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Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach
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 Title & Authors
Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach
Lee, Su Jeong; Kim, Hye Young;
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Purpose: The purpose of this study was to explore the subjective experience of life-sustaining treatment care among nurses in intensive care units. Method: A phenomenology was used for the study. Data were collected from October to December, 2015 using open-ended questions during in-depth interviews. Participants were nurses working in intensive care units and were contacted through purposive techniques. Eight nurses participated in this study. Results: Four categories emerged from the analysis using Colaizzi`s method: (a) difficulties due to life-sustaining treatment care, (b) dilemma of extension or cessation of life-sustaining treatment, (c) repressed feelings and emotional exhaustion, and (d) forming values for life-sustaining treatment from nursing experience. Conclusion: Provision of clearer guidelines on life-sustaining treatment which reflect a family-oriented culture is important for nurses in ICU and will promote nurses involvement in the decision-making process of life-sustaining treatment of patients.
Intensive care units;Terminal care;Nursing;
 Cited by
Yaguchi A, Truog RD, Curtis JR, Luce JM, Levy MM, Melot C, et al. International differences in end-of-life attitudes in the intensive care unit: Results of a survey. Archives of Internal Medicine. 2005;165(17):1970-1975. crossref(new window)

Korean Medical Association, Korean Academy of Medical Sciences, Korean Hospital Association. Guideline to withdrawal of a life-sustaining therapy [Internet]. Seoul: 2009 [cited 2016 January 15]. Available from:

Jox RJ, Krebs M, Fegg M, Reiter-Theil S, Frey L, Eisenmenger W, et al. Limiting life-sustaining treatment in German intensive care units: A multiprofessional survey. Journal of Critical Care. 2010;25(3):413-419. crossref(new window)

Kim AK, Park GS. The study of meaning in euthanasia and hospiece nursing among nurses. Journal of Korean Academy of Fundamentals of Nursing. 2000;7(3):379-390.

Monteiro F. Family reliance on physicians' decisions in life-sustaining treatments in acute-on-chronic respiratory diseases in a respiratory ICU: A single-center study. Respiratory Care. 2014;59(3):411-419. crossref(new window)

Vanderspank-Wright B, Fothergill-Bourbonnais F, Brajtman S, Gagnon P. Caring for patients and families at end of life: The experiences of nurses during withdrawal of life-sustaining treatment. Dynamics. 2011;22(4):31-35.

Kim BH, Kang HJ. Experience of home-based hospice care of terminal cancer patients. Korean Journal of Hospice and Palliative Care. 2014;17(4):223-231. crossref(new window)

Yi M, Oh SE, Choi EO, Kwon IG, Kwon S, Cho K, et al. Hospital nurses' experience of do-not-resuscitate in Korea. Journal of Korean Academy of Nursing. 2008;38(2):298-309. crossref(new window)

Lee BH. A study on the physician's withdrawal of life-sustaining treatment in criminal law [dissertation]. Seoul: Hanyang University; 2010.

Ministry of Health and Welfare. Provided the legal basis for hospice care, palliative care and withdrawing of life-sustaining treatment [Internet]. Seoul: Ministry of health and welfare; 2016 [cited 2016 February 7]. Available from:

Phua J, Joynt GM, Nishimura M, Deng Y, Myatra SN, Chan YH, et al. Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia. Journal of the American Medical Association Internal Medicine. 2015; 175(3):363-371. crossref(new window)

Meltzer LS, Huckabay LM. Critical care nurses' perceptions of futile care and its effect on burnout. American Journal of Critical Care. 2004;13(3):202-208.

Lee NI. Phenomenology and analytics. Seoul: Seoul National University Press; 2004.

Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential-Phenomenological Alternatives for Psychology. New York: Oxford University Press; 1978. p. 48-71.

Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. crossref(new window)

Jo Kh. The meaning of dignified dying perceived by nursing students. Journal of Korean Academic Society of Nursing Education. 2010;16(1):72-82. crossref(new window)

Yeo SH. Ethical dilemmas of nurses in the intensive care unit. [master's thesis]. Seoul: Hanyang University; 2007.

Kim MH, Kang EH, Kim MY. Family decision-making to withdraw life-sustaining treatment for terminally-ill patients in an unconscious state. Korean Journal of Hospice Palliative Care. 2012;15(3):147-154.

Yi MJ, Lee JS. Nurse's experiences of the death of patients in geriatric hospitals. Journal of Korean Academy of Nursing. 2015;45(4):513-522. crossref(new window)

Jeong MK. A Study on experiences of terminal care by nurses in the hospice.palliative Care Unit. Qualitative Research. 2012;13(1):50-65. crossref(new window)

Ro YJ, Han SS, AN SH, Kim CK. Hospice & Death. Seoul: Hyunmoon; 1994.

Yi M. Nurses' experience of caring for dying patients in hospitals. Journal of Korean Academy of Nursing. 2003; 33(5):553-561. crossref(new window)

Kim SH. Decision making process in do-not-resuscitate orders for patients with cancer [master's thesis]. Seoul: Yonsei University; 1998.

Lee HK, Kang HS. Attitudes and awareness towards the withdrawal of life-sustaining treatment among nurses, physicians, and families of intensive care unit patients. Journal of Korean Clinical Nursing Research. 2010;16(3):85-98.

Heo DS. Withholding futile interventions from terminally ill cancer patients. Journal of the Korean Medical Association 2001;44:956-962. crossref(new window)

Heo DS. Symposium: Overview and issues. Korean Journal of Medicine. 2009;77(4s):1026-1034.

Sohn MS. Ethical and legal aspect of termination of hospital care. Journal of the Korean Medical Association 1998;41: 707-711. crossref(new window)