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KMID : 1221920170100010041
Journal of Korean Critical Care Nursing
2017 Volume.10 No. 1 p.41 ~ p.50
Critical Care Nurses¡¯ Perception of Life-sustaining Treatment at End of Life: A Content Analysis
Koh Chin-Kang

Ko Chung-Mee
Park Hye-Young
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.
KEYWORD
Critical care nurse , Life-sustaining treatment , End-of-life decision making , Content analysis
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