Critical care nurses' role in the decision-making process of withdrawal of life-sustaining treatment: A qualitative systematic review.
critical care nurses
critical care unit
decision-making
systematic review
withdrawal of life-sustaining treatment
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
revised:
21
03
2023
received:
17
11
2022
accepted:
23
03
2023
medline:
21
8
2023
pubmed:
21
4
2023
entrez:
21
04
2023
Statut:
ppublish
Résumé
To synthesise the qualitative evidence regarding the role of critical care nurses in the decision-making process of withdrawing life-sustaining treatment in critically ill adults. Qualitative systematic review. This qualitative systematic review employed the guidelines of Bettany-Saltikov and McSherry. The review was reported according to the ENTREQ checklist. Pairs of authors independently assessed eligibility, appraised methodological quality and extracted data. Data were synthesised using thematic synthesis. CINAHL, MEDLINE and EMBASE were searched for studies published between January 2001 and November 2021. Twenty-three studies were included. Three analytical themes were synthesised: performing ethical decision-making to safeguard patients' needs rights, and wishes; tailoring a supporting role to guide the family's decision-making process; and taking on the role of the middleman by performing coordination. The role of the critical care nurses in the decision-making process in withdrawal of life-sustaining treatment requires experience and the development of the clinical perspective of critical care nurses. Enhanced knowledge of the decision-making process of withdrawing life-sustaining treatment can prepare critical care nurses to be more equipped to master this role and enhance their ability to handle the emotional and moral stress associated with this part of the critical care unit. The literature reveals the complex and challenging role of critical care nurses during the decision-making process of withdrawing life-sustaining treatment. Critical care nurses perform ethical decision-making to safeguard patients' concerns, guide the family's decision-making process and take on the role of the middleman. The findings have implications for critical nurses working in critical care units in hospitals and for educators and students in training in critical care nursing. No patient or public contribution was included.
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Pagination
6012-6027Informations de copyright
© 2023 John Wiley & Sons Ltd.
Références
Acevedo Urdiales, M. S., Medina, J. L., & Ferre Grau, C. (2014). Practical knowledge of experienced nurses in critical care: A qualitative study of their narratives. BMC Medical Education, 14(1), 173. https://doi.org/10.1186/1472-6920-14-173
Adams, J. A., Bailey, D. E., Anderson, R. A., & Docherty, S. L. (2011). Nursing roles and strategies in end-of-life decision making in acute care: A systematic review of the literature. Nursing Research & Practice, 2011, 527834. https://doi.org/10.1155/2011/527834
Adams, J. A., Bailey, D. E., Anderson, R. A., & Thygeson, M. (2013). Finding your way through EOL challenges in the ICU using adaptive leadership behaviours: A qualitative descriptive case study. Intensive & Critical Care Nursing, 29(6), 329-336. https://doi.org/10.1016/j.iccn.2013.05.004
Alliprandini, M., Ferrandin, A., Fernandes, A., Belim, M., Jorge, M., Colombo, B., Yaguchi, J., Chung, T., Jorge, A., & Duarte, P. (2019). End-of-life management in intensive care units: A multicentre observational prospective cohort study. Anaesthesiology Intensive Therapy, 51(5), 348-356. https://doi.org/10.5114/ait.2019.91189
Ambrose Hall, M. (2018). Critical care registered Nurses' perceptions of preparedness in the provision of end-of-life care. https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131798976&site=ehost-live
Atashzadeh-Shoorideh, F., Tayyar-Iravanlou, F., Chashmi, Z. A., Abdi, F., & Cisic, R. S. (2020). Factors affecting moral distress in nurses working in intensive care units: A systematic review. Clinical Ethics, 16(1), 25-36. https://doi.org/10.1177/1477750920927174
Bach, V., Ploeg, J., & Black, M. (2009). Nursing roles in end-of-life decision making in critical care settings. Western Journal of Nursing Research, 31(4), 496-512. https://doi.org/10.1177/0193945908331178
Baliza, M. F., Bousso, R. S., Poles, K., Santos, M. R. D., Silva, L., & Paganini, M. C. (2015). Factors influencing intensive care units nurses in end-of-life decisions. Revista da Escola de Enfermagem da USP, 49(4), 572-579. https://doi.org/10.1590/S0080-623420150000400006
Bettany-Saltikov, J., & McSherry, R. (2016). How to do a systematic literature review in nursing: A step-by-step guide (2nd ed.). Open University Press.
