Factors influencing Intensive Care Units nurses in end-of-life decisions

Revista da Escola de Enfermagem da USP

Michelle Freire Baliza¹  Regina Szylit Bousso¹  Kátia Poles¹  Maiara Rodrigues Dos Santos¹  Lucía Silva¹  Maria Cristina Paganini¹ 

关键词: Terminally Ill;    Intensive Care Units;    Nursing;    Decision Making;    Culture;    Anthropology;    Enfermo Terminal;    Unidades de Cuidados Intensivos;    Enfermería;    Toma de Decisiones;    Cultura;    Antropología;    Doente Terminal;    Unidades de Terapia Intensiva;    Enfermagem;    Tomada de Decisões;    Cultura;    Antropologia;   

DOI  :  10.1590/S0080-623420150000400006

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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