Phenomenological Study of Muslim Nurses’ Experience During End-Of-Life Decision Making

Abstract

<p class="paragraph" align="center">ABSTRACT</p><p class="paragraph"><strong>Objectives</strong>: This study examines the significance of Muslim nurses' lived experiences in the Intensive Care Unit (ICU) when it comes to End-of-Life (EOL) decisions (ICU)</p><p class="paragraph"><strong>Methods</strong>: The research was carried out at an intensive care unit (ICU) of a government hospital in Central Java, Indonesia. Fourteen nurses were chosen as participants after meeting the inclusion criteria: Muslims with at least three years of experience in the ICU and experienced to involved in end of life decision making process in an ICU. Data were gathered using in-depth interview. The result the transcribed and analyzed by using van Manen’s hermeneutic phenomenological approach. Trustworthiness was established following Lincoln and Guba's criteria.</p><p class="paragraph"><strong>Results: </strong>Four theme themes emerged from nurses' engagement in EOL decision-making. Feeling dilemma, being in uncertain time, receiving overwhelming role, and evading the process. Van Manen's four lived world of body, time, relation, and space are reflected in these subjects.</p><p class="paragraph"><strong>Conclusion</strong>: The purpose of this study was to illustrate the meaning of Muslim nurses' EOL decision-making in the ICU and to affect nursing policy addressing EOL decision-making education in ICU settings.</p>

Nurses’ Experience of Ethical Dilemma at the End-Of-Life Care in the Intensive Care Unit

“…They also act as a guarantor of the rights of critical patients and assume responsibility for decisions related to their care and treatment (Padilla Fortunatti, 2014). The problems that arise would be related to making treatment decisions, as sometimes nurses cannot predict when the family will decide on the next treatment and how long they would need to wait until the family has made their decision (Hidayat et al, 2021). This study also found that most participants revealed that the decisions taken by the family will affect the continuity of care in patients and whether nursing actions will be continued or stopped.…”