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Characterising end-of-life decision-making of life-sustaining treatment among Japanese nurses

Fumio Shaku¹, Yoichi Yada², Madoka Tsutsumi³

¹Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan; Department of Psychosomatic Internal Medicine, Nihon University Itabashi Hospital, Tokyo, Japan.

International Journal of Palliative Nursing

|June 25, 2021

Abstract

Background:

Often, nurses are closer to end-of-life (EOL) patients than other medical professionals, due to the time they spend with them at their bedside, which leads them to understand patients' care goals.

Aims:

To investigate the importance of EOL preferences by examining nurses' EOL decision-making regarding life-sustaining treatment (LST).

Methods:

In this cross-sectional study, 559 self-reported questionnaires of Japanese nurses were examined. Marital status, age and decision-making regarding LST for themselves were investigated.

Findings:

Unmarried participants from all age groups had a higher percentage of 'no preference for LST' than married groups. Differences between the percentages were higher in the 20s age group. Married participants increasingly preferred to receive no LST as their age increased, unlike single participants.

Conclusion:

Marital status influences Japanese nurses' EOL decision-making regarding LST. Therefore, it is necessary to consider a patient's marital status to facilitate better decision-making.

Keywords:

Decision-making End-of-life care Marital status Nurse

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