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Intensive care nurses' perceptions of brain death.

¹Faculty of Education, Deakin University Melbourne Campus 221 Burwood Hwy, Burwood, Vic 3125.

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses

|November 28, 2007

Summary

Many intensive care nurses question the concept of brain death, with nearly half viewing brain dead patients as not fully deceased. This perception may stem from personal beliefs, not ignorance of medical criteria.

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Published on: February 6, 2021

Area of Science:

Medical Ethics
Neuroscience
Nursing Practice

Background:

Significant confusion and inconsistent application of the brain death concept exist in medical and nursing professions.
Previous research often focused on clinical knowledge rather than personal beliefs regarding brain death.

Purpose of the Study:

To investigate how Australian intensive care nurses perceive brain death as a meaningful concept.
To explore the spectrum of personal beliefs surrounding brain death among nurses.

Main Methods:

A naturalistic, descriptive study involving 40 Australian intensive care nurses.
Structured interviews were conducted across seven metropolitan intensive care units (ICUs).
Transcript analysis identified five categories of perception regarding brain death.

Main Results:

Nearly half (48%) of the nurses surveyed did not consider brain dead patients to be completely meaningfully dead.
Perceptions ranged from complete acceptance to complete rejection of the brain death concept.
Nurses holding less accepting views were generally well-informed about brain death diagnosis and brain stem function.

Conclusions:

The study highlights that non-acceptance of brain death may not always indicate professional ignorance.
Supportive workplace environments are crucial for nurses to express diverse perceptions of brain death.
Educators and managers should acknowledge and address these differing viewpoints on brain death.