The process used by surrogate decision makers to withhold and withdraw life-sustaining measures in an intensive care environment.
Purpose/Objectives: To understand the process used by surrogate decision makers who have chosen to withhold and withdraw life-sustaining measures in intensive care units (ICUs). Design: Grounded theory. Setting: Multihospital system in central Texas. Sample: 17 surrogates who decided to withhold and...
| Publicado en: | Oncology Nursing Forum Vol. 34; no. 2; pp. 331 - 340 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Oncology Nursing Society
Mar2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106283416&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106283416 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0190535X 4F0 jtl: Oncology Nursing Forum issn: 0190535X maglogo: N pubinfo: dt: Mar2007 vid: 34 iid: 2 pid: 12496 pub: Oncology Nursing Society place: Pittsburgh, Pennsylvania artinfo: ui: 106283416 106283416 2009544950 10.1188/07.ONF.331-339 NLM17573297 106283416 ppf: 331 ppct: 9 formats: fmt: @attributes: type: P tig: atl: The process used by surrogate decision makers to withhold and withdraw life-sustaining measures in an intensive care environment. aug: au: Limerick MH affil: Assistant Professor of Clinical Nursing, School of Nursing, University of Texas at Austin; michael.limerick@utsouthwestern.edu sug: subj: Decision Making, Family Euthanasia, Passive Adult Aged Aged, 80 and Over Audiorecording Conceptual Framework Corbin and Strauss Chronic Illness Trajectory Framework Critical Care Nursing Critically Ill Patients Data Analysis Software Family Role Female Funding Source Grounded Theory Intensive Care Units Interviews Male Middle Age Multiinstitutional Systems Purposive Sample Record Review Texas Thematic Analysis Theoretical Sample Human Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Purpose/Objectives: To understand the process used by surrogate decision makers who have chosen to withhold and withdraw life-sustaining measures in intensive care units (ICUs). Design: Grounded theory. Setting: Multihospital system in central Texas. Sample: 17 surrogates who decided to withhold and withdraw life-sustaining measures from patients with a variety of diagnoses, including cancer. Methods: Surrogates were identified by review of charts of patients in ICUs. Interviews were recorded on audiotape and analyzed using the process of constant comparison. Saturation of data occurred when no new themes emerged. Main Research Variable: The surrogate decision-making process. Findings: Domains and their respective themes included: (a) the personal domain: rallying family support, evaluating the patient's past and present condition, and viewing past and future quality of life; (b) the ICU environment domain: chasing doctors, developing relationships with the healthcare team, and confirming probable medical outcomes; and (c) the decision domain: arriving at a new belief, getting alone to make the decision, and communicating the decision. Conclusions: Surrogates use a definite process to make decisions regarding withholding and withdrawing life-sustaining measures for patients in ICUs. Implications for Nursing: The results reveal opportunities for healthcare providers to improve education and change practice when supporting surrogates. Additional opportunities exist for further research to expand nursing knowledge related to end-of-life issues. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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