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Critical Care Nurses¡¯ Perception of Life-sustaining Treatment at End of Life: A Content Analysis

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KMID : 1221920170100010041
°íÁø°­ ( Koh Chin-Kang ) - ¼­¿ï´ëÇб³ °£È£´ëÇÐ

°íÁ¤¹Ì ( Ko Chung-Mee ) - ¼º½Å¿©ÀÚ´ëÇб³ °£È£´ëÇÐ
¹ÚÇý¿µ ( Park Hye-Young ) - Duke University School of Nursing

Abstract

Purpose: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life.

Methods: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital.

Results: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients¡¯ suffering, dying with damaged dignity, patients¡¯ isolation from family members, regret about choosing life-sustaining treatment, and family members¡¯ burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members.

Conclusions: Nurses have better competencies pertaining to understanding patients¡¯ responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.
KeyWords
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Critical care nurse , Life-sustaining treatment , End-of-life decision making , Content analysis
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