Critical Care Nurses' Perception of Life-sustaining Treatment at End of Life: A Content Analysis

생애 말 연명의료에 대한 중환자실 간호사의 인식: 내용 분석 연구

  • Koh, Chin-Kang (College of Nursing, the Research Institute of Nursing Science, Seoul National University) ;
  • Ko, Chung Mee (Department of Nursing Science, Sungshin Women's University) ;
  • Park, Hyeyoung (School of Nursing, Duke University)
  • 고진강 (서울대학교 간호대학, 간호과학연구소) ;
  • 고정미 (성신여자대학교 간호대학) ;
  • 박혜영 (Duke University 간호대학)
  • Received : 2017.02.07
  • Accepted : 2017.02.21
  • Published : 2017.02.28

Abstract

Purpose: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life. Methods: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital. Results: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members. Conclusions: Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.

Keywords

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