Ethical problems in intensive care unit admission and discharge decisions: A qualitative study among physicians and nurses in the Netherlands

BMC Medical Ethics

Volumn 16, Issue 1, 2015, Pages

  Oerlemans, Anke J M ^a   Van Sluisveld, Nelleke ^a   Van Leeuwen, Eric S J ^a   Wollersheim, Hub ^a   Dekkers, Wim J M ^a   Zegers, Marieke ^a  

^a RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Critical care; Ethics; Intensive care units; Qualitative research; Rationing; Resource allocation

Indexed keywords

COOPERATION; DECISION MAKING; ETHICS; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HEALTH SERVICE; HUMAN; INFORMATION PROCESSING; INTENSIVE CARE; INTENSIVE CARE UNIT; MEDICAL ETHICS; MENTAL STRESS; MORALITY; NETHERLANDS; NURSE; PHYSICIAN; PUBLIC RELATIONS; QUALITATIVE RESEARCH; QUESTIONNAIRE;

ATTITUDE OF HEALTH PERSONNEL; COOPERATIVE BEHAVIOR; CRITICAL CARE; DECISION MAKING; ETHICS, MEDICAL; ETHICS, NURSING; FOCUS GROUPS; HEALTH SERVICES MISUSE; HUMANS; INTENSIVE CARE UNITS; INTERPROFESSIONAL RELATIONS; MORALS; NETHERLANDS; NURSES; PHYSICIANS; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE; STRESS, PSYCHOLOGICAL; SURVEYS AND QUESTIONNAIRES;

EID: 84924130025     PISSN: None     EISSN: 14726939     Source Type: Journal    
DOI: 10.1186/s12910-015-0001-4     Document Type: Article

References (42)

