Nurses’ experiences of ethical and legal issues in post-resuscitation care: A qualitative content analysis
BackgroundCardiopulmonary resuscitation and subsequent care are subject to various ethical and legal issues. Few studies have addressed ethical and legal issues in post-resuscitation care.ObjectiveTo explore nurses’ experiences of ethical and legal issues in post-resuscitation care.Research designTh...
| Authors: | ; ; ; ; ; |
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| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Interlibrary Loan: | Interlibrary Loan for the Fachinformationsdienste (Specialized Information Services in Germany) |
| Published: |
2023
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| In: |
Nursing ethics
Year: 2023, Volume: 30, Issue: 2, Pages: 245-257 |
| Further subjects: | B
cardiopulmonary resuscitation
B legal issues B Nurses B Cardiac arrest B ethical challenges |
| Online Access: |
Volltext (lizenzpflichtig) |
| Summary: | BackgroundCardiopulmonary resuscitation and subsequent care are subject to various ethical and legal issues. Few studies have addressed ethical and legal issues in post-resuscitation care.ObjectiveTo explore nurses’ experiences of ethical and legal issues in post-resuscitation care.Research designThis qualitative study adopted an exploratory descriptive qualitative design using conventional content analysis.Participants and research contextIn-depth, semi-structured interviews were conducted in three educational hospital centers in northwestern Iran. Using purposive sampling, 17 nurses participated. Data were analyzed by conventional content analysis.Ethical considerationsThe study was approved by Research Ethics Committees at Tabriz University of Medical Sciences. Participation was voluntary and written informed consent was obtained. For each interview, the ethical principles including data confidentiality and social distance were respected.FindingsFive main categories emerged: Pressure to provide unprincipled care, unprofessional interactions, ignoring the patient, falsifying documents, and specific ethical challenges. Pressures in the post-resuscitation period can cause nurses to provide care that is not consistent with guidelines, and to avoid communicating with physicians, patients and their families. Patients can also be labeled negatively, with early judgments made about their condition. Medical records can be written in a way to indicate that all necessary care has been provided. Disclosure, withdrawing, and withholding of therapy were also specific important ethical challenges in the field of post-resuscitation care.ConclusionThere are many ethical and legal issues in post-resuscitation care. Developing evidence-based guidelines and training staff to provide ethical care can help to reduce these challenges. |
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| ISSN: | 1477-0989 |
| Contains: | Enthalten in: Nursing ethics
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| Persistent identifiers: | DOI: 10.1177/09697330221133521 |
