Futile therapeutic nursing interventions in adult intensive care: A descriptive study.
Background: Despite the progress made in recent decades on the phenomenon of futility in adult intensive care, recognizing it during clinical care practice remains a complex and sensitive process, during which questions are often raised for which concrete answers are difficult to find. Aims: To anal...
| Publicado en: | Nursing Ethics Vol. 32; no. 5; pp. 1458 - 1477 |
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| Autores principales: | , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Aug2025
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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=186418077&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186418077 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09697330 31K jtl: Nursing Ethics issn: 09697330 maglogo: Y pubinfo: dt: Aug2025 vid: 32 iid: 5 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 186418077 180053451 186418077 186418077 10.1177/09697330241277988 186418077 ppf: 1458 ppct: 19 formats: tig: atl: Futile therapeutic nursing interventions in adult intensive care: A descriptive study. aug: au: Vieira, João Vítor Oliveira, Henrique Deodato, Sérgio Mendes, Felismina affil: Universidade Católica Portuguesa sug: subj: Intensive Care Units Psychosocial Factors Medical Futility Nursing Nursing Interventions Critical Care Nursing Hospitalization Critical Care Nurses Psychosocial Factors Critically Ill Patients Psychosocial Factors Human Funding Source Portugal Male Female Adult Middle Age Descriptive Research Implementation Science Nursing Practice Cross Sectional Studies Quantitative Studies Questionnaires Nurse Attitudes Evaluation Psychometrics Data Analysis, Statistical Data Analysis Software Simple Random Sample Descriptive Statistics Confidence Intervals Statistical Significance Nursing Care Methods Summated Rating Scaling Spearman's Rank Correlation Coefficient Bivariate Statistics Wilcoxon Signed Rank Test Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Despite the progress made in recent decades on the phenomenon of futility in adult intensive care, recognizing it during clinical care practice remains a complex and sensitive process, during which questions are often raised for which concrete answers are difficult to find. Aims: To analyze the frequency with which futile nursing interventions are implemented in critically ill patients admitted to adult intensive care in specific situations and how often futile autonomous and interdependent nursing interventions are implemented in the same population, as perceived by adult intensive care nurses. Research design: Cross-sectional, quantitative, and descriptive study, which employed a questionnaire constructed specifically for this research to assess the perception of therapeutic futility in nursing in adult intensive care. Following an evaluation of the psychometric properties, the questionnaire was made available in an electronic format on the EUSurvey platform between August and October 2024. The data was analyzed between November 2023 and March 2024 using the statistical software packages SPSS and R. Participants and research context: A simple random sample of nurses working in level II and level III intensive care units in Portugal. Ethical considerations: Research ethical approvals were obtained, and the participants provided informed consent. Findings/results: Four hundred and fourteen valid questionnaires were obtained. The results allow the identification of thirty-three statistically significant associations, the inference of intervals for the mean and median for the perception of futility of nursing interventions with a 95% confidence interval, and enable the hierarchization of nursing interventions implemented in critically ill patients admitted to adult intensive care units according to the nurses' perception of their futility. Conclusion: There is a balance in nurses' perception of the futility of their interventions in the specific situations analyzed. There is statistically significant evidence that interdependent nursing interventions are, in general, more frequently perceived as futile when compared to autonomous nursing interventions. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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