Blythe, J. A., Kentish-Barnes, N., Debue, A.-S., Dohan, D., Azoulay, E., Covinsky, K., Matthews, T., Curtis, J. R., & Dzeng, E. (2021). An interprofessional process for the limitation of life-sustaining treatments at the end of life in France. Journal of Pain and Symptom Management, 63(1), 160-170. https://doi.org/10.1016/j.jpainsymman.2021.06.016
Calvin, A. O., Kite-Powell, D. M., & Hickey, J. V. (2007). The neuroscience ICU nurse's perceptions about end-of-life care. The Journal of Neuroscience Nursing, 39(3), 143-150. https://doi.org/10.1097/01376517-200706000-00004
Coombs, M. (2015, Apr). A scoping review of family experience and need during end of life care in intensive care. Nursing Open, 2(1), 24-35. https://doi.org/10.1002/nop2.14
Coombs, M. A., Addington-Hall, J., & Long-Sutehall, T. (2012). Challenges in transition from intervention to end of life care in intensive care: A qualitative study. International Journal of Nursing Studies, 49(5), 519-527. https://doi.org/10.1016/j.ijnurstu.2011.10.019
Coventry, A., Ford, R., Rosenberg, J., & McInnes, E. (2020). A qualitative meta-synthesis investigating the experiences of the patient's family when treatment is withdrawn in the intensive care unit. Journal of Advanced Nursing, 76(9), 2222-2234. https://doi.org/10.1111/jan.14416
Critical Appraisal Skills Program. (2018). Critical Appraisal Skills Program Qualitative Studies Checklist. https://casp-uk.b-cdn.net/wp-content/uploads/2018/03/CASP-Qualitative-Checklist-2018_fillable_form.pdf
Crowe, S. (2017). End-of-life care in the ICU: Supporting nurses to provide high-quality care. The Canadian Journal of Critical Care Nursing, 28(1), 30-33.
Delmar, C. (2012). The excesses of care: A matter of understanding the asymmetry of power. Nursing Philosophy, 13(4), 236-243. https://doi.org/10.1111/j.1466-769X.2012.00537.x
Druml, W., & Druml, C. (2019). Overtreatment in intensive care medicine. Medizinische Klinik, Intensivmedizin und Notfallmedizin, 114(3), 194-201. https://doi.org/10.1007/s00063-019-0548-9 (Übertherapie in der Intensivmedizin.).
Dünser, M. W., Towey, R. M., Amito, J., & Mer, M. (2017). Intensive care medicine in rural sub-Saharan Africa. Anaesthesia, 72(2), 181-189. https://doi.org/10.1111/anae.13710
Efstathiou, N., Vanderspank-Wright, B., Vandyk, A., Al-Janabi, M., Daham, Z., Sarti, A., Delaney, J. W., & Downar, J. (2020). Terminal withdrawal of mechanical ventilation in adult intensive care units: A systematic review and narrative synthesis of perceptions, experiences and practices. Palliative Medicine, 34(9), 1140-1164. https://doi.org/10.1177/0269216320935002
Flannery, L., Peters, K., & Ramjan, L. M. (2020). The differing perspectives of doctors and nurses in end-of-life decisions in the intensive care unit: A qualitative study. Australian Critical Care, 33(4), 311-316. https://doi.org/10.1016/j.aucc.2019.08.004
Flannery, L., Ramjan, L. M., & Peters, K. (2016). End-of-life decisions in the intensive care unit (ICU) - exploring the experiences of ICU nurses and doctors - A critical literature review. Australian Critical Care, 29(2), 97-103. https://doi.org/10.1016/j.aucc.2015.07.004
Gallagher, A., Bousso, R. S., McCarthy, J., Kohlen, H., Andrews, T., Paganini, M. C., Abu-El-Noor, N. I., Cox, A., Haas, M., Arber, A., Abu-El-Noor, M. K., Baliza, M. F., & Padilha, K. G. (2015). Negotiated reorienting: A grounded theory of nurses' end-of-life decision-making in the intensive care unit. International Journal of Nursing Studies, 52(4), 794-803. https://doi.org/10.1016/j.ijnurstu.2014.12.003
Gittel, J. H. (2009). High performance healthcare: using the power of relationships to achive quality, efficiency and resilience. McGraw Hill.
