Life-sustaining treatment decisions in the ICU for patients with ESLD: A prospective investigation

Lissi Hansen; Nancy Press; Susan J. Rosenkranz; Judith Gedney Baggs; Judith Kendall; Amanda Kerber; Angel Williamson; Mark S. Chesnutt

doi:10.1002/nur.21488

Life-sustaining treatment decisions in the ICU for patients with ESLD: A prospective investigation

Lissi Hansen, Nancy Press, Susan J. Rosenkranz, Judith Gedney Baggs, Judith Kendall, Amanda Kerber, Angel Williamson, Mark S. Chesnutt

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

We conducted a prospective study in the ICU of life-sustaining treatment and comfort care decisions over time in patients with end-stage liver disease (ESLD) from the perspectives of patients, family members, and healthcare professionals. Six patients with ESLD, 19 family members, and 122 professionals participated. The overarching theme describing the decision-making process was "on the train." Four sub-themes positioned patients and family members as passengers with limited control, unable to fully understand the decision-making process. Findings suggest that including patients and family members in non-immediate life-saving decisions and verifying early on their understanding may help to improve the decision-making process.

Original language	English (US)
Pages (from-to)	518-532
Number of pages	15
Journal	Research in Nursing and Health
Volume	35
Issue number	5
DOIs	https://doi.org/10.1002/nur.21488
State	Published - Oct 2012

Keywords

Decision-making
Intensive care
Life support care
Liver diseases
Qualitative research

ASJC Scopus subject areas

General Nursing

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10.1002/nur.21488

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abstract = "We conducted a prospective study in the ICU of life-sustaining treatment and comfort care decisions over time in patients with end-stage liver disease (ESLD) from the perspectives of patients, family members, and healthcare professionals. Six patients with ESLD, 19 family members, and 122 professionals participated. The overarching theme describing the decision-making process was {"}on the train.{"} Four sub-themes positioned patients and family members as passengers with limited control, unable to fully understand the decision-making process. Findings suggest that including patients and family members in non-immediate life-saving decisions and verifying early on their understanding may help to improve the decision-making process.",

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AU - Hansen, Lissi

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AU - Rosenkranz, Susan J.

AU - Baggs, Judith Gedney

AU - Kendall, Judith

AU - Kerber, Amanda

AU - Williamson, Angel

AU - Chesnutt, Mark S.

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AB - We conducted a prospective study in the ICU of life-sustaining treatment and comfort care decisions over time in patients with end-stage liver disease (ESLD) from the perspectives of patients, family members, and healthcare professionals. Six patients with ESLD, 19 family members, and 122 professionals participated. The overarching theme describing the decision-making process was "on the train." Four sub-themes positioned patients and family members as passengers with limited control, unable to fully understand the decision-making process. Findings suggest that including patients and family members in non-immediate life-saving decisions and verifying early on their understanding may help to improve the decision-making process.

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Life-sustaining treatment decisions in the ICU for patients with ESLD: A prospective investigation

Abstract

Keywords

ASJC Scopus subject areas

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