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

被引:8
|
作者
Baliza, Michelle Freire [1 ]
Bousso, Regina Szylit [2 ]
Poles, Katia [3 ]
dos Santos, Maiara Rodrigues [1 ]
Silva, Lucia [2 ]
Paganini, Maria Cristina [4 ]
机构
[1] Univ Sao Paulo, Escola Enfermagem, Programa Posgrad Interunidades Doutoramento Enfer, Sao Paulo, SP, Brazil
[2] Univ Sao Paulo, Escola Enfermagem, Dept Enfermagem Maternoinfantil & Psiquiatr, Sao Paulo, SP, Brazil
[3] Univ Fed Sao Joao Del Rei, Sao Joao Del Rei, MG, Brazil
[4] Univ Tuiuti, Tuiuti, PR, Brazil
关键词
Terminally Ill; Intensive Care Units; Nursing; Decision Making; Culture; Anthropology; PERSPECTIVES;
D O I
10.1590/S0080-623420150000400006
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: To identify the factors that influence the Intensive Care Unit nurse in the decision-making process in end-of-life situations. Method: Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-structured interviews with 10 nurses. Results: The 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. Conclusion: Professional maturity, the ability to transmit information and the ability to negotiate are directly related to the inclusion of nurses in the decision-making process.
引用
收藏
页码:571 / 578
页数:8
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