Turkish critical care nurses' views on end-of-life decision making and practices
ABSTRACT Background Life‐sustaining treatments are increasingly used in intensive care units (ICUs) for EOL care, but the decision to use these may cause ethical issues. Aims and objectives The aim of this study was to investigate the views and practices of critical care nurses in Turkey on the end‐...
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| Veröffentlicht in: | Nursing in critical care 2016-11, Vol.21 (6), p.334-342 |
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| creator | Badır, Aysel Topçu, İbrahim Türkmen, Emine Göktepe, Nilgün Miral, Mukaddes Ersoy, Nermin Akın, Esra |
| description | ABSTRACT
Background
Life‐sustaining treatments are increasingly used in intensive care units (ICUs) for EOL care, but the decision to use these may cause ethical issues.
Aims and objectives
The aim of this study was to investigate the views and practices of critical care nurses in Turkey on the end‐of‐life (EOL) care.
Design
This was a cross‐sectional study.
Methods
The research was conducted in 32 second‐ and third‐level ICUs of 19 Ministry of Health research hospitals in Turkey. The Views of European Nurses in Intensive Care on EOL Care tool was used for data collection.
Results
The total sample size was 602. While half of the nurses stated that the withholding and withdrawal of life support were ethically different decisions, 40% felt both decisions were unethical. The expected quality of life as viewed by the patient, the medical team, the family and the nursing team (90·4%, 85·4%, and 83·4%, respectively) was an important factor in EOL decision making. The majority of the nurses (75·7%) were not directly involved in the EOL decision making and 78·4% of nurses were committed to family involvement in EOL decisions. When withdrawing treatment, 87·2% of ICU nurses agreed that the patient and family members should perform their final religious and spiritual duties. Further results showed that after withdrawing treatment, a majority of nurses (86%) agreed to continue pressure sore prevention, effective pain relief (85·5%), nutritional support (77·6%) and hydration (64·8%). Almost half (48·2%) indicated that keeping the patients in the ICU was unnecessary.
Conclusion
ICU nurses expressed a range of experiences and practices regarding EOL care. ICU nurses should be more involved in the decision‐making process about EOL care.
Relevance to clinical practice
Due to their unique relationship with patients, nurses should be involved in EOL care decision making; however, patients, families or nurses are not often involved in the decision‐making process in Turkey. |
| doi_str_mv | 10.1111/nicc.12157 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1847887927</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1847887927</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4007-5e45da33c4d6a47ec17c9c5a4cf4205f2fae6675ab4d6461cdf727c754c6d7e03</originalsourceid><addsrcrecordid>eNqNkE1PGzEQhi1EBSHlwg-ofANVWvC3s8cqAkqVBg6pKvViObOzxWSzG-xsgX9f0yQcK-bikfW8r0YPISecnfM8F20AOOeCa7tHBlzZUaG5lvt5l0YUnHF7SI5SemBMMK3lATkUulRSaDUgd7M-LkK6pxDDOoBvKPiItO1jwnRK_wR8SrRrKbZV0dVFE2qkFUJIIX8u_SK0v6lvK7qKHnIe00fyofZNwuPtOyQ_ri5n46_F5Pb6ZvxlUoBizBYala68lKAq45VF4BZK0F5BrfKVtag9GmO1n2dAGQ5VbYUFqxWYyiKTQ3K26V3F7rHHtHbLkACbxrfY9cnxURYxsqWw70CFMdyWsszo5w0KsUspYu1WMSx9fHGcuVfZ7lW2-yc7w5-2vf18idUburObAb4BnkKDL_-pctOb8XhXWmwyIa3x-S3j48IZK612P6fX7ttU_NKj7zMn5F_yRJg1</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1826617939</pqid></control><display><type>article</type><title>Turkish critical care nurses' views on end-of-life decision making and practices</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Badır, Aysel ; Topçu, İbrahim ; Türkmen, Emine ; Göktepe, Nilgün ; Miral, Mukaddes ; Ersoy, Nermin ; Akın, Esra</creator><creatorcontrib>Badır, Aysel ; Topçu, İbrahim ; Türkmen, Emine ; Göktepe, Nilgün ; Miral, Mukaddes ; Ersoy, Nermin ; Akın, Esra</creatorcontrib><description>ABSTRACT
Background
Life‐sustaining treatments are increasingly used in intensive care units (ICUs) for EOL care, but the decision to use these may cause ethical issues.
Aims and objectives
The aim of this study was to investigate the views and practices of critical care nurses in Turkey on the end‐of‐life (EOL) care.
Design
This was a cross‐sectional study.
Methods
The research was conducted in 32 second‐ and third‐level ICUs of 19 Ministry of Health research hospitals in Turkey. The Views of European Nurses in Intensive Care on EOL Care tool was used for data collection.