Gittell, J. H., Weinberg, D. B., Pfefferle, S. G., & Bishop, C. E. (2008). Impact of relational coordination on job satisfaction and quality outcomes: A study of nursing homes. Human Resource Management Journal, 18, 154-170.
González-Rincón, M., Díaz de Herrera-Marchal, P., & Martínez-Martín, M. L. (2019). The role of the nurse at the end of the life of a critically ill patient. Enfermería Intensiva (English Ed.), 30(2), 78-91. https://doi.org/10.1016/j.enfie.2018.02.001
Halcomb, E., Daly, J., Jackson, D., & Davidson, P. (2004). An insight into Australian nurses' experience of withdrawal/withholding of treatment in the ICU. Intensive & Critical Care Nursing, 20(4), 214-222. https://doi.org/10.1016/j.iccn.2004.05.010
Hammarström, L., Devik, S. A., Hellzen, O., & Häggström, M. (2022). “You know where the boundary is when you cross it”-A phenomenological understanding of vulnerability as experienced by Carers in forensic inpatient care. Issues in Mental Health Nursing, 43(8), 712-720. https://doi.org/10.1080/01612840.2022.2053011
Hauschildt, K. E. (2022). Whose good death? Valuation and standardization as mechanisms of inequality in hospitals. Journal of Health and Social Behavior. https://doi.org/10.1177/00221465221143088
Heland, M. (2006). Fruitful or futile: Intensive care nurses' experiences and perceptions of medical futility. Australian Critical Care, 19(1), 25-31. https://doi.org/10.1016/S1036-7314(06)80020-2
Hov, R., Hedelin, B., & Athlin, E. (2007). Being an intensive care nurse related to questions of withholding or withdrawing curative treatment. Journal of Clinical Nursing, 16(1), 203-211. https://doi.org/10.1111/j.1365-2702.2006.01427.x
Hsu, M.-Y., Su, S.-F., Chiang, L.-Y., Shih, S.-J., & Chen, Y.-C. (2018). The medical futility experience of nurses in caring for critically ill patients. The Journal of Nursing Research, 26(2), 080-087. https://doi.org/10.1097/jnr.0000000000000221
Imam, A. I., Kongsuwan, W., & Nilmanat, K. (2020). Nurse involvement in end of life decision making in the intensive care unit: A literature review. GSTF Journal of Nursing and Health Care (JNHC), 5(1), 1-8.
Jensen, H. I., Ammentorp, J., Helle, J., & Ørding, H. (2012). Challenges in end-of-life decisions in the intensive care unit: An ethical perspective. Journal of Bioethical Inquiry, 10(0), 93-101.
Lalani, H. S., Waweru-Siika, W., Mwogi, T., Kituyi, P., Egger, J. R., Park, L. P., & Kussin, P. S. (2018). Intensive care outcomes and mortality prediction at a national referral hospital in western Kenya. Annals of the American Thoracic Society, 15(11), 1336-1343.
Long-Sutehall, T., Willis, H., Palmer, R., Ugboma, D., Addington-Hall, J., & Coombs, M. (2011). Negotiated dying: A grounded theory of how nurses shape withdrawal of treatment in hospital critical care units. International Journal of Nursing Studies, 48(12), 1466-1474. https://doi.org/10.1016/j.ijnurstu.2011.06.003
McAndrew, N. S., & Leske, J. S. (2015). A balancing act: Experiences of nurses and physicians when making end-of-life decisions in intensive care units. Clinical Nursing Research, 24(4), 357-374. https://doi.org/10.1177/1054773814533791
McMillen, R. E. (2008). End of life decisions: Nurses perceptions, feelings and experiences. Intensive & Critical Care Nursing, 24(4), 251-259. https://doi.org/10.1016/j.iccn.2007.11.002
Olsen, L. S., & Jakobsen, R. (2021). Dignity at stake in intensive care units: Experiences of intensive care nurses. Nordisk Sygeplejeforskning, 11(3), 246-257. https://doi.org/10.18261/issn.1892-2686-2021-03-07
Österlind, J., & Henoch, I. (2021). The 6S-model for person-centred palliative care: A theoretical framework. Nursing Philosophy, 22(2), e12334. https://doi.org/10.1111/nup.12334
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan - A web and mobile app for systematic reviews. Systematic Reviews, 5(1), 210.
