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

Rev Esc Enferm USP. 2015 Aug;49(4):572-9. doi: 10.1590/S0080-623420150000400006.
[Article in Portuguese]

Abstract

Objective: To identify the factors that influence the Intensive Care Unit nurse in the decision-making process in end-of-life situations.

Method: Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-structured interviews with 10 nurses.

Results: The 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.

Conclusion: Professional maturity, the ability to transmit information and the ability to negotiate are directly related to the inclusion of nurses in the decision-making process.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Decision-Making*
  • Critical Care Nursing*
  • Female
  • Humans
  • Intensive Care Units
  • Male
  • Terminal Care*