Nurses Experience in End of Life Decision-Making for Covid-19 Patients in the Intensive Care Unit

DOI

10.2991/ahsr.k.201125.061How to use a DOI?

Keywords

COVID-19, End of life, Intensive Care Unit, Nurses experience

Abstract

Background: COVID-19 virus spread rapidly throughout the world. It caused the massive patients admitted to the hospitals with severe Acute Respiratory Distress Syndrome to exceed the capacity of beds in the ICU. It makes the hospital give priority to the ICU bed for the COVID-19 patient with the best prognosis or the decision to accelerate the withdrawal of life support. During this situation, pay attention for end of life decision-making in the ICU was important. The aim is to identify nurses’ experiences in the intensive care unit regarding the involvement and expected outcome assessment in end-of-life care decision making in the Intensive care unit. Method: The research method of the study was a descriptive study using a questionnaire in the Google form. Results: The results showed that end of life decisions regarding withdrawal and withholding life support in COVID-19 patients based on several important consideration, including the ability to survive life (63,2%), neurological status (63,2%), and quality of life (86,8%) of patients after receiving treatment in the ICU. Furthermore, nurses are always actively involved in the goals of the care plan (60,5%) and considering the end of life decisions. This involvement affects job satisfaction (73,7%). A family member of COVID-19 patient is always involved in end of life discussions (76,3%). Conclusion: Our study indicates that end of life decisions regarding withdrawal and withholding life support in COVID-19 patients in the ICU are based on several considerations. The nurse is always actively involved in setting goals of care and facilitated family member in these decisions. The recommendation for future research is identifying the type of effective communication technologies and media to facilitate family members at the end of life process during the COVID-19 pandemic.

Copyright

© 2020, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Diah Tika Anggraeni
AU  - Deby Tangkabiringan
AU  - Mareta Dea Rosaline
PY  - 2020
DA  - 2020/11/25
TI  - Nurses Experience in End of Life Decision-Making for Covid-19 Patients in the Intensive Care Unit
BT  - Proceedings of the International Conference of Health Development. Covid-19 and the Role of Healthcare Workers in the Industrial Era (ICHD 2020)
PB  - Atlantis Press
SP  - 358
EP  - 362
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.201125.061
DO  - 10.2991/ahsr.k.201125.061
ID  - Anggraeni2020
ER  -