The limits of suffering

This study explores critical care nurses' beliefs, motivations, and experiences regarding end of life care. We performed a content analysis of the text comments provided by 468 U.S. critical care nurses in response to an anonymous mail survey about euthanasia. These comments reveal that these U.S. critical care nurses' feelings about issues surrounding the end of life are extremely complex. Eight themes emerged from 37 coded concepts, and the median number of themes volunteered per nurse was three. Among the most prevalent themes were patient concerns (53%), family concerns (33%), clinical circumstances (42%), the nurses' personal concerns (38%), and external or structural issues (68%). A profound sense of compassion and often conflicting forces were noted within and across themes. The nurses' comments offer a unique perspective on the care of critically ill patients and reveal much about that care that should be improved. In particular, (1) some nurses are frustrated about their limited role in the management of patients at the end of life, given their special understanding of these patients' experiences and wishes; (2) considerable confusion remains about the most appropriate way to care for these patients; and (3) the environment of some critical care setting may be unable to foster the compassion that many patients need

Compassion · Confusion · End-of-life care · Feeling · Health care · Palliative care · Perspective (graphical · Childhood Cancer Survivors' Quality of Life · Ethics in medical practice · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Social Psychology · Critical Care Nursing

• Exploring the Beliefs Underlying Attitudes to Active Voluntary Euthanasia in a Sample of Australian Medical Practitioners and Nurses

  Open Access•Katherine M White, S Wise et al.•OMEGA - Journal of Death and Dying•2008

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• Managing death

  Open Access•Simon Bailey, Damian Hodgson et al.•Sociology of Health & Illness•2020

  Incluir item

• The missing voice of the critically ill

  Open Access•David A Rier, David Rier•Sociology of Health & Illness•2000

  Incluir item

• A Controlled Trial to Improve Care for Seriously III Hospitalized Patients

  Alfred F Connors•JAMA•1995

  Incluir item

• Holding the Line on Euthanasia

  Susan M Wolf•The Hastings Center Report•1989

  Incluir item

• Attitudes of registered nurses toward euthanasia

  Carolyn R Shuman, Glenn P Fournet et al.•Death Studies•1992

  Incluir item

• Decisions near the end of life

  Mildred Z Solomon, Lydia O’donnell et al.•American Journal of Public Health•1993

  Incluir item

• Why Do Physicians Prefer to Withdraw Some Forms of Life Support over Others

  David A Asch, Nicholas A Christakis•Medical Care•1996

  Incluir item

• Techniques of Neutralization

  Gresham M Sykes, David Matza•American Sociological Review•1957

  Incluir item

• Attitudes of medical professionals toward euthanasia

  Open Access•James G Anderson, David P Caddell et al.•Social Science & Medicine•1993

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