Results
The total sample size was 602. While half of the nurses stated that the withholding and withdrawal of life support were ethically different decisions, 40% felt both decisions were unethical. The expected quality of life as viewed by the patient, the medical team, the family and the nursing team (90·4%, 85·4%, and 83·4%, respectively) was an important factor in EOL decision making. The majority of the nurses (75·7%) were not directly involved in the EOL decision making and 78·4% of nurses were committed to family involvement in EOL decisions. When withdrawing treatment, 87·2% of ICU nurses agreed that the patient and family members should perform their final religious and spiritual duties. Further results showed that after withdrawing treatment, a majority of nurses (86%) agreed to continue pressure sore prevention, effective pain relief (85·5%), nutritional support (77·6%) and hydration (64·8%). Almost half (48·2%) indicated that keeping the patients in the ICU was unnecessary.
Conclusion
ICU nurses expressed a range of experiences and practices regarding EOL care. ICU nurses should be more involved in the decision‐making process about EOL care.
Relevance to clinical practice
Due to their unique relationship with patients, nurses should be involved in EOL care decision making; however, patients, families or nurses are not often involved in the decision‐making process in Turkey.</description><identifier>ISSN: 1362-1017</identifier><identifier>EISSN: 1478-5153</identifier><identifier>DOI: 10.1111/nicc.12157</identifier><identifier>PMID: 25943254</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Decision making ; End-of-life care ; Intensive care nursing ; Turkey</subject><ispartof>Nursing in critical care, 2016-11, Vol.21 (6), p.334-342</ispartof><rights>2015 British Association of Critical Care Nurses</rights><rights>2015 British Association of Critical Care Nurses.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4007-5e45da33c4d6a47ec17c9c5a4cf4205f2fae6675ab4d6461cdf727c754c6d7e03</citedby><cites>FETCH-LOGICAL-c4007-5e45da33c4d6a47ec17c9c5a4cf4205f2fae6675ab4d6461cdf727c754c6d7e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fnicc.12157$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fnicc.12157$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25943254$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Badır, Aysel</creatorcontrib><creatorcontrib>Topçu, İbrahim</creatorcontrib><creatorcontrib>Türkmen, Emine</creatorcontrib><creatorcontrib>Göktepe, Nilgün</creatorcontrib><creatorcontrib>Miral, Mukaddes</creatorcontrib><creatorcontrib>Ersoy, Nermin</creatorcontrib><creatorcontrib>Akın, Esra</creatorcontrib><title>Turkish critical care nurses' views on end-of-life decision making and practices</title><title>Nursing in critical care</title><addtitle>Nurs Crit Care</addtitle><description>ABSTRACT
Background
Life‐sustaining treatments are increasingly used in intensive care units (ICUs) for EOL care, but the decision to use these may cause ethical issues.
Aims and objectives
The aim of this study was to investigate the views and practices of critical care nurses in Turkey on the end‐of‐life (EOL) care.
Design
This was a cross‐sectional study.
Methods
The research was conducted in 32 second‐ and third‐level ICUs of 19 Ministry of Health research hospitals in Turkey. The Views of European Nurses in Intensive Care on EOL Care tool was used for data collection.
Results
The total sample size was 602. While half of the nurses stated that the withholding and withdrawal of life support were ethically different decisions, 40% felt both decisions were unethical. The expected quality of life as viewed by the patient, the medical team, the family and the nursing team (90·4%, 85·4%, and 83·4%, respectively) was an important factor in EOL decision making. The majority of the nurses (75·7%) were not directly involved in the EOL decision making and 78·4% of nurses were committed to family involvement in EOL decisions. When withdrawing treatment, 87·2% of ICU nurses agreed that the patient and family members should perform their final religious and spiritual duties. Further results showed that after withdrawing treatment, a majority of nurses (86%) agreed to continue pressure sore prevention, effective pain relief (85·5%), nutritional support (77·6%) and hydration (64·8%). Almost half (48·2%) indicated that keeping the patients in the ICU was unnecessary.
Conclusion
ICU nurses expressed a range of experiences and practices regarding EOL care. ICU nurses should be more involved in the decision‐making process about EOL care.
