Canadian nurses' and respiratory therapists' perspectives on withdrawal of life support in the intensive care unit

作者: Graeme M. Rocker , Deborah J. Cook , Christopher J. O'Callaghan, , Deborah Pichora , Peter M. Dodek

DOI: 10.1016/J.JCRC.2004.10.006

关键词:

摘要: Abstract Purpose To describe perspectives of nurses (RNs) and respiratory therapists (RTs) related to end-of-life care for critically ill patients. Methods For patients who had life support withdrawn in 4 Canadian university-affiliated ICUs, RNs RTs reported their comfort level with decision making process 14 aspects care. Results Ninety-eight withdrawn. Responses were received from 96 (98.0%) bedside 73 (74.5%) RTs. Most (85/94, 90.4%) (50/73, 68.5%) very comfortable decisions withhold cardiopulmonary resuscitation or withdraw (83/94, 88.3% 56/73, 76.7% RTs). (range 71.3%-80.65%) (60.0%-70.8%) ventilation/oxygen withdrawal sedation. Among paired responses 72 (73.5%) 98 patients, rated less favorably than ( P Conclusions the withdrawal, but they suggested several ways improve

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