Perception of futile care and caring behaviors of nurses in intensive care units.


OBJECTIVES::Futile medical care is considered as the care or treatment that does not benefit the patient. Staff of intensive care units experience moral distress when they perceive the futility of care. Therefore, this study aimed to determine the relationship between perceptions of nurses regarding futile medical care and their caring behaviors toward patients in the final stages of life admitted to intensive care units. METHOD::This correlation, analytical study was conducted with 181 nursing staff of the intensive care units of health centers affiliated to Mazandaran University of Medical Sciences, Mazandaran, Iran. The data collection tool included a three-part questionnaire containing demographic characteristics form, perception of futile care questionnaire, and caring behaviors inventory. To analyze the data, statistical tests and central indices of tendency and dispersion were investigated using SPSS, version 19. Pearson's correlation coefficient, partial correlation, t-test, and analysis of variance tests were performed to assess the relationship between the variables. ETHICAL CONSIDERATIONS::The study was reviewed by the ethics committee of the Mazandaran University of Medical Sciences. Informed consent was obtained from participants. RESULTS::Our findings illustrated that the majority of nurses (65.7%) had a moderate perception of futile care, and most of them (98.9%) had desirable caring behaviors in taking care of patients in the final stages of life. The nurses believed that psychosocial aspects of care were of utmost importance. There was a significant negative relationship between perception of futile care and caring behavior. CONCLUSION::Given the moderate perception of nurses concerning futile care, and its negative impact on caring behaviors toward patients, implementing suitable interventions for minimizing the frequency of futile care and its resulting tension seems to be mandatory. It is imperative to train nurses on adjustment mechanisms and raise their awareness as to situations resulting in futile care.


Nurs Ethics


Nursing ethics


Rostami S,Esmaeali R,Jafari H,Cherati JY




Has Abstract


2019-02-01 00:00:00












  • Nurse Activism in the newborn intensive care unit: actions in response to an ethical dilemma.

    abstract::Nurses working in a newborn intensive care unit report that treatment decision disagreements for infants in their care may lead to ethical dilemmas involving all health-care providers. Applying Rest's Four-Component Model of Moral Action as the theoretical framework, this study examined the responses of 224 newborn in...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Settle PD

    更新日期:2014-03-01 00:00:00

  • Moral distress in the resuscitation of extremely premature infants.

    abstract:OBJECTIVE:To increase our understanding of moral distress experienced by neonatal registered nurses when directly or indirectly involved in the decision-making process of resuscitating infants who are born extremely premature. DESIGN:A secondary qualitative analysis was conducted on a portion of the data collected fro...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Molloy J,Evans M,Coughlin K

    更新日期:2015-02-01 00:00:00

  • A critical lens on culture in nursing practice.

    abstract::Increasing evidence demonstrates that the Aboriginal population experience greater health disparities and receive a lower quality of health care services. The Canadian Nurses Association (CNA) code of ethics states that nurses are required to incorporate culture into all domains of their nursing practice and ethical c...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Bourque Bearskin RL

    更新日期:2011-07-01 00:00:00

  • Ethical challenges related to next of kin - nursing staffs' perspective.

    abstract:BACKGROUND:Patients in clinical settings are not lonely islands; they have relatives who play a more or less active role in their lives. OBJECTIVES:The purpose of this article is to elucidate the ethical challenges nursing staff encounter with patients' next of kin and to discuss how these challenges affect clinical p...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Tønnessen S,Solvoll BA,Brinchmann BS

    更新日期:2016-11-01 00:00:00

  • Factors related to privacy of Somali refugees in health care.

    abstract:BACKGROUND:Privacy is one of the key principles in health care and requires understanding of the cultural aspects of patients' privacy. In Western cultures privacy is focused on the individual, however, in some non-Western cultures, privacy is linked to the collectivism of the community or religion. OBJECTIVES:The obj...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Eklöf N,Hupli M,Leino-Kilpi H

    更新日期:2020-03-01 00:00:00

  • Human dignity in paediatrics: the effects of health care.

    abstract::Human dignity is grounded in basic human attributes such as life and self-respect. When people cannot stand up for themselves they may lose their dignity towards themselves and others. The aim of this study was to elucidate if dignity remains intact for family members during care procedures in a children's hospital. A...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Lundqvist A,Nilstun T

    更新日期:2007-03-01 00:00:00

  • Nurses' ethical conflicts in performance of utilization reviews.

    abstract::This article describes the ethical conflicts that a sample of US nurse utilization reviewers faced in their work, and also each nurse's self-reported ethical orientation that was used to resolve the dilemmas. Data were collected from a sample of 97 registered nurses who were working at least 20 hours per week as utili...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Bell SE

    更新日期:2003-09-01 00:00:00

  • Moral injury in healthcare professionals: A scoping review and discussion.

