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Giving up and withdrawal by ventilator treated patients: nurses' experience
Intensive Care Nursing
|December 1, 1991
Summary
Intensive Care Unit (ICU) nurses struggle to interpret withdrawn patient behavior, often mistaking it for personality rather than distress. Further research is needed to understand this syndrome and improve patient care.
Area of Science:
- Nursing
- Intensive Care Medicine
- Psychology
Background:
- Patients in Intensive Care Units (ICUs) may exhibit withdrawal and a 'giving-up' syndrome.
- Nurses often misinterpret this behavior as personality traits, leading to uncertainty in care.
- This syndrome can be exacerbated by ventilator treatment, severe illness, or loss of hope.
Purpose of the Study:
- To explore nurses' interpretations of patient withdrawal and 'giving-up' behavior in the ICU.
- To understand the challenges nurses face in caring for these patients.
- To highlight the need for increased knowledge regarding this syndrome.
Main Methods:
- Qualitative exploration of nurses' experiences and interpretations.
- Analysis of nursing care activities and decision-making processes.
- Identification of emotional and psychological impact on nursing staff.
Main Results:
- Nursing care is often marked by uncertainty and fear of misjudgment.
- Nurses perceive patient withdrawal as potential depression or loss of will to live.
- Caring for these patients is frequently frustrating, stressful, and exhausting for nurses.
Conclusions:
- There is a significant gap in understanding the 'giving-up' syndrome in ICU patients.
- Nurses often feel helpless and powerless in alleviating patient suffering.
- Further research is crucial to enhance nursing knowledge and improve care for these complex cases.
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