Pearson, A., Rittenmeyer, L., & Robertson-Malt, S. (2011). Synthesizing qualitative evidence. Lippincott Wiliams & Wilkins.
Pecanac, K. E., & Schwarze, M. L. (2018). Conflict in the intensive care unit: Nursing advocacy and surgical agency. Nursing Ethics, 25(1), 69-79. https://doi.org/10.1177/0969733016638144
Petticrew, M., Egan, M., Thomson, H., Hamilton, V., Kunkler, R., & Roberts, H. (2008). Publication bias in qualitative research: What becomes of qualitative research presented at conferences? Journal of Epidemiology & Community Health, 62(6), 552-554.
Robichaux, C. M., & Clark, A. P. (2006). Practice of expert critical care nurses in situations of prognostic conflict at the end of life. American Journal of Critical Care, 15(5), 480-491. https://doi.org/10.4037/ajcc2006.15.5.480
Spreitzer, G. M., Cameron, K. S., & Hoffer Gittell, J. (2011). New directions for relational coordination theory. In G. M. Spreitzer & K. S. Cameron (Eds.), The Oxford handbook of positive organizational scholarship. Oxford University Press. https://doi.org/10.1093/oxfordhb/9780199734610.013.0030
Taylor, I. H. F., Dihle, A., Hofsø, K., & Steindal, S. A. (2019). Intensive care nurses' experiences of withdrawal of life-sustaining treatments inintensive care patients: A qualitative study. Intensive and Critical Care Nursing, 56, 102768.
Thomas, J., & Harden, A. (2008). Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Medical Research Methodology, 8(1), 45. https://doi.org/10.1186/1471-2288-8-45
Tong, A., Flemming, K., McInnes, E., Oliver, S., & Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology, 12, 181. https://doi.org/10.1186/1471-2288-12-181
Valsø, Å., Ambjørnrud, M. W., & Lindahl, B. (2013). Begrensning av livsforlengende behandling til sederte intensivpasienter på respirator - Hva er intensivsykepleierens Rolle? Vård i Norden, 33(4), 37-41. https://doi.org/10.1177/010740831303300409
van Rooyen, D., Elfick, M., & Strümpher, J. (2005). Registered nurses' experience of the withdrawal of treatment from the critically ill patient in an intensive care unit. Curationis, 28(1), 42-51. https://doi.org/10.4102/curationis.v28i1.920
Vanderspank-Wright, B., Fothergill-Bourbonnais, F., Brajtman, S., & Gagnon, P. (2011). Caring for patients and families at end of life: The experiences of nurses during withdrawal of life-sustaining treatment. Dynamics (Pembroke, Ont.), 22(4), 31-35.
Vanderspank-Wright, E. N., Efstathiou, N., & Vandyk, A. D. (2018). Critical care nurses' experiences of withdrawal of treatment: A systematic review of qualitative evidence. International Journal of Nursing Studies, 77, 15-26. https://doi.org/10.1016/j.ijnurstu.2017.09.012
Velarde-García, J. F., Luengo-González, R., González-Hervías, R., Cardenete-Reyes, C., Álvarez-Embarba, B., & Palacios-Ceña, D. (2018). Limitation of therapeutic effort experienced by intensive care nurses. Nursing Ethics, 25(7), 867-879. https://doi.org/10.1177/0969733016679471
Wiegand, D. L., Cheon, J., & Netzer, G. (2019). Seeing the patient and family through: Nurses and physicians experiences with withdrawal of life-sustaining therapy in the ICU. The American Journal of Hospice & Palliative Care, 36(1), 13-23. https://doi.org/10.1177/1049909118801011
Wubben, N., van den Boogaard, M., van der Hoeven, J. G., & Zegers, M. (2021). Shared decision-making in the ICU from the perspective of physicians, nurses and patients: A qualitative interview study. BMJ Open, 11(8), e050134. https://doi.org/10.1136/bmjopen-2021-050134