1. Truog RD, Brock DW, Cook DJ, Danis M, Luce JM, Rubenfeld GD, et al. Rationing in the intensive care unit. Crit Care Med. 2006;34:958-63.
2. Tan SS, Bakker J, Hoogendoorn ME, Kapila A, Martin J, Pezzi A, et al. Direct cost analysis of intensive care unit stay in four European countries: applying a standardized costing methodology. Value Health. 2012;15:81-6.
3. Tallgren M, Klepstad P, Petersson J, Skram U, Hynninen M. Ethical issues in intensive care-a survey among Scandinavian intensivists. Acta Anaesthesiol Scand. 2005;49:1092-100.
4. Einav S, Soudry E, Levin PD, Grunfeld GB, Sprung CL. Intensive care physicians' attitudes concerning distribution of intensive care resources. A comparison of Israeli, North American and European cohorts. Intensive Care Med. 2004;30:1140-3.
5. Ersoy N, Akpinar A. Turkish nurses' decision making in the distribution of intensive care beds. Nurs Ethics. 2010;17:87-98.
6. Braunack-Mayer AJ. What makes a problem an ethical problem? An empirical perspective on the nature of ethical problems in general practice. J Med Ethics. 2001;27:98-103.
7. Kuhse H, Singer P. A companion to bioethics. London: Oxford; 1998.
8. Beauchamp T, Childress J. Principles of biomedical ethics. 4th ed. New York: Oxford University Press; 1994.
9. Cooper AB, Sibbald R, Scales DC, Rozmovits L, Sinuff T. Scarcity: the Context of Rationing in an Ontario ICU. Crit Care Med. 2013;41:1476-82.
10. Raines ML. Ethical decision making in nurses: Relationshps among moral reasons, coping style, and ethics stress. JONA's Healthcare Law Ethics and Regulation. 2000;2:29-41.
11. Kälvemark S, Höglund AT, Hansson MG, Westerholm P, Arnetz B. Living with conflicts-ethical dilemmas and moral distress in the health care system. Social Science & Medicine. 2004;58:1075-84.
12. Ulrich CM, Hamric AB, Grady C. Moral distress: a growing problem in the health professions? Hastings Cent Rep. 2010;40:20-2.
13. Pope C, Mays N. Qualitative Research in Health Care. Wiley-Blackwell: Hoboken; 2006.
14. Kompanje EJO. Klinische ethiek op de IC, 37 overdenkingen uit de praktijk van intensive care en spoedeisendehulpverlening. Houten: Bohn Stafleu van Loghum; 2012.
15. Chen DT, Werhane PH, Mills AE. Role of organization ethics in critical care medicine. Crit Care Med. 2007;35:S11-7.
16. Expertisecentrum Ethiek in de Zorg: Beademen stoppen? [http://www.ethiekinpraktijk.nl/index.php?a=c&d=78]
17. Expertisecentrum Ethiek in de Zorg: Wat is kwaliteit van leven? [http://www.ethiekinpraktijk.nl/index.php?a=c&d=44]
18. Glaser B, Strauss A. The discovery of grounded theory: strategies for qualitative research. Chicago: Aldine Publishing Company; 1967.
19. Lingard L, Albert M, Levinson W. Grounded theory, mixed methods, and action research. BMJ. 2008;337:a567.
20. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349-57.
21. Commissie ethiek Nederlandse Vereniging voor Intensive Care (NVIC): Richtlijn in geval van opnamevraag bij volledige bedbezetting op de intensive care (2009). [http://nvic.nl/sites/default/files/Richtlijnen% 20aanmaken/NVIC%20Richtlijn%20triage%20definitief%2021%20mei% 202009.pdf]
22. Wilkinson DJ, Savulescu J. Knowing when to stop: futility in the ICU. Curr Opin Anaesthesiol. 2011;24:160-5.
23. Schneiderman LJ, Jecker NS, Jonsen AR. Medical futility: its meaning and ethical implications. Ann Intern Med. 1990;112:949-54.
24. Ten Have HAMJ, Janssens MJPA. Futility, limits, and palliative care. In: Ten Have HAMJ, Clark D, editors. The Ethics of Palliative Care: European Perspectives. Buckingham: Open University Press; 2002. p. 212-32.
25. Purnell MF. Inside a Trojan horse: technology, intentionality & metaparadigms of nursing. In: Locsin RC, editor. Technological Competency as Caring in Nursing: A Model for Practice. Indianapolis: Sigma Theta Tau International; 2005. p. 42-68.
26. Almerud S, Alapack RJ, Fridlund B, Ekebergh M. Beleaguered by technology: care in technologically intense environments. Nurs Philos. 2008;9:55-61.
27. Almerud S, Alapack RJ, Fridlund B, Ekebergh M. Caught in an artificial split: a phenomenological study of being a caregiver in the technologically intense environment. Intensive Crit Care Nurs. 2008;24:130-6.
28. Almerud S, Alapack RJ, Fridlund B, Ekebergh M. Of vigilance and invisibilitybeing a patient in technologically intense environments. Nurs Crit Care. 2007;12:151-8.
29. Hofmann B. Is there a technological imperative in health care? Int J Technol Assess Health Care. 2002;18:675-89.
30. Tymstra T. 'At least we tried everything': about binary thinking, anticipated decision regret, and the imperative character of medical technology. J Psychosom Obstet Gynaecol. 2007;28:131.
31. Tymstra T. The imperative character of medical technology and the meaning of "anticipated decision regret". Int J Technol Assess Health Care. 1989;5:207-13.
32. Evans N, Pasman HR, Vega Alonso T, Van Den Block L, Miccinesi G, Van Casteren V, et al. End-of-life decisions: a cross-national study of treatment preference discussions and surrogate decision-maker appointments. PLoS One. 2013;8:e57965.
33. Gysels M, Evans M, Meñaca A, Andrew E, Toscani F, Finetti S, et al. Culture and end of life care: a scoping exercise in seven European countries. PLoS One. 2012;7:e34188.
34. Voltz R, Akabayashi A, Reese C, Ohi G, Sass HM. End-of-life decisions and advance directives in palliative care: a cross-cultural survey of patients and health-care professionals. J Pain Symptom Manage. 1998;16:153-62.
35. Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. Crit Care Med. 2014;42:179-87.
36. Chaboyer W, Foster M, Kendall E, James H. The impact of a liaison nurse on ICU nurses' perceptions of discharge planning. Aust Crit Care. 2004;17:25-32.
37. Chaboyer W, Lin F, Foster M, Retallick L, Panuwatwanich K, Richards B. Redesigning the ICU nursing discharge process: a quality improvement study. Worldviews Evid Based Nurs. 2012;9:40-8.
38. Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29:85-91.
39. Stelfox HT, Perrier L, Straus SE, Ghali WA, Zygun D, Boiteau P, Zuege DJ: Identifying intensive care unit discharge planning tools: protocol for a scoping review. BMJ Open 2013, 3
40. Li P, Stelfox HT, Ghali WA. A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Am J Med. 2011;124:860-7.
41. St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25:321-6.
42. Guest G, Bunce A, Johnson L How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18:59-82.