Life-sustaining treatment decisions in the ICU for patients with ESLD

A prospective investigation

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

Research output: Contribution to journalArticle

10 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)518-532
Number of pages15
JournalResearch in Nursing and Health
Volume35
Issue number5
DOIs
StatePublished - Oct 2012

Fingerprint

End Stage Liver Disease
Decision Making
Therapeutics
Prospective Studies
Delivery of Health Care

Keywords

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

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Life-sustaining treatment decisions in the ICU for patients with ESLD : A prospective investigation. / Hansen, Lissi; Press, Nancy; Rosenkranz, Susan J.; Baggs, Judith; Kendall, Judith; Kerber, Amanda; Williamson, Angel; Chestnutt, Mark.

In: Research in Nursing and Health, Vol. 35, No. 5, 10.2012, p. 518-532.

Research output: Contribution to journalArticle

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