Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study

Introduction: Withdrawing life-sustaining measures involves complex legal and ethical considerations, and few healthcare providers have received specialized training in this area. This study explored critical care nurses' perceptions of withdrawing life-sustaining treatment. Methods: A qualit...

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Main Authors: Ibrahim Ahmd Alabd, Sahar Yassien Mohammad, Dalia Ali Ameen
Format: Article
Language:English
Published: Universitas Airlangga 2024-08-01
Series:Jurnal Ners
Online Access:https://e-journal.unair.ac.id/JNERS/article/view/54320
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author Ibrahim Ahmd Alabd
Sahar Yassien Mohammad
Dalia Ali Ameen
author_facet Ibrahim Ahmd Alabd
Sahar Yassien Mohammad
Dalia Ali Ameen
author_sort Ibrahim Ahmd Alabd
collection DOAJ
description Introduction: Withdrawing life-sustaining measures involves complex legal and ethical considerations, and few healthcare providers have received specialized training in this area. This study explored critical care nurses' perceptions of withdrawing life-sustaining treatment. Methods: A qualitative phenomenological design was used, a purposive sample of 15 individuals of both sexes for nurses working in the ICU for at least six months. The study was conducted in seven critical care units at four hospitals at Ain Shams University. The data collection process involved audio recordings of semi-structured open-ended interviews and the data were analyzed based on Tesch’s method. Results: Study results revealed that the sample age ranged from 24 to 38 and ranged from 1 year to 14 years working in ICU at various levels starting from nursing staff to head nurses. Critical care nurses' perceptions were reflected through four main themes and related subthemes. The main themes that shaped nurses' perceptions were attitudes toward withholding and withdrawing life-sustaining treatments, ethical perceptions, beliefs impact, and legal framework. Conclusions: Nurses face difficult experiences influencing their perceptions of life-sustaining treatment withdrawal, emphasizing the importance of policy guidance to prevent decisions based only on beliefs. Therefore, further qualitative and quantitative studies are required. Keywords: life-sustaining treatments, Perceptions, qualitative design, themes, withdrawal
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spelling doaj-art-61c626b029e44da18501ac7e80e7c37e2025-08-20T02:09:51ZengUniversitas AirlanggaJurnal Ners1858-35982502-57912024-08-0119327528310.20473/jn.v19i3.5432052482Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology studyIbrahim Ahmd Alabd0https://orcid.org/0000-0003-4731-4747Sahar Yassien Mohammad1https://orcid.org/0000-0003-3261-5002Dalia Ali Ameen2https://orcid.org/0000-0003-2495-9534Critical Care Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.Critical Care Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.Critical Care Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt.Introduction: Withdrawing life-sustaining measures involves complex legal and ethical considerations, and few healthcare providers have received specialized training in this area. This study explored critical care nurses' perceptions of withdrawing life-sustaining treatment. Methods: A qualitative phenomenological design was used, a purposive sample of 15 individuals of both sexes for nurses working in the ICU for at least six months. The study was conducted in seven critical care units at four hospitals at Ain Shams University. The data collection process involved audio recordings of semi-structured open-ended interviews and the data were analyzed based on Tesch’s method. Results: Study results revealed that the sample age ranged from 24 to 38 and ranged from 1 year to 14 years working in ICU at various levels starting from nursing staff to head nurses. Critical care nurses' perceptions were reflected through four main themes and related subthemes. The main themes that shaped nurses' perceptions were attitudes toward withholding and withdrawing life-sustaining treatments, ethical perceptions, beliefs impact, and legal framework. Conclusions: Nurses face difficult experiences influencing their perceptions of life-sustaining treatment withdrawal, emphasizing the importance of policy guidance to prevent decisions based only on beliefs. Therefore, further qualitative and quantitative studies are required. Keywords: life-sustaining treatments, Perceptions, qualitative design, themes, withdrawalhttps://e-journal.unair.ac.id/JNERS/article/view/54320
spellingShingle Ibrahim Ahmd Alabd
Sahar Yassien Mohammad
Dalia Ali Ameen
Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study
Jurnal Ners
title Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study
title_full Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study
title_fullStr Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study
title_full_unstemmed Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study
title_short Critical care nurses' perceptions toward withdrawal of life-sustaining treatments: a phenomenology study
title_sort critical care nurses perceptions toward withdrawal of life sustaining treatments a phenomenology study
url https://e-journal.unair.ac.id/JNERS/article/view/54320
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