Relevance to clinical practice
Due to their unique relationship with patients, nurses should be involved in EOL care decision making; however, patients, families or nurses are not often involved in the decision‐making process in Turkey.</description><subject>Decision making</subject><subject>End-of-life care</subject><subject>Intensive care nursing</subject><subject>Turkey</subject><issn>1362-1017</issn><issn>1478-5153</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqNkE1PGzEQhi1EBSHlwg-ofANVWvC3s8cqAkqVBg6pKvViObOzxWSzG-xsgX9f0yQcK-bikfW8r0YPISecnfM8F20AOOeCa7tHBlzZUaG5lvt5l0YUnHF7SI5SemBMMK3lATkUulRSaDUgd7M-LkK6pxDDOoBvKPiItO1jwnRK_wR8SrRrKbZV0dVFE2qkFUJIIX8u_SK0v6lvK7qKHnIe00fyofZNwuPtOyQ_ri5n46_F5Pb6ZvxlUoBizBYala68lKAq45VF4BZK0F5BrfKVtag9GmO1n2dAGQ5VbYUFqxWYyiKTQ3K26V3F7rHHtHbLkACbxrfY9cnxURYxsqWw70CFMdyWsszo5w0KsUspYu1WMSx9fHGcuVfZ7lW2-yc7w5-2vf18idUburObAb4BnkKDL_-pctOb8XhXWmwyIa3x-S3j48IZK612P6fX7ttU_NKj7zMn5F_yRJg1</recordid><startdate>201611</startdate><enddate>201611</enddate><creator>Badır, Aysel</creator><creator>Topçu, İbrahim</creator><creator>Türkmen, Emine</creator><creator>Göktepe, Nilgün</creator><creator>Miral, Mukaddes</creator><creator>Ersoy, Nermin</creator><creator>Akın, Esra</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201611</creationdate><title>Turkish critical care nurses' views on end-of-life decision making and practices</title><author>Badır, Aysel ; Topçu, İbrahim ; Türkmen, Emine ; Göktepe, Nilgün ; Miral, Mukaddes ; Ersoy, Nermin ; Akın, Esra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4007-5e45da33c4d6a47ec17c9c5a4cf4205f2fae6675ab4d6461cdf727c754c6d7e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Decision making</topic><topic>End-of-life care</topic><topic>Intensive care nursing</topic><topic>Turkey</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Badır, Aysel</creatorcontrib><creatorcontrib>Topçu, İbrahim</creatorcontrib><creatorcontrib>Türkmen, Emine</creatorcontrib><creatorcontrib>Göktepe, Nilgün</creatorcontrib><creatorcontrib>Miral, Mukaddes</creatorcontrib><creatorcontrib>Ersoy, Nermin</creatorcontrib><creatorcontrib>Akın, Esra</creatorcontrib><collection>Istex</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Nursing in critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Badır, Aysel</au><au>Topçu, İbrahim</au><au>Türkmen, Emine</au><au>Göktepe, Nilgün</au><au>Miral, Mukaddes</au><au>Ersoy, Nermin</au><au>Akın, Esra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Turkish critical care nurses' views on end-of-life decision making and practices</atitle><jtitle>Nursing in critical care</jtitle><addtitle>Nurs Crit Care</addtitle><date>2016-11</date><risdate>2016</risdate><volume>21</volume><issue>6</issue><spage>334</spage><epage>342</epage><pages>334-342</pages><issn>1362-1017</issn><eissn>1478-5153</eissn><abstract>ABSTRACT
Background
Life‐sustaining treatments are increasingly used in intensive care units (ICUs) for EOL care, but the decision to use these may cause ethical issues.
Aims and objectives
The aim of this study was to investigate the views and practices of critical care nurses in Turkey on the end‐of‐life (EOL) care.
Design
This was a cross‐sectional study.
Methods
The research was conducted in 32 second‐ and third‐level ICUs of 19 Ministry of Health research hospitals in Turkey. The Views of European Nurses in Intensive Care on EOL Care tool was used for data collection.
Results
The total sample size was 602. While half of the nurses stated that the withholding and withdrawal of life support were ethically different decisions, 40% felt both decisions were unethical. The expected quality of life as viewed by the patient, the medical team, the family and the nursing team (90·4%, 85·4%, and 83·4%, respectively) was an important factor in EOL decision making. The majority of the nurses (75·7%) were not directly involved in the EOL decision making and 78·4% of nurses were committed to family involvement in EOL decisions. When withdrawing treatment, 87·2% of ICU nurses agreed that the patient and family members should perform their final religious and spiritual duties. Further results showed that after withdrawing treatment, a majority of nurses (86%) agreed to continue pressure sore prevention, effective pain relief (85·5%), nutritional support (77·6%) and hydration (64·8%). Almost half (48·2%) indicated that keeping the patients in the ICU was unnecessary.
Conclusion
ICU nurses expressed a range of experiences and practices regarding EOL care. ICU nurses should be more involved in the decision‐making process about EOL care.
Relevance to clinical practice
Due to their unique relationship with patients, nurses should be involved in EOL care decision making; however, patients, families or nurses are not often involved in the decision‐making process in Turkey.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>25943254</pmid><doi>10.1111/nicc.12157</doi><tpages>9</tpages></addata></record> |
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| subjects | Decision making End-of-life care Intensive care nursing Turkey |
| title | Turkish critical care nurses' views on end-of-life decision making and practices |
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