 74 (43%) | |||
Can the declaration of AD replace Informed Consent? | 0.359 | 171 | ||||
Yes | 40 (23.4%) | 12 (20.3%) | 9 (23.7%) | 19 (25.7%) | ||
No | 91 (53.2%) | 28 (47.5%) | 23 (60.5%) | 40 (54.1%) | ||
N/A | 40 (23.4%) | 19 (32.2%) | 6 (15.8%) | 15 (20.3%) | ||
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? | 0.678 | 171 | ||||
Yes | 37 (21.6%) | 9 (15.3%) | 9 (23.7%) | 19 (25.7%) | ||
No | 71 (41.5%) | 26 (44.1%) | 15 (39.5%) | 30 (40.5%) | ||
N/A | 63 (36.8%) | 24 (40.7%) | 14 (36.8%) | 25 (33.8%) | ||
Can persons with a judicial resolution of incapacity register a Living Will if it does not specify this in the resolution? | 0.057 | 170 | ||||
Yes | 40 (23.5%) | 13 (22.0%) | 8 (21.6%) | 19 (25.7%) | ||
No | 56 (32.9%) | 15 (25.4%) | 9 (24.3%) | 32 (43.2%) | ||
N/A | 74 (43.5%) | 31 (52.5%) | 20 (54.1%) | 23 (31.1%) | ||
Are Living Wills valid throughout Spain? | 0.006 | 172 | ||||
Yes | 124 (72.1%) | 35 (59.3%) | 26 (66.7%) | 63 (85.1%) | ||
No | 8 (4.65%) | 3 (5.08%) | 2 (5.13%) | 3 (4.05%) | ||
N/A | 40 (23.3%) | 21 (35.6%) | 11 (28.2%) | 8 (10.8%) | ||
Are health professionals in Catalonia obliged to inform about AD? | 0.348 | 172 | ||||
Yes | 72 (41.9%) | 20 (33.9%) | 16 (41.0%) | 36 (48.6%) | ||
No | 33 (19.2%) | 12 (20.3%) | 10 (25.6%) | 11 (14.9%) | ||
N/A | 67 (39.0%) | 27 (45.8%) | 13 (33.3%) | 27 (36.5%) | ||
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? | 0.710 | 172 | ||||
Yes | 87 (50.6%) | 27 (45.8%) | 18 (46.2%) | 42 (56.8%) | ||
No | 23 (13.4%) | 9 (15.3%) | 5 (12.8%) | 9 (12.2%) | ||
N/A | 62 (36.0%) | 23 (39.0%) | 16 (41.0%) | 23 (31.1%) | ||
The living will must always be taken into account, regardless of the patient's state of consciousness | 0.099 | 172 | ||||
Yes | 121 (70.3%) | 39 (66.1%) | 25 (64.1%) | 57 (77.0%) | ||
No | 37 (21.5%) | 11 (18.6%) | 12 (30.8%) | 14 (18.9%) | ||
N/A | 14 (8.14%) | 9 (15.3%) | 2 (5.13%) | 3 (4.05%) | ||
In the case of deceased persons, does only their legal representative have access to the declaration of a living will? | 0.414 | 172 | ||||
Yes | 37 (21.5%) | 12 (20.3%) | 11 (28.2%) | 14 (18.9%) | ||
No | 64 (37.2%) | 20 (33.9%) | 11 (28.2%) | 33 (44.6%) | ||
N/A | 71 (41.3%) | 27 (45.8%) | 17 (43.6%) | 27 (36.5%) | ||
Do you understand the meaning of limitation of therapeutic effort? | 0.762 | 172 | ||||
Yes | 156 (90.7%) | 55 (93.2%) | 36 (92.3%) | 65 (87.8%) | ||
No | 7 (4.07%) | 1 (1.69%) | 1 (2.56%) | 5 (6.76%) | ||
N/A | 9 (5.23%) | 3 (5.08%) | 2 (5.13%) | 4 (5.41%) | ||
Learn about the meaning and usefulness of the ACP | 0.487 | 172 | ||||
Yes | 74 (43.0%) | 25 (42.4%) | 16 (41.0%) | 33 (44.6%) | ||
No | 66 (38.4%) | 21 (35.6%) | 19 (48.7%) | 26 (35.1%) | ||
