학술논문

Factors influencing Intensive Care Units nurses in end-of-life decisions
Document Type
article
Source
Revista da Escola de Enfermagem da USP. August 2015 49(4)
Subject
Terminally Ill
Intensive Care Units
Nursing
Decision Making
Culture
Anthropology
Language
English
ISSN
0080-6234
Abstract
OBJECTIVETo identify the factors that influence the Intensive Care Unit nurse in the decision-making process in end-of-life situations.METHODEthnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-structured interviews with 10 nurses.RESULTSThe inductive thematic analysis enabled us to identify four themes:The cultural context of the Intensive Care Unit: decision-making in situations of end-of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations: the patient and family centered care.CONCLUSIONProfessional maturity, the ability to transmit information and the ability to negotiate are directly related to the inclusion of nurses in the decision-making process.