Promises to Keep: A Phenomenological Study of ICU Nurses' Experiences Caring for Dying Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/147696
Type:
Presentation
Title:
Promises to Keep: A Phenomenological Study of ICU Nurses' Experiences Caring for Dying Patients
Abstract:
Promises to Keep: A Phenomenological Study of ICU Nurses' Experiences Caring for Dying Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:King, Phyllis A., PhD, RN, C
P.I. Institution Name:Milligan College
Title:Associate Professor of Nursing
[Special invitation presentation] Background: Medical treatment meant to cure diseases often inflicts burdensome hardships and pain for the dying patient. The medical model of cure is personified by critical care units where life-sustaining technology not only supports the acutely ill patient until curative therapy is successful, but may also prolong the dying patient?s suffering. The critical care nurse is caught in a struggle to provide both cure and palliation. Purpose: The purpose of this study was to explore experiences of ICU nurses caring for dying patients and to discover essences of the phenomenon through emergent themes. Methodology: A phenomenological approach based on the philosophical works of Merleau-Ponty was used to interview 14 ICU nurses in five northern and southeastern states about their experiences caring for dying patients.  Verbatim interview transcripts were analyzed using a hermeneutical approach developed by Pollio and Thomas. Findings:When patients died, nurses experienced loss and grief similar to their patients and patient families. When death had, or was going to occur, care changed from "a paradigm of curing to a paradigm of caring." Marked as a transitional point in time, roles of nurses changed from curing with technology to caring with compassion.  An encompassing theme of promises to keep wove throughout the interviews as nurses described the implicit and explicit promises made to patients and families in their care, with the moral obligations those promises entailed. Discussion:In this study, nurses described an active role of advocacy for patients and families in decision making. Nurses described efforts to keep promises of compassionate care for a peaceful death with dignity, including initiating and/or participating in decisions to discontinue futile care. As moral distress may be inherent in making care decisions in an emotionally sensitive context, nurses need supportive policies that promote a collaborative interdisciplinary approach.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePromises to Keep: A Phenomenological Study of ICU Nurses' Experiences Caring for Dying Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147696-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Promises to Keep: A Phenomenological Study of ICU Nurses' Experiences Caring for Dying Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">King, Phyllis A., PhD, RN, C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Milligan College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pking@milligan.edu</td></tr><tr><td colspan="2" class="item-abstract">[Special invitation presentation] Background: Medical treatment meant to cure diseases often inflicts burdensome hardships and pain for the dying patient. The medical model of cure is personified by critical care units where life-sustaining technology not only supports the acutely ill patient until curative therapy is successful, but may also prolong the dying patient?s suffering.&nbsp;The critical care nurse is caught in a struggle to provide both cure and palliation. Purpose: The purpose of this study was to explore experiences of ICU nurses caring for dying patients and to discover essences of the phenomenon through emergent themes.&nbsp;Methodology: A phenomenological approach based on the philosophical works of Merleau-Ponty was used to interview 14 ICU nurses in five northern and southeastern states about their experiences caring for dying patients.&nbsp; Verbatim interview transcripts were analyzed using a hermeneutical approach developed by Pollio and Thomas.&nbsp;Findings:When patients died, nurses experienced loss and grief similar to their patients and patient families.&nbsp;When death had, or was going to occur, care changed from &quot;a paradigm of curing to a paradigm of caring.&quot; Marked as a transitional point in time, roles of nurses changed from curing with technology to caring with compassion.&nbsp; An encompassing theme of promises to keep wove throughout the interviews as nurses described the implicit and explicit promises made to patients and families in their care, with the moral obligations those promises entailed. Discussion:In this study, nurses described an active role of advocacy for patients and families in decision making. Nurses described efforts to keep promises of compassionate care for a peaceful death with dignity, including initiating and/or participating in decisions to discontinue futile care.&nbsp;As moral distress may be inherent in making care decisions in an emotionally sensitive context, nurses need supportive policies that promote a collaborative interdisciplinary approach.</td></tr></table>en_GB
dc.date.available2011-10-26T09:35:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:35:15Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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