Futile care: why Intensive care nurses’ provide it?A phenomenologic study

نویسندگان

1 Associate professor, Department of medical surgical nursing,Nursing and Midwifery School,Shahid Beheshti University of Medical Sciences,Tehran,Iran.

2 Associate Professor, Dept. of Biostatistics, School of Paramedical Sciences,ShahidBeheshti University of Medical Sciences, Tehran, Iran

3 Alumnus PhD Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences ,Tehran,Iran.

4 Assistant professor, Department of Basic Sciences,Nursing and Midwifery School, Shahid Beheshti University of Medical Sciences,Tehran,Iran.

doi
10.22037/anm.v24i87.8528
چکیده

Background: futile care is provided in intensive care units for multiple reseans.for decline such careawareness of effective factors associated to providing futile care is nessecarry. This research reports,experience of intensive care nurses of resaens for providing of futile care .Methods: In this qualitative study, a phenomenological approach was used. We used semi structured and indepthinterviews of purposive sample of25 intensive care unit nurses' in all hospitals in Qazvin to identifycodes and categorize themes in the data.Results: three themes emerged from the data were as follows: 1-personal beilief and value, 2-policy ofinstitute, 3-socio-cultural factors.Conclusion: The results demonstrate that reseans for providing of futile care in intensive care unit is differentand personal beilief, environment and organizational restrictions influences the development of the futile careand presents barriers to achieving an ideal care. Therefore nursing leaders must reduce futile care amongnursing in intensive care. Experiences of futile care in intensive care units reflect on nurses’ patient carenegatively, increases their burnout, and reduces their job satisfaction. Therefore nursing leaders must reducefutile care among nursing in intensive care.Keywords: futile care- effective factors- Intensive care nurses- experience - phenomenology