    abstract::Moral injury emerged in the healthcare discussion quite recently because of the difficulties and challenges healthcare workers and healthcare systems face in the context of the COVID-19 pandemic. Moral injury involves a deep emotional wound and is unique to those who bear witness to intense human suffering and cruelty...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Čartolovni A,Stolt M,Scott PA,Suhonen R

    更新日期:2021-01-11 00:00:00

  • Ethical issues related to BRCA gene testing in orthodox Jewish women.

    abstract::Persons exhibiting mutations in two tumor suppressor genes, BRCA1 and BRCA2, have a greatly increased risk of developing breast and/or ovarian cancer. The incidence of BRCA gene mutation is very high in Ashkenazi Jewish women of European descent, and many issues can arise, particularly for observant Orthodox women, be...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审


    authors: Mor P,Oberle K

    更新日期:2008-07-01 00:00:00

  • Nursing's professional respect as experienced by hospital and community nurses.

    abstract:BACKGROUND:There is growing awareness that patient care suffers when nurses are not respected. Therefore, to improve outcomes for patients, it is crucial that nurses operate in a moral work environment that involves both recognition respect, a form of respect that ought to be accorded to every single person, and apprai...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Stievano A,Bellass S,Rocco G,Olsen D,Sabatino L,Johnson M

    更新日期:2018-08-01 00:00:00

  • Service evaluation: A grey area of research?

    abstract::The National Health Service in the United Kingdom categorises research and research-like activities in five ways, such as 'service evaluation', 'clinical audit', 'surveillance', 'usual practice' and 'research'. Only activities classified as 'research' require review by the Research Ethics Committees. It is argued, in ...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Chen LA,Fawcett TN

    更新日期:2019-06-01 00:00:00

  • Family involvement in the end-of-life decisions of competent intensive care patients.

    abstract::In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that r...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Lind R,Nortvedt P,Lorem G,Hevrøy O

    更新日期:2013-02-01 00:00:00

  • The development of moral sensitivity of nursing students: A scoping review.

    abstract::Moral sensitivity is known to be the starting point for moral competence and even is a core concept in the curricula for bachelor's-level nursing students in the Netherlands. While the development of moral sensitivity in nursing is commonly agreed to be important, there is no clear understanding of how to develop mora...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Spekkink A,Jacobs G

    更新日期:2020-12-16 00:00:00

  • Moral dilemmas of nursing in end-of-life care in Hungary: a personal perspective.

    abstract::The authors' aim is to bring to the attention of readers the inadequacies of care for people in Hungary who are terminally ill. They believe that both objective and subjective factors cause these inadequacies. Most of these factors arise from moral dilemmas that could be eased or even solved if ethics education had a ...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Blasszauer B,Palfi I

    更新日期:2005-01-01 00:00:00

  • Citations for the Human Rights and Nursing Awards 2016.

    abstract::The International Care Ethics Observatory is pleased to announce that on 14 September 2016 the Human Rights and Nursing Awards will be given at a short ceremony at the University of São Paulo at Ribeirão Preto, Brazil. The awards will be presented at the 17th annual Nursing Ethics and 2nd Ethics in Care conference, or...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Tschudin V

    更新日期:2016-09-01 00:00:00

  • Surgical informed consent in Iran--how much is it informed?

    abstract:INTRODUCTION:Informed consent constitutes one of the most important legal, professional, and ethical principles of a surgical operation. Consent obtained from a patient is only valid when the patient has received enough information regarding the proposed treatment option. This study aims to determine how much the patie...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Faghanipour S,Joolaee S,Sobhani M

    更新日期:2014-05-01 00:00:00

  • Difficult healthcare transitions: Ethical analysis and policy recommendations for unrepresented patients.

    abstract:BACKGROUND:In Ontario, Canada, patients who lack decision-making capacity and have no family or friends to act as substitute decision-makers currently rely on the Office of the Public Guardian and Trustee to consent to long-term care (nursing home) placement, but they have no legal representative for other placement de...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Abdool R,Szego M,Buchman D,Justason L,Bean S,Heesters A,Kaufman H,Parke B,Wagner F,Gibson J

    更新日期:2016-11-01 00:00:00

  • Comprehensive STD/HIV prevention education targeting US adolescents: review of an ethical dilemma and proposed ethical framework.

    abstract::Adolescents are increasingly at risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection. The prolonged latency period, sometimes in excess of five years, and the incubation period of up to 10 years before the manifestation of symptoms, may foster adolescents' false sense o...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Brown EJ,Simpson EM

    更新日期:2000-07-01 00:00:00

  • Iranian nurses' professional competence in spiritual care in 2014.

