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Withdrawal of Life-Sustaining Treatment from Children: Experiences of Nurses Caring for the Children

Child Health Nursing Research 2017³â 23±Ç 3È£ p.364 ~ 374
KMID : 1102120170230030364
¹Ú¼Ò¿¬ ( Park So-Yeon ) - µ¿¾Æ´ëÇб³ °£È£Çаú

ÁÖÇö¿Á ( Ju Hyeon-Ok ) - µ¿¾Æ´ëÇб³ °£È£Çаú
ÀÌ°¡¾ð ( Lee Ga-Eon ) - µ¿¾Æ´ëÇб³ °£È£Çаú

Abstract

Purpose: The purpose of this study was to describe feelings and actions of nurses following withdrawal of life-sustaining treatment from children being cared for by the nurses.

Methods: Data were collected by in-depth interviews with 7 nurses from different hospitals where children receiving nursing care had life-sustaining treatment withdrawn. The interviews were conducted from August 2016 to February 2017 when all data were saturated. Interviews lasted 30~90 minutes and were conducted 2~3 times per participant. Data were analyzed using Giorgi¡¯s phenomenological research methodology.

Results: The following factors constituted experiences of nurses working in pediatric wards when life-sustaining treatment was withdrawn from children: ¡°agony and conflict in the aspects of care¡±, ¡°heavy mind and regret for exhausting care¡±, ¡°intentionally avoiding parents¡¯ sadness¡±, ¡°comforting sadness in the heart¡± and ¡°orientation in the role of caring for children undergoing withdrawal of life-sustaining treatment.¡±

Conclusion: Findings indicate that support systems and intervention programs need to be developed so that nurses can understand and wisely deal with experiences of withdrawal of life-sustaining treatment from children who receive care from nurses.
KeyWords

Withholding treatment, Pediatric nursing, Qualitative research
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed