Nurses' Perceptions of Futile Care

Aghabarary, Maryam; Nayeri, Nahid Dehghan

doi:10.1097/hnp.0000000000000128

Cited by 11 publications

(15 citation statements)

References 48 publications

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“…The frequent occurrence of these consequences over the years has tended to foster a negative attitude towards admission and hospitalisation of elderlies with advanced diseases. In line with our findings, previous studies found that the perception of futile care hurts caring behaviours of ICU caregivers toward elderly patients [22], [23], [24], [25].…”

Section: Discussionsupporting

confidence: 93%

Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research

Heydari

Sharifi

Moghaddam

2019

Open Access Maced J Med Sci

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BACKGROUND: Enhancing the quality of care for elderly patients needs an understanding of the challenges and obstacles experienced by the intensive care unit (ICU) staff in providing care. AIM: To explore the most challenging issues experienced by ICU staff, in particular, nurses, in the care of elderly patients in the general adult ICU. DESIGN: A qualitative research design was employed. The Standards for Reporting Qualitative Research (SRQR) were followed. METHODS: Based on theoretical sampling, we carried out 34 in-depth semi-structured interviews from two medical adult ICUs. Data analysis was carried out using qualitative conventional content analysis. RESULTS: Data analysis led to the identification of three interrelated categories and 12 subcategories. Three main categories were factors related to nurses’ attitude in elderly care, factors related to the system of care, and factors related to the models of patient care delivery. These categories came under the main theme of "Inappropriate and unfair system for elderly care". CONCLUSION: The findings of this study increase scholarly understanding of challenges and barriers to providing care to elderly patients in the general adult ICU. We found that the provision of care to elderly patients is inappropriate and unfair. Various obstacles must be overcome to improve the care of these patients. For example, negative attitudes toward elder care, inappropriate environments, lack of resources, lack of knowledge and skills, a specialized model of care delivery, respect for humanity, care without considering patient age, and separating professional conflicts from patient care. These findings may be used by ICU’s caregivers and managers to improve the quality of care. IMPLICATIONS FOR PRACTICE: Various obstacles were documented that need to be overcome by hospital administrators, nursing managers, clinical nurses, nursing educators, nursing researchers to improve the care of elderly patients admitted to ICU.

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Section: Discussionsupporting

confidence: 93%

Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research

Heydari

Sharifi

Moghaddam

2019

Open Access Maced J Med Sci

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“…In some countries with universal healthcare coverage, the physician may decide whether care is futile or not, opting to withdraw or sustain life support without the family or patient's consent, creating ethical dilemmas (Luce & White, ). Moral distress and burnout among nurses providing care to patients receiving futile care when comfort measures should be pursued is well documented in the literature; often nurses feel passionately the care is brutal and malicious (Aghabarary & Nayeri, ; Catlin et al., ; Ferrell, ; Meltzer & Huckabay, ; Özden et al., ; Yekefallah, Ashktorab, Manoochehri, & Hamid, ). Instances where the ethical dilemmas are significant, whether felt by the family, patient or healthcare team, can result in litigation (Fontugne, ; Stewart, ).…”

Section: Resultsmentioning

confidence: 99%

An evolutionary concept analysis of futility in health care

Morata

2018

Journal of Advanced Nursing

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“…Relating to Q3 about dealing with challenges of staff and management, the participants mentioned lack of privacy, tough schedule, management favouritism, communication gap, peer conflicts and less experienced staff and administration, which accede with past literature (Aghabarary and Nayeri, 2016;Rostami et al, 2019):…”

Section: Prrmentioning

confidence: 84%

Exploring the facet of elderly care centre in multiethnic Malaysia

Isa

Noor

Wei

et al. 2020

PRR

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Purpose Malaysia is considered to be a relatively young country as compared to other older countries such as Japan, China and Australia in terms of the ageing population. However, until 2035, Malaysia will be in the ageing group countries as 15% of the entire population will be above 60 years of age. This situation is quite alarming as more and more ageing care centres will be required to fulfill the ongoing demands of the ageing population. The elderly care centres in Malaysia are categorised as public (sponsored by the government), private, and charity based that comes under religious centres. Currently, there are about 365 registered elderly care centres working in the main states of Malaysia, including Sabah and Sarawak, two states of the East Malaysia. Due to the importance of ageing population issues, the present study is conducted to explore the demographics facet of Malaysian’s elderly care centres. The main reason behind that lies on the fact that many of these centres are still labelled as being not well equipped and lacking behind in trained staff, equipment and also suffering from severe financial constraints but some still capable of working on a sustainability basis. Design/methodology/approach Qualitative Research Strategy has been adopted, and 28 centres throughout Malaysia are included in this study. About 18 Operators from different centres and 15 caregivers were interviewed to get the holistic view of ageing care and facilities in their respective centres. Findings The results highlight that the majority of centres are not receiving any financial help from the government, and few centres are doing small business such as supplying consumable medical and non-medical items and providing renting and rehabilitation centres facilities to sustain. The caregivers are facing issues such as excess workload, less salary, peer conflicts and non-cooperative centre leadership. Originality/value The present study may help to provide useful information to the policymakers, which enables them to formulate the strategies for ageing care centres in Malaysia. As this study provides insight of components that have an impact on the overall wellbeing of elderly care centres, hence, it could help the care services providers to act as a rising star for Malaysian’s social life comfort.

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Nurses' Perceptions of Futile Care

Cited by 11 publications

References 48 publications

Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research

Challenges and Barriers to Providing Care to Older Adult Patients in the Intensive Care Unit: A Qualitative Research

An evolutionary concept analysis of futility in health care

Exploring the facet of elderly care centre in multiethnic Malaysia

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