ATTITUDES TO END-OF-LIFE DECISIONS IN PAEDIATRIC INTENSIVE CARE

被引:15
|
作者
Akpinar, Aslihan [1 ]
Senses, Muesser Ozcan [1 ]
Er, Rahime Aydin [1 ]
机构
[1] Kocaeli Univ, Fac Med, Dept Hist Med & Med Eth, TR-41380 Kocaeli, Turkey
关键词
attitudes of health personnel; clinical ethics; end-of-life care; paediatric intensive care; treatment futility; NURSES; ETHICS; WITHDRAWAL; UNIT;
D O I
10.1177/0969733008097994
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
The aim of this study was to assess attitudes of intensive care nurses to selected ethical issues related to end-of-life decisions in paediatric intensive care units. A self-administered questionnaire was distributed in 2005 to intensive care nurses at two different scientific occasions in Turkey. Of the 155 intensive care nurse participants, 98% were women. Fifty-three percent of these had intensive care experience of more than four years. Most of the nurses failed to agree about withholding (65%) or withdrawing (60%) futile treatment. In addition, 68% agreed that intravenous nutrition must continue at all costs. In futile treatment cases, the nurses tended to leave the decision to parents or act maternalistically. The results showed that intensive care nurses could ignore essential ethical duties in end-of-life care. We suggest that it is necessary to educate Turkish intensive care nurses about ethical issues at the end of life.
引用
收藏
页码:83 / 92
页数:10
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