DYSTHANASIA AND/OR FUTILE CARE IN THE INTENSIVE CARE UNITS OF A SPECIALTY HOSPITAL IN EL BAJío region, in Mexico

Introduction: The development of science and technology has provided more opportunities for patients to live and even receiving futile medical care or treatment with no hope of recovery. This process leads to awkward experiences and moral distress in nurses who frequently deliver with such care. Objective: This study aimed to determine the perception of futile care and its relationship with moral distress in nurses working in intensive care units Materials and Methods: This is a cross-sectional study conducted on 155 nurses working in Intensive Care Units (ICUs) employed in educational-therapeutic centers and hospitals of Guilan Province, Iran. They were selected by convenience sampling method. The study data were collected using the researcher-made questionnaire and Corley moral distress questionnaire. The obtained data were analyzed using descriptive statistics and inferential statistics the Kolmogorov-Smirnov test, nonparametric Mann-Whitney U, Kruskal-Wallis, Fisher exact and Backward logistic regression model. Results: The mean±SD age of the samples was 34.71±6.68 years; their mean±SD work experience was 10.24±5.63 years, and the mean±SD work experience in the ICU was 6.76±4.64 years. The results indicated that their mean±SD perception of futile care was 63±7, and their mean±SD moral distress was 92±54. The score of moral distress showed a low but significant and positive correlation with the legal and organizational aspects of futile care (r=0. 279, P=0.001) and the total score of perception futile care (r=0.2, P=0.012). In the multivariate analysis based on the logistic regression model of futile care, only the relationship between the legal and organizational score in care had a significant relationship with moral distress. So that by increasing one unit in the legal and organizational aspect of care, the chances of scoring above the mean of moral distress increases 1.2 times (P=0.0001, 95% CI; 1.077-1.324). Conclusion: Perhaps by familiarizing nurses with the legal and organizational nature of patient’s care, the moral distress of caring can be reduced.

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Causes of Futile Care in End of life Patients in Intensive Care Units from the Viewpoints of Nurses

Journal of Health and Care ◽

10.29252/jhc.20.2.105 ◽

2018 ◽

Vol 20 (2) ◽

pp. 105-113 ◽

Cited By ~ 1

Author(s):

L Yekefallah ◽

T Ashktorab ◽

H Manoochehri ◽

H Alavi Majd ◽

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...

Keyword(s):

Intensive Care ◽

End Of Life ◽

Intensive Care Units ◽

Futile Care

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Microbial contamination of operating theatres and intensive care units at a surgical specialty hospital in Erbil City

Medical Journal of Babylon ◽

10.4103/mjbl.mjbl_15_19 ◽

2019 ◽

Vol 16 (2) ◽

pp. 150

Author(s):

SozaTharwat Baban ◽

PaymanAkram Hama Saeed ◽

DlovanM. F. Jalal

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Microbial Contamination ◽

Surgical Specialty ◽

Specialty Hospital ◽

Operating Theatres

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Perceptions of "futile care" among caregivers in intensive care units

Canadian Medical Association Journal ◽

10.1503/cmaj.070144 ◽

2007 ◽

Vol 177 (10) ◽

pp. 1201-1208 ◽

Cited By ~ 57

Author(s):

R. Sibbald ◽

J. Downar ◽

L. Hawryluck

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Futile Care

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Knowledge and attitudes of medical and nursing practitioners regarding non-beneficial futile care in the intensive care units of Trinidad and Tobago

Clinical Ethics ◽

10.1177/1477750917691886 ◽

2017 ◽

Vol 12 (2) ◽

pp. 95-101

Author(s):

Sridhar Polakala ◽

Seetharaman Hariharan ◽

Deryk Chen

Keyword(s):

Intensive Care ◽

Trinidad And Tobago ◽

Intensive Care Units ◽

Knowledge And Attitudes ◽

Futile Care

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Perception of futile care and caring behaviors of nurses in intensive care units

Nursing Ethics ◽

10.1177/0969733017703694 ◽

2017 ◽

Vol 26 (1) ◽

pp. 248-255 ◽

Cited By ~ 3

Author(s):

Somaye Rostami ◽

Ravanbakhsh Esmaeali ◽

Hedayat Jafari ◽

Jamshid Yazdani Cherati

Keyword(s):

Intensive Care ◽

Medical Care ◽

Intensive Care Units ◽

Statistical Tests ◽

Negative Relationship ◽

Form Perception ◽

Medical Sciences ◽

Caring Behaviors ◽

Futile Care ◽

The Relationship

Objectives: Futile medical care is considered as the care or treatment that does not benefit the patient. Staff of intensive care units experience moral distress when they perceive the futility of care. Therefore, this study aimed to determine the relationship between perceptions of nurses regarding futile medical care and their caring behaviors toward patients in the final stages of life admitted to intensive care units. Method: This correlation, analytical study was conducted with 181 nursing staff of the intensive care units of health centers affiliated to Mazandaran University of Medical Sciences, Mazandaran, Iran. The data collection tool included a three-part questionnaire containing demographic characteristics form, perception of futile care questionnaire, and caring behaviors inventory. To analyze the data, statistical tests and central indices of tendency and dispersion were investigated using SPSS, version 19. Pearson’s correlation coefficient, partial correlation, t-test, and analysis of variance tests were performed to assess the relationship between the variables. Ethical considerations: The study was reviewed by the ethics committee of the Mazandaran University of Medical Sciences. Informed consent was obtained from participants. Results: Our findings illustrated that the majority of nurses (65.7%) had a moderate perception of futile care, and most of them (98.9%) had desirable caring behaviors in taking care of patients in the final stages of life. The nurses believed that psychosocial aspects of care were of utmost importance. There was a significant negative relationship between perception of futile care and caring behavior. Conclusion: Given the moderate perception of nurses concerning futile care, and its negative impact on caring behaviors toward patients, implementing suitable interventions for minimizing the frequency of futile care and its resulting tension seems to be mandatory. It is imperative to train nurses on adjustment mechanisms and raise their awareness as to situations resulting in futile care.

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