N/A | 32 (18.6%) | 13 (22.0%) | 4 (10.3%) | 15 (20.3%) | ||
Knows the documents necessary to carry out an AD | 0.367 | 172 | ||||
Yes | 79 (45.9%) | 24 (40.7%) | 17 (43.6%) | 38 (51.4%) | ||
No | 6 (3.49%) | 4 (6.78%) | 0 (0.00%) | 2 (2.70%) | ||
N/A | 87 (50.6%) | 31 (52.5%) | 22 (56.4%) | 34 (45.9%) | ||
The registration of the AD can only be made in person by the holder | 0.823 | 172 | ||||
Yes | 66 (38.4%) | 24 (40.7%) | 13 (33.3%) | 29 (39.2%) | ||
No | 49 (28.5%) | 16 (27.1%) | 14 (35.9%) | 19 (25.7%) | ||
N/A | 57 (33.1%) | 19 (32.2%) | 12 (30.8%) | 26 (35.1%) | ||
At present, ADs containing, exceptionally, elements contrary to the legislation in force are accepted | 0.716 | 172 | ||||
Yes | 16 (9.30%) | 5 (8.47%) | 3 (7.69%) | 8 (10.8%) | ||
No | 51 (29.7%) | 17 (28.8%) | 15 (38.5%) | 19 (25.7%) | ||
N/A | 105 (61.0%) | 37 (62.7%) | 21 (53.8%) | 47 (63.5%) | ||
Knows who is entitled to access the content of Ads | 0.679 | 172 | ||||
Yes | 36 (20.9%) | 9 (15.3%) | 10 (25.6%) | 17 (23.0%) | ||
No | 77 (44.8%) | 28 (47.5%) | 18 (46.2%) | 31 (41.9%) | ||
N/A | 59 (34.3%) | 22 (37.3%) | 11 (28.2%) | 26 (35.1%) | ||
In his/her usual practice, he or she has consulted the AD register | 0.052 | 172 | ||||
Yes | 55 (32.0%) | 14 (23.7%) | 15 (38.5%) | 26 (35.1%) | ||
No | 111 (64.5%) | 40 (67.8%) | 23 (59.0%) | 48 (64.9%) | ||
N/A | 6 (3.49%) | 5 (8.47%) | 1 (2.56%) | 0 (0.00%) | ||
The professional has an obligation to provide information on AD | 0.193 | 172 | ||||
Yes | 98 (57.0%) | 27 (45.8%) | 26 (66.7%) | 45 (60.8%) | ||
No | 14 (8.14%) | 8 (13.6%) | 2 (5.13%) | 4 (5.41%) | ||
N/A | 60 (34.9%) | 24 (40.7%) | 11 (28.2%) | 25 (33.8%) | ||
AD consultation is part of his or her regular practice | 0.369 | 172 | ||||
Yes | 26 (15.1%) | 8 (13.6%) | 4 (10.3%) | 14 (18.9%) | ||
No | 127 (73.8%) | 41 (69.5%) | 32 (82.1%) | 54 (73.0%) | ||
N/A | 19 (11.0%) | 10 (16.9%) | 3 (7.69%) | 6 (8.11%) | ||
Health professionals should always consult the AD | 0.295 | 172 | ||||
Yes | 31 (18.0%) | 11 (18.6%) | 9 (23.1%) | 11 (14.9%) | ||
No | 94 (54.7%) | 28 (47.5%) | 24 (61.5%) | 42 (56.8%) | ||
N/A | 47 (27.3%) | 20 (33.9%) | 6 (15.4%) | 21 (28.4%) | ||
You think you have enough information about AD | 0.430 | 172 | ||||
Yes | 7 (4.07%) | 2 (3.39%) | 2 (5.13%) | 3 (4.05%) | ||
No | 157 (91.3%) | 52 (88.1%) | 37 (94.9%) | 68 (91.9%) | ||
N/A | 8 (4.65%) | 5 (8.47%) | 0 (0.00%) | 3 (4.05%) | ||
Knows where an AD is consulted | 0.680 | 172 | ||||
Yes | 46 (26.7%) | 13 (22.0%) | 13 (33.3%) | 20 (27.0%) | ||
No | 111 (64.5%) | 39 (66.1%) | 24 (61.5%) | 48 (64.9%) | ||
N/A | 15 (8.72%) | 7 (11.9%) | 2 (5.13%) | 6 (8.11%) | ||
