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Article: Navigating tensions when life-sustaining treatment is withdrawn: A thematic synthesis of nurses' and physicians' experiences
Title | Navigating tensions when life-sustaining treatment is withdrawn: A thematic synthesis of nurses' and physicians' experiences |
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Authors | |
Keywords | critical care cultural issues death and dying end-of-life care end-of-life decision-making intensive care nursing nursing roles |
Issue Date | 7-Feb-2024 |
Publisher | Wiley |
Citation | Journal of Clinical Nursing, 2024 How to Cite? |
Abstract | Aim: To synthesise nurses' and physicians' experiences with withdrawing life-sustaining treatment in an intensive care unit. Design: The chosen methodology is thematic synthesis. The Preferred Reporting Items for Systematic Review and Meta-Analyses and Enhancing Transparency are used in Reporting the Synthesis of Qualitative Research Statement. Methods and Data Sources: A systematic search is conducted in APA PsycINFO, CINAHL Plus, EMBASE, PubMed and Web of Science following the inclusion and exclusion criteria in April 2023. Two reviewers independently screened and extracted the qualitative data. Subsequently, data analysis was conducted using thematic analysis of qualitative research. This study was not registered with any review registry due to the irrelevance of the data to health-related outcomes. Results: From the 16 articles, 267 quotes were extracted and analysed. The findings of the study revealed five analytical themes: (1) tensions between interdependent collaboration and hierarchical roles; (2) tensions between dignified dying or therapeutic perspectives; (3) family members' reflections of patient's wishes; (4) tensions in family members' positions; and (5) double-sidedness of distress. Conclusion: This study contributes to nursing knowledge by providing a more nuanced understanding of this complex phenomenon of withdrawing life-sustaining treatment. The findings of this study have revealed significant variations globally in the practices surrounding the withdrawal of life-sustaining treatment in intensive care units, emphasising the need for further research to inform clinical practices that cater to diverse contexts. |
Persistent Identifier | http://hdl.handle.net/10722/341678 |
ISSN | 2023 Impact Factor: 3.2 2023 SCImago Journal Rankings: 1.235 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Choi, Hye Ri | - |
dc.contributor.author | Ho, Mu-hsing | - |
dc.contributor.author | Lin, Chia-Chin | - |
dc.date.accessioned | 2024-03-20T06:58:13Z | - |
dc.date.available | 2024-03-20T06:58:13Z | - |
dc.date.issued | 2024-02-07 | - |
dc.identifier.citation | Journal of Clinical Nursing, 2024 | - |
dc.identifier.issn | 0962-1067 | - |
dc.identifier.uri | http://hdl.handle.net/10722/341678 | - |
dc.description.abstract | <p>Aim: To synthesise nurses' and physicians' experiences with withdrawing life-sustaining treatment in an intensive care unit.</p><p>Design: The chosen methodology is thematic synthesis. The Preferred Reporting Items for Systematic Review and Meta-Analyses and Enhancing Transparency are used in Reporting the Synthesis of Qualitative Research Statement.</p><p>Methods and Data Sources: A systematic search is conducted in APA PsycINFO, CINAHL Plus, EMBASE, PubMed and Web of Science following the inclusion and exclusion criteria in April 2023. Two reviewers independently screened and extracted the qualitative data. Subsequently, data analysis was conducted using thematic analysis of qualitative research. This study was not registered with any review registry due to the irrelevance of the data to health-related outcomes.</p><p>Results: From the 16 articles, 267 quotes were extracted and analysed. The findings of the study revealed five analytical themes: (1) tensions between interdependent collaboration and hierarchical roles; (2) tensions between dignified dying or therapeutic perspectives; (3) family members' reflections of patient's wishes; (4) tensions in family members' positions; and (5) double-sidedness of distress.</p><p>Conclusion: This study contributes to nursing knowledge by providing a more nuanced understanding of this complex phenomenon of withdrawing life-sustaining treatment. The findings of this study have revealed significant variations globally in the practices surrounding the withdrawal of life-sustaining treatment in intensive care units, emphasising the need for further research to inform clinical practices that cater to diverse contexts.</p> | - |
dc.language | eng | - |
dc.publisher | Wiley | - |
dc.relation.ispartof | Journal of Clinical Nursing | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | critical care | - |
dc.subject | cultural issues | - |
dc.subject | death and dying | - |
dc.subject | end-of-life care | - |
dc.subject | end-of-life decision-making | - |
dc.subject | intensive care | - |
dc.subject | nursing | - |
dc.subject | nursing roles | - |
dc.title | Navigating tensions when life-sustaining treatment is withdrawn: A thematic synthesis of nurses' and physicians' experiences | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1111/jocn.17059 | - |
dc.identifier.scopus | eid_2-s2.0-85184681257 | - |
dc.identifier.eissn | 1365-2702 | - |
dc.identifier.isi | WOS:001157580300001 | - |
dc.identifier.issnl | 0962-1067 | - |