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Therapeutic Futility in Nursing: A Focus Group
João V Vieira1,2, Sérgio Deodato1, Felismina Mendes3
1Centre for Interdisciplinary Health Research, Universidade Católica Portuguesa, Lisboa, Portugal.
Expert nurses perceive therapeutic futility in adult intensive care units as a reality impacting teams and families. Avoiding futile nursing interventions is crucial to prevent ethically questionable care.
Area of Science:
- Nursing
- Intensive Care Medicine
- Medical Ethics
Background:
- Futile nursing interventions are a persistent issue in adult intensive care units.
- Understanding nurse perceptions is key to preventing negative outcomes.
Purpose of the Study:
- To explore expert nurses' perceptions of therapeutic futility in adult intensive care nursing.
Main Methods:
- Conventional content analysis using focus group interviews.
- Involved five expert nurses with over 15 years of intensive care experience.
- Thematic categorical analysis (Bardin) was employed for data analysis.
Main Results:
- Four central categories and multiple subcategories were identified regarding therapeutic futility.
- These categories provide a deeper understanding of the phenomenon.
Conclusions:
- Therapeutic futility in nursing is a recognized issue by both healthcare teams and patients' families.
- Preventing futile care is essential to avoid ethically problematic interventions.
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