Limitation of therapeutic effort experienced by intensive care nurses
Autor: | Beatriz Álvarez-Embarba, Juan Francisco Velarde-García, Domingo Palacios-Ceña, César Cardenete-Reyes, Raquel González-Hervías, Raquel Luengo-González |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Attitude of Health Personnel Decision Making education nurse Nursing Staff Hospital Critical Care Nursing Cuidados intensivos Affect (psychology) intensive care unit Personal paramédico law.invention Tratamiento médico 03 medical and health sciences Nursing care 0302 clinical medicine Nursing law Intensive care Critical care nursing Humans Medicine 030212 general & internal medicine Qualitative Research withholding treatment Terminal Care Withholding Treatment 030504 nursing business.industry Articles Middle Aged Intensive care unit Intensive Care Units Issues ethics and legal aspects End-of-life care Spain Female Enfermería Estudio del trabajo nursing care 0305 other medical science business |
Zdroj: | ABACUS. Repositorio de Producción Científica Universidad Europea (UEM) Nursing Ethics |
ISSN: | 1477-0989 0969-7330 |
DOI: | 10.1177/0969733016679471 |
Popis: | Background: Nurses who practice limitation of therapeutic effort become fully involved in emotionally charged situations, which can affect them significantly on an emotional and professional level. Objectives: To describe the experience of intensive care nurses practicing limitation of therapeutic effort. Method: A qualitative, phenomenological study was performed within the intensive care units of the Madrid Hospitals Health Service. Purposeful and snowball sampling methods were used, and data collection methods included semi-structured and unstructured interviews, researcher field notes, and participants’ personal letters. The Giorgi proposal for data analysis was used on the data. Ethical considerations: This study was approved by the Ethical Research Committee of the relevant hospital and by the Ethics Committee of the Rey Juan Carlos University and was guided by the ethical principles of voluntary enrollment, anonymity, privacy, and confidentiality. Results: In total, 22 nurses participated and 3 themes were identified regarding the nurses’ experiences when faced with limitation of therapeutic effort: (a) experiencing relief, (b) accepting the medical decision, and (c) implementing limitation of therapeutic effort. Conclusion: Nurses felt that, although they were burdened with the responsibility of implementing limitation of therapeutic effort, they were being left out of the final decision-making process regarding the same. |
Databáze: | OpenAIRE |
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