An Exploration of ICU Nurses' Medical Futility Experiences While Taking Care of Critical Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/602831
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
An Exploration of ICU Nurses' Medical Futility Experiences While Taking Care of Critical Patients
Author(s):
Chiang, Lien-Ying; Hsu, Ming Yi; Hsu, Ming Yi
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Lien-Ying Chiang, RN, LPN, lienfine@vghtc.gov.tw; Ming Yi Hsu, RN, LPN
Abstract:
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: An exploration of ICU nurses' medical futility experiences while taking care of critical patients   Background:Advanced medical technology can often extend the lives of critical patients, but it has its limitations. Under certain circumstances, medical interventions only prolong patients’ life without ensuring an acceptable quality of life. It is imperative to develop a policy of medical futility for such patients. However, there is no consensus among medical professionals in Taiwan as to what constitutes medical futility.   Purpose: The purpose of this study was to explore ICU nurses' medical futility experiences while taking care of critical patients. Methods: A phenomenology approach, purposeful sampling, and snowball sampling were used to recruit nurses at one medical center and one regional hospital. In-depth, semi-structured interview were conducted, and each interview was tape recorded. The eight nurses who participated in this study worked at Intensive Care Units (ICUs) and had more than one year working experience that included taking care of critical patients. The trustworthiness of the study was examined using Lincoln and Guba (1985) principles. Data were analyzed using the Colaizzi (1978) method. Five major themes emerged, including ICU nurse’s definition of futility, the process by which critical patients advanced to medically futile patients, considerations of medical futility, nursing care for medically futile patients, and facing the medically futile patient. Contributions: The study findings will further understanding of medical futility in critical care and provide information valuable to improved clinical care, education, and medical policy development.
Keywords:
Intensive care; critically ill patients; medical futility
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15SC1.7
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleAn Exploration of ICU Nurses' Medical Futility Experiences While Taking Care of Critical Patientsen
dc.contributor.authorChiang, Lien-Yingen
dc.contributor.authorHsu, Ming Yien
dc.contributor.authorHsu, Ming Yien
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsLien-Ying Chiang, RN, LPN, lienfine@vghtc.gov.tw; Ming Yi Hsu, RN, LPNen
dc.identifier.urihttp://hdl.handle.net/10755/602831en
dc.description.abstractSession presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: An exploration of ICU nurses' medical futility experiences while taking care of critical patients   Background:Advanced medical technology can often extend the lives of critical patients, but it has its limitations. Under certain circumstances, medical interventions only prolong patients’ life without ensuring an acceptable quality of life. It is imperative to develop a policy of medical futility for such patients. However, there is no consensus among medical professionals in Taiwan as to what constitutes medical futility.   Purpose: The purpose of this study was to explore ICU nurses' medical futility experiences while taking care of critical patients. Methods: A phenomenology approach, purposeful sampling, and snowball sampling were used to recruit nurses at one medical center and one regional hospital. In-depth, semi-structured interview were conducted, and each interview was tape recorded. The eight nurses who participated in this study worked at Intensive Care Units (ICUs) and had more than one year working experience that included taking care of critical patients. The trustworthiness of the study was examined using Lincoln and Guba (1985) principles. Data were analyzed using the Colaizzi (1978) method. Five major themes emerged, including ICU nurse’s definition of futility, the process by which critical patients advanced to medically futile patients, considerations of medical futility, nursing care for medically futile patients, and facing the medically futile patient. Contributions: The study findings will further understanding of medical futility in critical care and provide information valuable to improved clinical care, education, and medical policy development.en
dc.subjectIntensive careen
dc.subjectcritically ill patientsen
dc.subjectmedical futilityen
dc.date.available2016-03-21T16:37:39Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:37:39Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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