    abstract:BACKGROUND:The holistic approach views the human as a bio-psycho-socio-spiritual being. Evidence suggests that among these dimensions, the spiritual one is largely ignored in healthcare settings. OBJECTIVES:This study aimed to evaluate Iranian nurses' perceived professional competence in spiritual care, the relationsh...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Adib-Hajbaghery M,Zehtabchi S,Fini IA

    更新日期:2017-06-01 00:00:00

  • Barriers and facilitators to consulting hospital clinical ethics committees.

    abstract::Hospitals in many countries have had clinical ethics committees for over 20 years. Despite this, there has been little research to evaluate these committees and growing evidence that they are underutilized. To address this gap, we investigated the question 'What are the barriers and facilitators nurses and physicians ...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Gaudine A,Lamb M,LeFort SM,Thorne L

    更新日期:2011-11-01 00:00:00

  • Constructing a morality of caring: codes and values in Australian carer discourse.

    abstract::In this analysis I apply a Foucauldian approach to ethics to examine the politically prescribed moral and ethical character required of carers of aged persons at home in Australia and the role of nurses in shaping these behaviours. The work that spousal carers provide, although often founded on love and/or obligation,...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Winch S

    更新日期:2006-01-01 00:00:00

  • Teaching ethics in religious or cultural conflict situations: a personal perspective.

    abstract::This article portrays the unique aspects of ethics education in a multicultural, multireligious and conflict-based atmosphere among Jewish and Arab nursing students in Jerusalem, Israel. It discusses the principles and the methods used for rising above this tension and dealing with this complicated situation, based on...

    journal_title:Nursing ethics

    pub_type: 杂志文章,评审


    authors: Benari G

    更新日期:2009-07-01 00:00:00

  • Ethical challenges for school nurses in documenting schoolchildren's health.

    abstract::This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations....

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Clausson EK,Köhler L,Berg A

    更新日期:2008-01-01 00:00:00

  • An enquiry into a combined approach for nursing ethics.

    abstract::A definitive theory for ethical decision making in nursing is still only conjecture. The literature confirms that there have been numerous examinations of ethical decision making in nursing, with most proposing either the justice or the care orientation, or a combination of both. In the absence of a definitive theory,...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Lipp A

    更新日期:1998-03-01 00:00:00

  • A Calvinist account of nursing ethics.

    abstract::A relatively small but intellectually robust strand in the Christian religion is the Reformed tradition. Especially, its Calvinist sensibilities inform this Protestant stance towards human culture in general and vocations in particular. Correspondingly, there are some small but robust contributions to academic discour...

    journal_title:Nursing ethics

    pub_type: 传,历史文章,杂志文章


    authors: Cusveller B

    更新日期:2013-11-01 00:00:00

  • The 'little extra' that alleviates suffering.

    abstract::Nursing, or caring science, is mainly concerned with developing knowledge of what constitutes ideal, good health care for patients as whole persons, and how to achieve this. The aim of this study was to find clinical empirical indications of good ethical care and to investigate the substance of ideal nursing care in p...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Arman M,Rehnsfeldt A

    更新日期:2007-05-01 00:00:00

  • Relationship between ethical ideology and moral judgment: Academic nurse educators' perception.

    abstract:BACKGROUND:Ascertaining the relationship between ethical ideology, moral judgment, and ethical decision among academic nurse educators at work appears to be a challenge particularly in situations when they are faced with a need to solve an ethical problem and make a moral decision. PURPOSE:This study aims to investiga...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Abou Hashish EA,Ali Awad NH

    更新日期:2019-05-01 00:00:00

  • Invisibility, moral knowledge and nursing work in the writings of Joan Liaschenko and Patricia Rodney.

    abstract::The ethical 'eye' of nursing, that is, the particular moral vision and values inherent in nursing work, is constrained by the preoccupations and practices of the superordinate biomedical structure in which nursing as a practice discipline is embedded. The intimate, situated knowledge of particular persons who construc...

    journal_title:Nursing ethics

    pub_type: 传,历史文章,杂志文章


    authors: Bjorklund P

    更新日期:2004-03-01 00:00:00

  • The nurse's challenge in coping with ethical dilemmas in occupational health.

    abstract::This paper discusses the occupational health nurse's dilemmas by illustrating two cases faced by nurses in occupational health practice and setting out their analysis according to a decision-making model. The counter-interests, which may offend the principles of conserving professional occupational ethics among servic...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Tabak N,Ben-Or T

    更新日期:1994-12-01 00:00:00

  • Truth-telling in cancer: examining the cultural incompatibility argument in Turkey.

    abstract::This article aims to examine critically the 'cultural incompatibility' argument, which asserts that disclosure of cancer-related information to patients is incompatible with Turkey's cultural context. For this purpose, a brief overview of the approach to truth-telling in Turkey will first be provided, followed by the ...

    journal_title:Nursing ethics

    pub_type: 杂志文章


    authors: Guven T

    更新日期:2010-03-01 00:00:00