Assessment of Iranian Intensive Care Nurses’ Perception of Futile Care
DOI:
https://doi.org/10.25159/2520-5293/16451Keywords:
critical care, nurse, futile care, IranAbstract
This study aimed to evaluate the perceptions of ICU nurses regarding futile care in hospitals affiliated with Kerman University of Medical Sciences in 2018. The research specifically targeted nurses working in the ICU departments of these hospitals who held at least a bachelor’s degree. The questionnaire used in the study consisted of eight questions related to nurses’ views on futile care in the ICU. Additionally, the questionnaire included a section that explored nurses’ perspectives on the causes of futile care and its persistence, covering topics such as communication, information exchange, respect for patient preferences, involvement in decision-making, and quality of patient care. Non-normal data distribution led to the use of the Mann-Whitney U and Kruskal-Wallis tests to analyse the relationship between nurses’ perceptions of futile care, its causes, and various nurse-related factors. The study involved 236 ICU nurses who met the inclusion criteria, with 179 nurses participating in the research. The average age of the nurses was 32.78 ± 6.50 years. The results indicated a significant correlation between nurses’ perception scores of futile care and their views on the causes and dimensions of futile care (r = 0.65, p < 0.001). Further research is recommended to gain a deeper understanding of ICU nurses’ perceptions and experiences related to futile care.
References
Amoroso, S., and J. A. Chalela. 2019. “Perception of Provision of Futile Care among Clinicians in the Neuroscience Intensive Care Unit.” Journal of Neuroscience Nursing 51 (5): 249–52. https://doi.org/10.1097/jnn.0000000000000462
Anstey, M. H., J. L. Adams, and E. A. McGlynn. 2015. “Perceptions of the Appropriateness of Care in California Adult Intensive Care Units.” Critical Care 19 (1): 51. https://doi.org/10.1186/s13054-015-0777-0
Bangert, K., J. Borch, S. Ferahli, S. Braune, and S. Kluge. 2016. “Inadequate ICU-admissions: A 12-month prospective cohort study at a German University Hospital.” Medizinische Klinik, Intensivmedizin und Notfallmedizin, 111(4): 310-316. https://doi.org/10.1007/s00063-015-0070-7
Begjani, J., N. N. Dizaji, J. Mirlashari, and K. Dehghan. 2022. “Moral Distress and Perception of Futile Care among Nurses of Neonatal Care Units.” Indian Journal of Palliative Care: 1–6. https://doi.org/10.25259/ijpc_134_2021
Beheshtaeen, F., C. Torabizadeh, S. Khaki, N. Abshorshori, and F. Vizeshfar. 2023. “Moral Distress among Critical Care Nurses before and during the COVID-19 Pandemic: A Systematic Review.” Nursing Ethics 31 (4): 9697330231221196. https://doi.org/10.1177/09697330231221196
Damps, M., M. Gajda, L. Stołtny, M. Kowalska, and E. Kucewicz-Czech. 2022. “Limiting Futile Therapy as Part of End-of-Life Care in Intensive Care Units.” Anaesthesiology Intensive Therapy 54 (3): 279–84. https://doi.org/10.5114/ait.2022.119124
Hajilo, P., and M. Torabi. “The Relationship between Moral Sensitivity and Nurses’ Perception of Futile Care in Patients with Covid-19”. Journal of Medical Ethics 14 (09 2024): e27. https://doi.org/10.22037/mej.v14i45.32999
Kompanje, E. J.O., R. D. Piers, and D. D. Benoit. 2013. “Causes and Consequences of Disproportionate Care in Intensive Care Medicine.” Current Opinion in Critical Care, 19 (6), 630–635. https://doi.org/10.1097/mcc.0000000000000026
Kon, A. A., and J. E. Davidson. 2017. “Retiring the Term Futility in Value-Laden Decisions Regarding Potentially Inappropriate Medical Treatment.” Critical Care Nurse 37 (1): 9–11. https://doi.org/10.4037/ccn2017234
