End-Of-Life Ethical Issues Essay

Introduction

In my opinion, the choice of ethics of testing or doing research on patients during the end of life care and the cost associated with it was a good choice. The first article was MORECare Research Methods Guidance Development: Recommendations for Ethical Issues in Palliative and End-of-life care Research, by Gysels, Evans, Lewis, Speck, Benalia, Preston, Grande, Short, Owen-Jones, Todd, and Higginson. The author of the article was successful, in his research study setup. The research study was carried out by the use of cross-sectional design approach. It was carried out during a one day workshop with experts on palliative care; consultants, senior researchers, and healthcare professionals in the same department) (Gysels et al, p. 900). In my understanding, Polit and Beck defined cross-sectional design as, the collections of data once the phenomenon under the study is captured at a single point in time, (p. 168). The research was all done at one point in time and allowed the researchers to gather all the information at one time from the participants who were considered experts in their field. It came to my attention that the limitation to this type of design was the number of persons involved was hemmed in, therefore they would not be able to cover/come up with all of the potential challenges that would be faced on performing studies on palliative patients.

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Save 25%

Quality of Life and Cost of Care at the End of Life

The author of the book circumvented my assiduity about the purpose of this study was to differentiate causes/reasons why the end of life care is so costly. It is my understanding that the analyst in this study, "excogitated that DNR order would decree a stronger relationship with lower end-of-life care cost because living will and Durable Power of Attorneys can include specifications for more or less aggressive life-prolonging treatment" (Garrido et al., p.829). The study design for this study was between-subject design. Between-subject design is defined as "comparison between different people" (Polit, & Beck, p. 166). I can asseverate that the participants in the study were palliative care patients and their families/caregivers in acute care hospital settings, long-term care facilities, and at hospice facilities. My presupposition regarding this study is that it was appropriate as there are end-of-life costs associated with all levels of the spectrum.

From my point of view, the bifurcation of selecting an inappropriate research design depending on what was done or asked for there can be a bias associated with the research. If the preference is something that is expected and noted it could eliminate. Bias will fulminate a study's trustworthiness, and it will question the validity of the study. In turn, this will ruin the credibility of the researcher and the study (Polit, & Beck, p. 161). As I conclude, individually as end users of the research need to know that the investigation was reliable and has scientific merit, and incorrect or biased evidence will not promote trust in the study or researcher (Polit, & Beck, p. 160).

References

Garrido, M.M., Balboni, T.A., Maciejewski, P.K., Bao, Y., & Prigerson, H.G. (2015). Quality of Life and Cost of Care at the End of Life: The Role of Advanced Directives. Journal of Pain and Symptom Management, 49(5). Retrieved from: http://dxdoi.org/10.1016/j.jpainsymman.2014.09.015.

Gysels, M., Evans, C.J., Lewis, P., Speck, P., Benalia, H., Preston, N.J., Grande, G.E., Short, V., Owen-Jones, E., Todd, C.J., & Higginson, I.J. (2013). MORECare Research Methods Guidance Development: Recommendations for Ethical Issues in Palliative and End-of-Life Care Research. Palliative Medicine, 27(10). Retrieved from the Walden Library Databases.

Polit, D.F., & Beck, C.T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice (10th ed.). Philadelphia, PA: Wolters Kluwer.