Acessibilidade / Reportar erro

Factors influencing Intensive Care Units nurses in end-of-life decisions* * Extracted from the project: "O envolvimento dos enfermeiros nas tomadas de decisão relacionadas às situações de final de vida: um estudo transcultural", Escola de Enfermagem, Universidade de São Paulo, 2013.

Factores que influencian a los enfermeros de unidades de cuidados intensivos en las decisiones de final de vida

OBJECTIVE

To identify the factors that influence the Intensive Care Unit nurse in the decision-making process in end-of-life situations.

METHOD

Ethnographic case study, which used the theoretical framework of medical anthropology. Data were collected through semi-structured interviews with 10 nurses.

RESULTS

The inductive thematic analysis enabled us to identify four themes:The cultural context of the Intensive Care Unit: decision-making in situations of end-of-life; Beliefs and subjectivity of care in end-of-life situations; Professional experience and context characteristics of end-of-life care situations; and Humanization practices in end-of-life situations: the patient and family centered care.

CONCLUSION

Professional maturity, the ability to transmit information and the ability to negotiate are directly related to the inclusion of nurses in the decision-making process.

Terminally Ill; Intensive Care Units; Nursing; Decision Making; Culture; Anthropology


Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br