Lord, H., C. Loveday, L. Moxham, and R. Fernandez. 2020. “Effective Communication Is Key to Intensive Care Nurses’ Willingness to Provide Nursing Care amidst the COVID-19 Pandemic.” Intensive and Critical Care Nursing 62 (1). https://doi.org/10.1016/j.iccn.2020.102946
Mathew, G., R. Agha, J. Albrecht, P. Goel, I. Mukherjee, P. Pai, A. K. D’Cruz, I. J. Nixon, K. Roberto, S. A. Enam, S. Basu, O. J. Muensterer, S. Giordano, D. Pagano, D. Machado-Aranda, P. J. Bradley, M. Bashashati, A. Thoma, R. Y. Afifi, M. Johnston, B. Challacombe, J. Chi-Yong Ngu, M. Chalkoo, K. Raveendran, J. R. Hoffman, B. Kirshtein, W. Yee Lau, M. A. Thorat, D. Miguel, A. J. Beamish, G. Roy, D. Healy, M. H. Ather, S. G. Raja, Z. Mei, T. G. Manning, V. Kasivisvanathan, J. Gómez Rivas, R. Coppola, B. Ekser, V. L. Karanth, H. Kadioglu, M. Valmasoni and A. Noureldin. 2021. “STROCSS 2021: Strengthening the Reporting of Cohort, Cross-Sectional and Case-Control Studies in Surgery.” International Journal of Surgery Open 37: 100430. https://doi.org/10.1016/j.ijso.2021.100430
Moaddaby, S., M. Adib, S. Ashrafi, and E. K. Leili. 2021. “Perception of the Futile Care and Its Relationship with Moral Distress in Nurses of Intensive Care Units.” Journal of Holistic Nursing and Midwifery 31 (2): 85–92. https://doi.org/10.32598/jhnm.31.2.2119
Mohammadi, S. and M. Roshanzadeh. 2022. Exploring the Perception of intensive care unit nurses of futile care. Education and Ethics in Nursing 3 (2): 65–72.
Morley, G., C. Bradbury‐Jones, and J. Ives. 2021. “The Moral Distress Model: An Empirically Informed Guide for Moral Distress Interventions.” Journal of Clinical Nursing 31 (9–10). https://doi.org/10.1111/jocn.15988
Nazari, F., M. Chegeni, and P. M. Shahrbabaki. 2022. “The Relationship between Futile Medical Care and Respect for Patient Dignity: A Cross-Sectional Study.” BMC Nursing 21 (1). https://doi.org/10.1186/s12912-022-01144-1
Neville, T. H., D. M. Tarn, M. Yamamoto, B. J. Garber, and N. S. Wenger. 2017. “Understanding Factors Contributing to Inappropriate Critical Care: A Mixed-Methods Analysis of Medical Record Documentation.” Journal of Palliative Medicine 20 (11): 1260–66. https://doi.org/10.1089/jpm.2017.0023.
Osinaike, B. B., and O. Olusanya. 2016. “Inappropriate Intensive Care Unit Admissions: Nigerian Doctors’ Perception and Attitude.” Nigerian Journal of Clinical Practice 19 (6): 721. https://doi.org/10.4103/1119-3077.181354
Ozga, D., K. Woźniak, and P. J. Gurowiec. 2020. “Difficulties Perceived by ICU Nurses Providing End-of-Life Care: A Qualitative Study.” Global Advances in Health and Medicine 9: 216495612091617. https://doi.org/10.1177/2164956120916176
Piers, R. D., E. Azoulay, B. Ricou, F. D. Ganz, J. M. Decruyenaere, M. Adeline, A. Michalsen, P. A. Maia, R. Owczuk, F. Rubulotta, Francesca, P. Depuydt, A-P. Meert, A. K. Reyners, A. Aquilina, M. Bekaert, N. J. Van den Noortgate, W. J. Schrauwen, D. D. Benoit and, ESICM. 2011. “Perceptions of Appropriateness of Care among European and Israeli Intensive Care Unit Nurses and Physicians.” JAMA 306 (24): 2694. https://doi.org/10.1001/jama.2011.1888
Rakhshan, M., S. Joolaee, N. Mousazadeh, H. Hakimi, and S. Bagherian. 2022. “Causes of Futile Care from the Perspective of Intensive Care Unit Nurses (I.C.U): Qualitative Content Analysis.” BMC Nursing 21 (1). https://doi.org/10.1186/s12912-022-01004-y
Vieira, J. V., S. Deodato, and F. Mendes. 2020. “Perceptions of Intensive Care Unit Nurses of Therapeutic Futility: A Scoping Review.” Clinical Ethics 16 (1): 147775092093037. https://doi.org/10.1177/1477750920930376