Nurses' Conceptions of Decision Making Concerning Life-Sustaining Treatment

The aim of this study was to describe nurses' conceptions of decision making with regard to life-sustaining treatment for dialysis patients. Semistructured interviews were conducted with 13 nurses caring for such patients at three hospitals. The interview material was subjected to qualitative c...

Description complète

Enregistré dans:  
Détails bibliographiques
Auteurs: Silén, Marit (Auteur) ; Svantesson, Mia (Auteur) ; Ahlström, Gerd (Auteur)
Type de support: Électronique Article
Langue:Anglais
Vérifier la disponibilité: HBZ Gateway
Journals Online & Print:
En cours de chargement...
Fernleihe:Fernleihe für die Fachinformationsdienste
Publié: Sage 2008
Dans: Nursing ethics
Année: 2008, Volume: 15, Numéro: 2, Pages: 160-173
Sujets non-standardisés:B end-of-life decision making
B Nursing
B interprofessional relationships
B life-sustaining treatment
B Dialysis
B clinical ethics
Accès en ligne: Volltext (lizenzpflichtig)
Description
Résumé:The aim of this study was to describe nurses' conceptions of decision making with regard to life-sustaining treatment for dialysis patients. Semistructured interviews were conducted with 13 nurses caring for such patients at three hospitals. The interview material was subjected to qualitative content analysis. The nurses saw decision making as being characterized by uncertainty and by lack of communication and collaboration among all concerned. They described different ways of handling decision making, as well as insufficiency of physician—nurse collaboration, lack of confidence in physicians, hindrances to patient participation, and ambivalence about the role of patients' next of kin. Future research should test models for facilitating communication and decision making so that decisions will emerge from collaboration of all concerned. Nurses' role in decision making also needs to be discussed.
ISSN:1477-0989
Contient:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1177/0969733007086014