Evidence map›Paper›PMID 28027690›Full record

ArticleNursing ethics2018

Limitation of therapeutic effort experienced by intensive care nurses.

Juan Francisco Velarde-García, Raquel Luengo-González, Raquel González-Hervías, César Cardenete-Reyes, Beatriz Álvarez-Embarba, Domingo Palacios-Ceña

Abstract read
In one paragraph

Article in Nursing ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng.The Southern African journal of critical care : the official journal of the Critical Care Society · 2023
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Juan Francisco Velarde-GarcíaJuan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain.
Raquel Luengo-GonzálezJuan Francisco Velarde-García, Red Cross Nursing College, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 4a planta, 28003 Madrid, Spain.
Raquel González-HervíasEscuela de Enfermería de Cruz Roja de Madrid, Spain.
César Cardenete-ReyesUniversidad Europea de Madrid, Spain.
Beatriz Álvarez-EmbarbaUniversidad Autónoma de Madrid, Spain.
Domingo Palacios-CeñaUniversidad Rey Juan Carlos, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background: Nurses who practice limitation of therapeutic effort become fully involved in emotionally charged situations, which can affect them significantly on an emotional and professional level.

objectives: To describe the experience of intensive care nurses practicing limitation of therapeutic effort.

method: A qualitative, phenomenological study was performed within the intensive care units of the Madrid Hospitals Health Service. Purposeful and snowball sampling methods were used, and data collection methods included semi-structured and unstructured interviews, researcher field notes, and participants' personal letters. The Giorgi proposal for data analysis was used on the data. ETHICAL CONSIDERATIONS:: This study was approved by the Ethical Research Committee of the relevant hospital and by the Ethics Committee of the Rey Juan Carlos University and was guided by the ethical principles of voluntary enrollment, anonymity, privacy, and confidentiality.

results: In total, 22 nurses participated and 3 themes were identified regarding the nurses' experiences when faced with limitation of therapeutic effort: (a) experiencing relief, (b) accepting the medical decision, and (c) implementing limitation of therapeutic effort.

conclusion: Nurses felt that, although they were burdened with the responsibility of implementing limitation of therapeutic effort, they were being left out of the final decision-making process regarding the same.

Indexed as

Attitude of Health PersonnelCritical Care NursingTerminal CareWithholding TreatmentAdultDecision MakingFemaleHumansIntensive Care UnitsMaleMiddle AgedNursing Staff, HospitalQualitative ResearchSpainEnd-of-life careintensive care unitnursenursing carewithholding treatment

Identifiers

PMID28027690
PMCPMC6238171

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.