Show simple item record

dc.contributor.authorLind, Ranveig
dc.contributor.authorLorem, Geir F
dc.contributor.authorNortvedt, Per
dc.contributor.authorHevrøy, Olav
dc.date.accessioned2012-03-26T09:49:25Z
dc.date.available2012-03-26T09:49:25Z
dc.date.issued2011
dc.description.abstractThe aim of this study is to examine family members’ experiences of end-of-life decision-making processes in Norwegian intensive care units (ICUs) to ascertain the degree to which they felt included in the decision-making process and whether they received necessary information. Were they asked about the patient’s preferences, and how did they view their role as family members in the decision-making process? A constructivist interpretive approach to the grounded theory method of qualitative research was employed with interviews of 27 bereaved family members of former ICU patients 3–12 months after the patient’s death. The core finding is that relatives want a more active role in end-of-life decision-making in order to communicate the patient’s wishes. However, many consider their role to be unclear, and few study participants experienced shared decision-making. The clinician’s expression “wait and see” hides and delays the communication of honest and clear information. When physicians finally address their decision, there is no time for family participation. Our results also indicate that nurses should be more involved in family–physician communication. Families are uncertain whether or how they can participate in the decision-making process. They need unambiguous communication and honest information to be able to take part in the decision-making process. We suggest that clinicians in Norwegian ICUs need more training in the knowledge and skills of effective communication with families of dying patients.en
dc.identifier.citationIntensive Care Medicine 37(2011) nr. 7 s. 1143-1150en
dc.identifier.cristinIDFRIDAID 798081
dc.identifier.doidoi: 10.1007/s00134-011-2253-x
dc.identifier.issn0342-4642
dc.identifier.urihttps://hdl.handle.net/10037/4060
dc.identifier.urnURN:NBN:no-uit_munin_3780
dc.language.isoengen
dc.publisherSpringer Verlagen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Traumatology: 783en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783en
dc.titleFamily members' experiences on "wait and see" as a communication strategy in end-of-life decisionsen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


File(s) in this item

Thumbnail
Thumbnail

This item appears in the following collection(s)

Show simple item record