Nurses' conceptions of decision making concerning life-sustaining treatment

Nursing Ethics

Volumn 15, Issue 2, 2008, Pages 160-173

  Silén, Marit ^a,b   Svantesson, Mia ^c   Ahlström, Gerd ^b  

^a JÖNKÖPING UNIVERSITY   (Sweden)

^b JÖNKÖPING UNIVERSITY   (Sweden)

^c ÖREBRO UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Clinical ethics; Dialysis; End of life decision making; Interprofessional relationships; Life sustaining treatment; Nursing

Indexed keywords

ADAPTIVE BEHAVIOR; ADULT; ARTICLE; BEHAVIOR; COMMUNICATION DISORDER; CONFLICT; COOPERATION; DECISION MAKING; DOCTOR NURSE RELATION; ETHICS; FAMILY; HEALTH PERSONNEL ATTITUDE; HUMAN; LONG TERM CARE; MIDDLE AGED; MODEL; NURSE ATTITUDE; NURSING METHODOLOGY RESEARCH; NURSING STAFF; PATIENT ADVOCACY; PATIENT PARTICIPATION; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL MODEL; QUALITATIVE RESEARCH; QUESTIONNAIRE; SWEDEN; UNCERTAINTY;

ADAPTATION, PSYCHOLOGICAL; ADULT; ATTITUDE OF HEALTH PERSONNEL; COMMUNICATION BARRIERS; CONFLICT (PSYCHOLOGY); COOPERATIVE BEHAVIOR; DECISION MAKING; FAMILY; HUMANS; LIFE SUPPORT CARE; MIDDLE AGED; MODELS, NURSING; MODELS, PSYCHOLOGICAL; NURSE'S ROLE; NURSING METHODOLOGY RESEARCH; NURSING STAFF, HOSPITAL; PATIENT ADVOCACY; PATIENT PARTICIPATION; PHYSICIAN-NURSE RELATIONS; POWER (PSYCHOLOGY); QUALITATIVE RESEARCH; QUESTIONNAIRES; SWEDEN; UNCERTAINTY;

EID: 40449087280     PISSN: 09697330     EISSN: 14770989     Source Type: Journal    
DOI: 10.1177/0969733007086014     Document Type: Article

References (38)

