Processes toward the end of life and dialysis withdrawal Physicians’ and nurses’ perspectives
Axelsson, Lena ; Benzein, Eva ; Lindberg, Jenny LU
and Persson, Carina
(2020)
In Nursing Ethics
27(2).
p.419-432
- Abstract
- Background:
Nurses and physicians in nephrology settings provide care for patients with end-stage kidney disease receiving hemodialysis treatment along a complex illness trajectory.
Aim:
The aim was to explore physicians’ and nurses’ perspectives on the trajectories toward the end of life involving decisions regarding hemodialysis withdrawal for patients with end-stage kidney disease.
Research design and participants:
A qualitative research approach was used. Four mixed focus group interviews were conducted with renal physicians (5) and nurses (17) in Sweden. Qualitative content analysis was used to analyse data.
Ethical considerations:
Ethical approval was obtained (Dnr... (More) - Background:
Nurses and physicians in nephrology settings provide care for patients with end-stage kidney disease receiving hemodialysis treatment along a complex illness trajectory.
Aim:
The aim was to explore physicians’ and nurses’ perspectives on the trajectories toward the end of life involving decisions regarding hemodialysis withdrawal for patients with end-stage kidney disease.
Research design and participants:
A qualitative research approach was used. Four mixed focus group interviews were conducted with renal physicians (5) and nurses (17) in Sweden. Qualitative content analysis was used to analyse data.
Ethical considerations:
Ethical approval was obtained (Dnr 2014/304-31).
Findings and discussion:
Findings illuminated multi-faceted, intertwined processes encompassing healthcare professionals, patients, and family members. The analysis resulted in four themes: Complexities of initiating end-of-life conversations, Genuine attentiveness to the patient’s decision-making process, The challenge awaiting the family members’ processes, and Negotiating different professional responsibilities. Findings showed complexities and challenges when striving to provide good, ethical care which are related to beneficence, nonmaleficence, and self-determination, and which can give rise to moral distress.
Conclusion:
There are ethical challenges and strains in the dialysis context that healthcare professionals may not always be prepared for. Supporting healthcare professionals in not allowing complexities to hinder the patient’s possibilities for shared decision-making seems important. An open and continual communication, including family meetings, from dialysis initiation could serve to make conversations involving decisions about hemodialysis withdrawal a more natural routine, as well as build up a relationship of trust necessary for the advance care planning about the end of life. Healthcare professionals should also receive support in ethical reasoning to meet these challenges and handle potential moral distress in the dialysis context. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/aef84c3c-638e-4d3e-bde2-c3237f411613
- author
- Axelsson, Lena
; Benzein, Eva
; Lindberg, Jenny
LU
and Persson, Carina
- organization
- publishing date
- 2020-03-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Nursing Ethics
- volume
- 27
- issue
- 2
- pages
- 14 pages
- publisher
- SAGE Publications
- external identifiers
-
- scopus:85067814063
- pmid:31185802
- ISSN
- 0969-7330
- DOI
- 10.1177/0969733019848050
- language
- English
- LU publication?
- yes
- id
- aef84c3c-638e-4d3e-bde2-c3237f411613
- date added to LUP
- 2019-06-12 17:46:04
- date last changed
- 2024-11-27 10:19:02
@article{aef84c3c-638e-4d3e-bde2-c3237f411613,
abstract = {{Background:<br/><br/>Nurses and physicians in nephrology settings provide care for patients with end-stage kidney disease receiving hemodialysis treatment along a complex illness trajectory.<br/>Aim:<br/><br/>The aim was to explore physicians’ and nurses’ perspectives on the trajectories toward the end of life involving decisions regarding hemodialysis withdrawal for patients with end-stage kidney disease.<br/>Research design and participants:<br/><br/>A qualitative research approach was used. Four mixed focus group interviews were conducted with renal physicians (5) and nurses (17) in Sweden. Qualitative content analysis was used to analyse data.<br/>Ethical considerations:<br/><br/>Ethical approval was obtained (Dnr 2014/304-31).<br/>Findings and discussion:<br/><br/>Findings illuminated multi-faceted, intertwined processes encompassing healthcare professionals, patients, and family members. The analysis resulted in four themes: Complexities of initiating end-of-life conversations, Genuine attentiveness to the patient’s decision-making process, The challenge awaiting the family members’ processes, and Negotiating different professional responsibilities. Findings showed complexities and challenges when striving to provide good, ethical care which are related to beneficence, nonmaleficence, and self-determination, and which can give rise to moral distress.<br/>Conclusion:<br/><br/>There are ethical challenges and strains in the dialysis context that healthcare professionals may not always be prepared for. Supporting healthcare professionals in not allowing complexities to hinder the patient’s possibilities for shared decision-making seems important. An open and continual communication, including family meetings, from dialysis initiation could serve to make conversations involving decisions about hemodialysis withdrawal a more natural routine, as well as build up a relationship of trust necessary for the advance care planning about the end of life. Healthcare professionals should also receive support in ethical reasoning to meet these challenges and handle potential moral distress in the dialysis context.}},
author = {{Axelsson, Lena and Benzein, Eva and Lindberg, Jenny and Persson, Carina}},
issn = {{0969-7330}},
language = {{eng}},
month = {{03}},
number = {{2}},
pages = {{419--432}},
publisher = {{SAGE Publications}},
series = {{Nursing Ethics}},
title = {{Processes toward the end of life and dialysis withdrawal Physicians’ and nurses’ perspectives}},
url = {{http://dx.doi.org/10.1177/0969733019848050}},
doi = {{10.1177/0969733019848050}},
volume = {{27}},
year = {{2020}},
}