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dc.contributor.authorJerpseth, Heidien_US
dc.contributor.authorNortvedt, Peren_US
dc.contributor.authorDahl, Vegarden_US
dc.contributor.authorHalvorsen, Kristinen_US
dc.date.accessioned2016-04-11T10:35:59Z
dc.date.available2016-04-11T10:35:59Z
dc.date.issued2016en_US
dc.identifier.citationJerpseth, H., Dahl, V., Nortvedt, P., & Halvorsen, K. (2016). Nurses’ role and care practices in decision-making regarding artificial ventilation in late stage pulmonary disease. Nursing ethics, 0969733015626600.en_US
dc.identifier.issn0969-7330en_US
dc.identifier.otherFRIDAID 1325313en_US
dc.identifier.urihttps://hdl.handle.net/10642/3235
dc.description.abstractBackground: Decisions regarding whether or not to institute mechanical ventilation during the later stages of chronic obstructive pulmonary disease is challenging both ethically, emotionally and medically. Caring for these patients is a multifaceted process where nurses play a crucial role. Research question and design: We have investigated how nurses experienced their own role in decision-making processes regarding mechanical v entilation in later stages of chronic obstructive pulmonary disease and how they consider the patients’ role in these processes. We applied a qualitative approach, with six focus-group interviews of nurses (n ¼ 26). Ethical considerations: The Regional Committees for Medical and Health Research Ethics approved the study. Voluntary informed consent was obtained. Findings: The nurses found themselves operating within a cure-directed treatment culture wherein they were unable to stand up for the caring values. They perceived their roles and responsibilities in decision- making processes regarding mechanical ventilation to patients as unclear and unsatisfactory. They also experienced inadequate interdisciplinary cooperation. Discussion: Lack of communication skills, the traditional hierarchical hospital culture together with operating in a medical-orientated treatment culture where caring values is rated as less important might explain the nurses’ absence in participation in the decision about mechanical ventilation. Conclusion: To be able to advocate for the patients’ and their own right to be included in decision-making processes, nurses need an awaren ess of their own responsibilities. This requires personal courage, leadership who are capable of organising common interpersonal meetings and willingness on the part of the physicians to include and value the nurses’ participation in decision-making processes.en_US
dc.language.isoengen_US
dc.publisherSAGE Publicationen_US
dc.subjectChronic obstructive pulmonary diseaseen_US
dc.subjectEnd-of-life decision-makingen_US
dc.subjectMechanical ventilationen_US
dc.subjectNursing ethicsen_US
dc.subjectCaring valuesen_US
dc.titleNurses' role and care practices in decision-making regarding artificial ventilation in late stage pulmonary disease.en_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.identifier.doihttp://dx.doi.org/10.1177/0969733015626600


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