Nurses' experiences of futile care at intensive care units:a phenomenological study

Dublin Core

Title

Nurses' experiences of futile care at intensive care units:a phenomenological study

Author

Yekefallah, Leili
Ashktorab, Tahereh
Manoochehri, Houman
Hamid, Alavi Majd

Publisher

1/14/15

Language

English

Publication Date

20150114

Abstract

The concept and meaning of futile care depends on the existing culture, values, religion, beliefs, medical achievements and emotional status of a country. We aimed to define the concept of futile care in the viewpoints of nurses working in intensive care units (ICUs). In this phenomenological study, the experiences of 25 nurses were explored in 11 teaching hospitals affiliated to Social Security Organization in Ghazvin province in the northwest of Iran. Personal interviews and observations were used for data collection. All interviews were recorded as well as transcribed and codes, subthemes and themes were extracted using Van Manen's analysis method. Initially, 191 codes were extracted. During data analysis and comparison, the codes were reduced to 178. Ultimately, 9 sub-themes and four themes emerged: uselessness, waste of resources, torment, and aspects of futility.Nurses defined futile care as 'useless, ineffective care giving with wastage of resources and torment of both patients and nurses having nursing and medical aspects' As nurses play a key role in managing futile care, being aware of their experiences in this regard could be the initial operational step for providing useful care as well as educational programs in ICUs. Moreover, the results of this study could help nursing managers adopt supportive approaches to reduce the amount of futile care which could in turn resolve some of the complications nurses face at these wards such as burnout, ethical conflicts, and leave.

Primary Classification

20.5.1

Secondary Classification

20.5.1;9.4;4.1.3

Primary keywords

attitudes of health personnel--[pri];futility--[pri];nurses--[pri]

Secondary keywords

critically ill;intensive care units;interviews;nurse patient relationship;qualitative research;resource allocation

Subject

Iran--[pri]

Journal Article

Global Journal of Health Science2015 January 14; 7(4):235-242

Link for Internet access

Note

Creative Commons Attribution 3.0 License. Copyright © Canadian Center of Science and Education

Call Number

citation

Bibliography

20 refs

ISSN

19169736 (print);19169744 (online)

Collection

Citation

“Nurses' experiences of futile care at intensive care units:a phenomenological study,” Islamic Medical & Scientific Ethics, accessed January 16, 2025, https://imse.ibp.georgetown.domains/items/show/37317.