Abstract
Clinicians face challenges managing patients at the end-of-life (EOL). A focus group discussion (FGD) of nine clinicians was conducted to explore their experiences. Verbatim was transcribed and thematically analysed based on grounded theory. 18 issues affecting EOL care decisions emerged and can be categorised into three categories: family-related issues, doctor-related issues and system-related issues. The findings suggest that the surrogacy ladder commonly used in decision-making for incapacitated patients in Malaysia is as follows: spouses followed by children, parents, and siblings. The results of this FGD can help policymakers develop guidelines on EOL decision-making suitable for use in the local context. Keywords: surrogacy ladder, surrogate decision-maker, end-of-life decisions, advance care planning eISSN: 2398-4287 © 2022. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v7i22.4150
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