1. Socialstyrelsen. (National Board of Health and Welfare.) Allmänna råd från Socialstyrelsen 1992:2: Livsuppehällande åtgärder i livets slutskede. (Guidelines: life-sustaining measures in life's final phase.) 1992. Retrieved 12 December, 2005, from: http://www.socialstyrelsen.se/NR/rdonlyres/5A6DA0B1-06B4-40B3-9926-7D71980D5563/ 2089/1992702.pdf
2. The Hastings Center. Guidelines on the termination of life-sustaining treatment and the care of the dying. Bloomington, IN: Indiana University Press, 1987.
3. Asch DA, Shea JA, Jedrziewski MK, Bosk CL. The limits of suffering: critical care nurses' views of hospital care at the end of life. Soc Sci Med 1997; 45: 1661-68.
4. Breen CM, Abernethy AP, Abbott KH, Tulsky JA. Conflict associated with decisions to limit life-sustaining treatment in intensive care units. J Gen Intern Med 2001; 16: 283-89.
5. Söderberg A, Norberg A. Intensive care: situations of ethical difficulty. J Adv Nurs 1993; 18: 2008-14.
6. Haugen Bunch E. Delayed clarification: information, clarification and ethical decisions in critical care in Norway. J Adv Nurs 2000; 32: 1485-91.
7. Kuuppelomäki M. The decision-making process when starting terminal care as assessed by nursing staff. Nurs Ethics 2002; 9: 20-35.
8. Hildén H-M, Louhiala P, Honkasalo ML, Palo J. Finnish nurses' views on end-of-life discussions and a comparison with physicians' views. Nurs Ethics 2004; 11: 165-78.
9. Ferrand E, Lemaire F, Regnier B et al. Discrepancies between perceptions by physicians and nursing staff of intensive care unit end-of-life decisions. Am J Respir Crit Care Med 2003; 167: 1310-15.
10. Rocker GM, Cook DJ, O'Callaghan CJ et al. Canadian nurses' and respiratory therapists' perspectives on withdrawal of life support in the intensive care unit. J Crit Care 2005; 20: 59-65.
11. Hov R, Hedelin B, Athlin E. Being an intensive care nurse related to questions of withholding or withdrawing curative treatment. J Clin Nurs 2007; 16: 203-11.
12. Bucknall T, Thomas S. Nurses' reflections on problems associated with decision-making in critical care settings. J Adv Nurs 1997; 25: 229-37.
13. Manias E. Australian nurses' experiences and attitudes in the 'do not resuscitate' decision. Res Nurs Health 1998; 21: 429-41.
14. Thibault-Prevost J, Jensen LA, Hodgins M. Critical care nurses' perceptions of DNR status. J Nurs Scholarsh 2000; 32: 259-65.
15. Melia KM. Ethical issues and the importance of consensus for the intensive care team. Soc Sci Med 2001; 53: 707-19.
16. Jepson J. Do not attempt resuscitation decisions: the nursing role. Br J Nurs 2003; 12: 1038-42.
17. Reckling JB. Who plays what role in decisions about withholding and withdrawing life-sustaining treatment? J Clin Ethics 1997; 8: 39-45.
18. Viney C. A phenomenological study of ethical decision-making experiences among senior intensive care nurses and doctors concerning withdrawal of treatment. Nurs Crit Care 1996; 1: 182-87.
19. Jones T, FitzGerald M. Withdrawal of life-support treatment: the experience of critical care nurses. Aust Crit Care 1998; 11: 117-21.
20. Svantesson M, Sjökvist P, Thorsén H. End-of-life decisions in Swedish ICUs. How do physicians from the admitting department reason? Intensive Crit Care Nurs 2003; 19: 241-51.
21. Hofmann JC, Wenger NS, Davis RB et al. Patient preferences for communication with physicians about end-of-life decisions. Ann Intern Med 1997; 127: 1-12.
22. Oberle K, Hughes D. Doctors' and nurses' perceptions of ethical problems in end-of-life decisions. J Adv Nurs 2001; 33: 707-15.
23. Polit DF, Beck CT. Nursing research: principles and methods. Philadelphia, PA: Lippincott Williams & Wilkins, 2004.
24. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurs Educ Today 2004; 24: 105-12.
25. Downe-Wamboldt B. Content analysis: method, applications, and issues. Health Care Women Int 1992; 13: 313-21.
26. Cronqvist A, Theorell T, Burns T, Lützén K. Caring for - caring about: moral obligations and work responsibilities in intensive care nursing. Nurs Ethics 2004; 11: 63-76.
27. Chambliss DF. Beyond caring: hospitals, nurses and the social organization of ethics. Chicago, IL: University of Chicago Press, 1996.
28. Lilly CM, De Meo DL, Sonna LA et al. An intensive communication intervention for the critically ill. Am J Med 2000; 109: 469-75.
29. Hansson MG. Imaginative ethics - bringing ethical praxis into sharper relief. Med Health Care Philos 2002; 5(1): 33-42.
30. Svantesson M, Löfmark R, Thorsén H, Kallenberg K, Ahlström G. Learning a way through ethical problems - Swedish nurses' and physicians' experiences from one model of ethics rounds. J Med Ethics (in press).
31. Henriksen JO, Vetlesen AJ. Etik i arbete med människor. (Ethics in work with people.) Lund: Studentlitteratur, 2002.
32. Hines SC, Glover JJ, Holley JL, Babrow AS, Badzek LA, Moss AH. Dialysis patients' preferences for family-based advance care planning. Ann Intern Med 1999; 130: 825-28.
33. Heffner JE, Barbieri C. End-of-life care preferences of patients enrolled in cardiovascular rehabilitation programs. Chest 2000; 117: 1474-81.
34. Hilden HM, Louhiala P, Palo J. End of life decisions: attitudes of Finnish physicians. J Med Ethics 2004; 30: 362-65.
35. Hälso- och sjukvårdslagen (SFS 1982:763). (The Swedish Health and Medical Service Act, 1982.)
36. Workman S, McKeever P, Harvey W, Singer PA. Intensive care nurses' and physicians' experiences with demands for treatment: some implications for clinical practice. J Crit Care 2003; 18: 17-24.
37. Fagerlin A, Ditto PH, Danks JH, Houts RM, Smucker WD. Projection in surrogate decisions about life-sustaining treatments. Health Psychol 2001; 20: 166-75.
38. Shalowitz DI, Garrett-Mayer E, Wendler D. The accuracy of surrogate decision makers. Arch Intern Med 2006; 166: 493-97.