LIMITATION OF THERAPEUTIC EFFORT: EXPERIENCES OF NURSES IN AN INTENSIVE CARE UNIT LIMITACIÓN DEL ESFUERZO TERAPÉUTICO: EXPERIENCIAS DE ENFERMERAS EN UNA UNIDAD DE CUIDADOS INTENSIVOS

Ortega, Lorena Bettancourt; González Nahuelquin, Cibeles; Gonzalez, Paulina Cecilia Gundelach; Iturrieta, Tania Andrea Carrasco; Fuentes, Catalina Muñoz; Iturrieta, Anika Valenzuela

Abstract

The purpose of this study was to understand the experience of nurses in terms of experiencing limitation of therapeutic effort (LET) in critical patient units of a public hospital in Valparaíso. We opted for a qualitative study, a phenomenological trajectory, an in-depth interview with 3 nurses, with the guiding question. What experience do you have as an Intensive Care Unit (ICU) nurse regarding LET? The speeches were interpreted under the referential of Located Phenomenon of Joel Martins. In the stories the use of the words "proportional management" is evidenced as synonymous, the nursing role is confusing in the decision making regarding the LET but it is relieved at the moment of care at the end of life. It is concluded that nurses are the ones who must assume a more protagonic role in the care of the person in this situation, participating actively in the decision making of the family-patient binomial. It is recommended the creation of protocols for the LET, detailing the definition of the LET along with the role of nursing and the health team, with the aim of not prolonging life unnecessarily, not increasing family hope and ensuring care at the end of life.

Más información

Título según SCOPUS: ID SCOPUS_ID:85163096051 Not found in local SCOPUS DB
Título de la Revista: Horizonte de Enfermería
Volumen: 30
Editorial: Pontificia Universidad Católica de Chile
Fecha de publicación: 2019
Página de inicio: 61
Página final: 75
DOI:

10.7764/HORIZ_ENFERM.30.1.61-75

Notas: SCOPUS