Professional Challenges of Bedside Rationing in Intensive Care
Nursing Ethics 2008 November; 15(6): 715-728
As the pressure on available health care resources grows, an increasing moral challenge in intensive care is to secure a fair distribution of nursing care and medical treatment. The aim of this article is to explore how limited resources influence nursing care and medical treatment in intensive care, and to explore whether intensive care unit clinicians use national prioritization criteria in clinical deliberations. The study used a qualitative approach including participant observation and in-depth interviews with intensive care unit physicians and nurses working at the bedside. Scarcity of resources regularly led to suboptimal professional standards of medical treatment and nursing care. The clinicians experienced a rising dilemma in that very ill patients with a low likelihood of survival were given advanced and expensive treatment. The clinicians rarely referred to national priority criteria as a rationale for bedside priorities. Because prioritization was carried out implicitly, and most likely partly without the clinician's conscious awareness, central patient rights such as justice and equality could be at risk.
Showing items related by title, author, creator and subject.
Tønnessen, Siri; Nortvedt, Per; Førde, Reidun (2011-05)The purpose of this study was to investigate nurses' decisions about priorities in home-based nursing care. Qualitative research interviews were conducted with 17 nurses in home-based care. The interviews were analyzed and ...
The Principle of Justice in Patient Priorities in the Intensive Care Unit: The Role of Significant Others Halvorsen, K.; Førde, R.; Nortvedt, P. (2009-08)BACKGROUND: Theoretically, the principle of justice is strong in healthcare priorities both nationally and internationally. Research, however, has indicated that questions can be raised as to how this principle is dealt ...
Gjerberg, Elisabeth; Førde, Reidun; Pedersen, Reidar; Bollig, Georg (2010-08)As in other Western countries, most Norwegian nursing home patients are suffering from multi-pathological conditions and a large majority of them will die in the nursing home. End-of-life care represents many challenges, ...