Intensive care nurses’ experiences of withdrawal of life-sustaining treatments in intensive care patients: A qualitative study

Taylor, Ine Henriette Fossum; Dihle, Alfhild; Hofsø, Kristin; Steindal, Simen Alexander

doi:10.1016/j.iccn.2019.102768

Cited by 26 publications

(40 citation statements)

References 30 publications

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“…Therefore, the experience factor will be very influential in the implementation of nursing care to patients. This is in accordance with the suggestion of [27] that the longer the health workers work in the hospital, hence the experience in treating the patient will be better and more perfect. Based on the data above, it is explained that generally, the health workers working in the public health care department have been working for 3-5 years.…”

Section: Resultssupporting

confidence: 91%

The Impact of Nurses Workload, Humanities and Health Policy: Exploratory Analysis of the Patient Experience Satisfaction

Nasirin¹

2021

Proceedings of the 2nd Annual Conference on Education and Social Science (ACCESS 2020)

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The ability of nurse professionals to provide quality healthcare services is necessary for consumers when conducting health care in hospitals. The optimal health services that are expected by the patients using health care services, and it's certainly an obstacle for the hospital in providing quality services for the whole community. The purpose of this study is to identify workloads for healthcare professionals and the desire of consumers to improve health quality during the period of medical care and treatment. The methods in this study used an exploratory analysis. And the sampling technique is performed using non-probability using questionnaires and observations to get the study results significantly. The result showed that there was an impact on the workload carried out by healthcare professionals with the satisfaction of patients during hospital treatment. Thus, the quality of health services will also impact the workload for healthcare professionals. Health institutions such as general hospitals certainly need the planning of professional health personnel sufficient to improve the quality of service. Therefore, the number of consumers who do health care should undoubtedly comply with the ratio of health personnel available.

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Section: Resultssupporting

confidence: 91%

The Impact of Nurses Workload, Humanities and Health Policy: Exploratory Analysis of the Patient Experience Satisfaction

Nasirin¹

2021

Proceedings of the 2nd Annual Conference on Education and Social Science (ACCESS 2020)

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“…Research suggests that, while nurses may be distressed by the implementation of treatment that they believed to be futile, discontinuation of life sustaining treatment contributes to increased distress among intensive care and intensive care nurses. 24 As more hospitals are using advanced, high technological and life sustaining treatments such as extracorporeal membrane oxygenation (ECMO), future research into the roles and well-being of these specialty trained nurses would be beneficial.…”

Section: Implications For Future Researchmentioning

confidence: 99%

A survey of moral distress and end of life care in mechanical circulatory support nurses

et al. 2021

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Background Patients receiving left ventricular assisted device (LVAD) require the expertise of specialty trained nurses referred to as VAD coordinators. The long-term use of these devices has created morally distressing situations for VAD coordinators. Objective This pilot study sought to explore the association between ventricular assistance device (VAD) coordinators’ unique roles and responsibilities and moral distress. Methods An online survey was distributed to VAD coordinators through a listserv. The non-probability sample consisted of 36 nurses across the United States. Results Bivariate analyses identified a number of areas of difference in respondent's levels of moral distress based on specific responsibilities associated with their role as a VAD coordinator. Conclusion These findings indicate team communication, competence, and location of VAD discontinuation may be important factors related to VAD coordinators' distress. Future research is needed with larger sample sizes and continued exploration of the impact of specialized training and curricula content.

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“…This is unfortunate, given that ICU nurses are well positioned to initiate end-of-life discussions with families 34 and often prefer to be included in decisions regarding treatments. 35 Nurses in our study experienced anger, powerlessness, and high levels of anxiety, characteristics reflecting moral distress in nurses. 31 These situations have a detrimental effect on nurses’ well-being 27 , 36 and may leave nurses with less time to care for other patients.…”

Section: Discussionmentioning

confidence: 63%

A critical incident study of ICU nurses during the COVID-19 pandemic

Rhéaume¹,

Breau²,

Boudreau

2021

Nurs Ethics

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Background: Intensive care unit nurses are providing care to COVID-19 patients in a stressful environment. Understanding intensive care unit nurses’ sources of distress is important when planning interventions to support them. Purpose: To describe Canadian intensive care unit nurse experiences providing care to COVID-19 patients during the second wave of the pandemic. Design: Qualitative descriptive component within a larger mixed-methods study. Participants and research context: Participants were invited to write down their experiences of a critical incident, which distressed them when providing nursing care. Thematic analysis was used to analyze the data. Ethical considerations: The study was approved by the ethics committee at the researchers’ university in eastern Canada. Results: A total of 111 critical incidents were written by 108 nurses. Four themes were found: (1) managing the pandemic, (2) witness to families’ grief, (3) our safety, and (4) futility of care. Many nurses’ stories also focused on the organizational preparedness of their institutions and concerns over their own safety. Discussion: Nurses experienced moral distress in relation to family and patient issues. Situations related to insufficient institutional support, patient, and family traumas, as well as safety issues have left nurses deeply distressed. Conclusion: Identifying situations that distress intensive care unit nurses can lead to targeted interventions mitigating their negative consequences by providing a safe work environment and improving nurses’ well-being.

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Intensive care nurses’ experiences of withdrawal of life-sustaining treatments in intensive care patients: A qualitative study

Cited by 26 publications

References 30 publications

The Impact of Nurses Workload, Humanities and Health Policy: Exploratory Analysis of the Patient Experience Satisfaction

The Impact of Nurses Workload, Humanities and Health Policy: Exploratory Analysis of the Patient Experience Satisfaction

A survey of moral distress and end of life care in mechanical circulatory support nurses

A critical incident study of ICU nurses during the COVID-19 pandemic

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