Ethical content of expert recommendations for end-of-life decision-making in intensive care units: A systematic review
| Autor: | Marko Ćurković, Dina Vrkić, Dinko Tonković, Bert Gordijn, Suzana Vuletić, Ana Jozepovic, Diana Spoljar, Ana Borovečki, Chris Gastmans |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Intensive care units End-of-life care End-of-life decision-making Ethics
media_common.quotation_subject Critical Illness Decision Making SOCIETY GUIDELINES Critical Care and Intensive Care Medicine Grounded theory PALLIATIVE CARE 03 medical and health sciences 0302 clinical medicine Critical Care Medicine General & Internal Medicine Intensive care SUPPORT Health care Medicine Humans Expert Testimony media_common Ethics Terminal Care Science & Technology Intensive care units STATEMENT business.industry Beneficence 030208 emergency & critical care medicine Grey literature End-of-life decision-making 3. Good health Variety (cybernetics) Intensive Care Units Terminal Care / ethics End-of-life care 030228 respiratory system PRINCIPLES ICU Engineering ethics CONSENSUS business Life Sciences & Biomedicine SUSTAINING TREATMENTS WITHDRAWAL Decision Making / ethics Autonomy |
| Popis: | PURPOSE: Intensive care unit health care professionals must be skilled in providing end-of-life care. Crucial in this kind of care is end-of-life decision-making, which is a complex process involving a variety of stakeholders and requiring adequate justification. The aim of this systematic review is to analyse papers tackling ethical issues in relation to end-of-life decision-making in intensive care units. It explores the ethical positions, arguments and principles. METHODS: A literature search was conducted in bibliographic databases and grey literature sources for the time period from 1990 to 2019. The constant comparative method was used for qualitative analysis of included papers in order to identify ethical content including ethical positions, ethical arguments, and ethical principles used in decision-making process. RESULTS: In the 15 included papers we have identified a total of 43 ethical positions. Ten positions were identified as substantive, 33 as procedural. Twelve different ethical principles emerged from the ethical arguments. The most frequently used principles are the principles of beneficence, autonomy and nonmaleficence. CONCLUSIONS: We have demonstrated that recommendations and guidelines designed specifically by intensive or critical care experts for intensive care units promote similar ethical positions, with minimal dissenting positions. ispartof: JOURNAL OF CRITICAL CARE vol:58 pages:10-19 ispartof: location:United States status: published |
| Databáze: | OpenAIRE |
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