Doctor? Who? Nurses, patient's best interests and treatment withdrawal: when no doctor is available, should nurses withdraw treatment from patients?

Where a decision has been made to stop futile treatment of critically ill patients on an intensive care unit - what is termed withdrawal of treatment in the UK - yet no doctor is available to perform the actions of withdrawal, nurses may be called upon to perform key tasks. In this paper I present t...

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Bibliographic Details
Main Author: Birchley, Giles (Author)
Format: Electronic Article
Language:English
Check availability: HBZ Gateway
Interlibrary Loan:Interlibrary Loan for the Fachinformationsdienste (Specialized Information Services in Germany)
Published: 2013
In: Nursing philosophy
Year: 2013, Volume: 14, Issue: 2, Pages: 96-108
Further subjects:B Nursing Ethics
B end of life
B Nurses
B best interests
B treatment withdrawal
B multidisciplinary working
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Summary:Where a decision has been made to stop futile treatment of critically ill patients on an intensive care unit - what is termed withdrawal of treatment in the UK - yet no doctor is available to perform the actions of withdrawal, nurses may be called upon to perform key tasks. In this paper I present two moral justifications for this activity by offering answers to two major questions. One is to ask if it can be in patients' best interests for nurses to be the key actors in withdrawal of life-sustaining treatment. The other is to ask if there is any reason that the nursing profession should not undertake such tasks if this is so. Both these questions require the resolution of weighty moral and philosophical issues. Thus, while offering a serious attempt to provide moral justifications for nurses undertaking withdrawal, this paper also invites debate over both the aim of task division between nurses and doctors, and how we might decide what is in the best interests of patients.
ISSN:1466-769X
Contains:Enthalten in: Nursing philosophy
Persistent identifiers:DOI: 10.1111/j.1466-769X.2012.00553.x