Revista da Escola de Enfermagem da USP (Aug 2015)

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

  • Michelle Freire Baliza,
  • Regina Szylit Bousso,
  • Kátia Poles,
  • Maiara Rodrigues dos Santos,
  • Lucía Silva,
  • Maria Cristina Paganini

DOI
https://doi.org/10.1590/S0080-623420150000400006
Journal volume & issue
Vol. 49, no. 4
pp. 0572 – 0579

Abstract

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OBJECTIVETo identify the factors that influence the Intensive Care Unit nurse in the decision-making process in end-of-life situations.METHODEthnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-structured interviews with 10 nurses.RESULTSThe 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.CONCLUSIONProfessional maturity, the ability to transmit information and the ability to negotiate are directly related to the inclusion of nurses in the decision-making process.

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