Knows the documentation to be provided to register an AD | 0.065 | 172 | ||||
Yes | 31 (18.0%) | 6 (10.2%) | 6 (15.4%) | 19 (25.7%) | ||
No | 127 (73.8%) | 45 (76.3%) | 32 (82.1%) | 50 (67.6%) | ||
N/A | 14 (8.14%) | 8 (13.6%) | 1 (2.56%) | 5 (6.76%) | ||
The AD is legally valid even if it is not registered | 0.557 | 172 | ||||
Yes | 52 (30.2%) | 17 (28.8%) | 10 (25.6%) | 25 (33.8%) | ||
No | 34 (19.8%) | 15 (25.4%) | 6 (15.4%) | 13 (17.6%) | ||
N/A | 86 (50.0%) | 27 (45.8%) | 23 (59.0%) | 36 (48.6%) | ||
Find out where you have to go to register an AD | 0.061 | 172 | ||||
Yes | 36 (20.9%) | 8 (13.6%) | 11 (28.2%) | 17 (23.0%) | ||
No | 112 (65.1%) | 37 (62.7%) | 25 (64.1%) | 50 (67.6%) | ||
N/A | 24 (14.0%) | 14 (23.7%) | 3 (7.69%) | 7 (9.46%) | ||
Will only the AD registered in your Autonomous Community be valid? | 0.951 | 172 | ||||
Yes | 22 (12.8%) | 7 (11.9%) | 5 (12.8%) | 10 (13.5%) | ||
No | 51 (29.7%) | 16 (27.1%) | 11 (28.2%) | 24 (32.4%) | ||
N/A | 99 (57.6%) | 36 (61.0%) | 23 (59.0%) | 40 (54.1%) | ||
Can a person admitted to hospital register his or her ADs? | 0.001 | 172 | ||||
Yes | 124 (72.1%) | 35 (59.3%) | 25 (64.1%) | 64 (86.5%) | ||
No | 1 (0.58%) | 1 (1.69%) | 0 (0.00%) | 0 (0.00%) | ||
N/A | 47 (27.3%) | 23 (39.0%) | 14 (35.9%) | 10 (13.5%) | ||
The appointment to register AD can only be requested through the app Salud Responde (Health Responds) | 0.011 | 171 | ||||
Yes | 52 (30.4%) | 14 (24.1%) | 16 (41.0%) | 22 (29.7%) | ||
No | 31 (18.1%) | 7 (12.1%) | 3 (7.69%) | 21 (28.4%) | ||
N/A | 88 (51.5%) | 37 (63.8%) | 20 (51.3%) | 31 (41.9%) | ||
Is the existence of a representative mandatory for ADs? | 0.480 | 172 | ||||
Yes | 85 (49.4%) | 25 (42.4%) | 20 (51.3%) | 40 (54.1%) | ||
No | 15 (8.72%) | 4 (6.78%) | 3 (7.69%) | 8 (10.8%) | ||
N/A | 72 (41.9%) | 30 (50.8%) | 16 (41.0%) | 26 (35.1%) | ||
Only physicians are authorised to consult the AD register? | 0.374 | 172 | ||||
Yes | 72 (41.9%) | 21 (35.6%) | 15 (38.5%) | 36 (48.6%) | ||
No | 4 (2.33%) | 1 (1.69%) | 2 (5.13%) | 1 (1.35%) | ||
N/A | 96 (55.8%) | 37 (62.7%) | 22 (56.4%) | 37 (50.0%) | ||
Are there other groups in addition to physicians who are authorised to consult the register? | 0.115 | 172 | ||||
Yes | 49 (28.5%) | 13 (22.0%) | 16 (41.0%) | 20 (27.0%) | ||
No | 36 (20.9%) | 12 (20.3%) | 4 (10.3%) | 20 (27.0%) | ||
N/A | 87 (50.6%) | 34 (57.6%) | 19 (48.7%) | 34 (45.9%) | ||
Do you know who can consult the AD once it has been entered in the Register? | 0.161 | 172 | ||||
Yes | 29 (16.9%) | 5 (8.47%) | 10 (25.6%) | 14 (18.9%) | ||
No | 57 (33.1%) | 19 (32.2%) | 11 (28.2%) | 27 (36.5%) | ||
N/A | 86 (50.0%) | 35 (59.3%) | 18 (46.2%) | 33 (44.6%) |