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Revista Colombiana de Bioética
versão impressa ISSN 1900-6896versão On-line ISSN 2590-9452
Resumo
ORDONEZ-VILLOTA, Jessica Nayive; SERRATO-PERILLA, Carmen Adriana; GUTIERRREZ-RUANO, Gustavo Adolfo e RENGIFO-ARIAS, Diana Marcela. Nursing Ethical Dilemmas in Limitation of Therapeutic Effort of the Critically Ill Patient. Rev. colomb. bioét. [online]. 2021, vol.16, n.2, pp.98-118. Epub 02-Set-2023. ISSN 1900-6896. https://doi.org/10.18270/rcb.v16i2.3405.
Purpose/Context.
In intensive care units, actions aim to recover, preserve, or improve patients' lives; however, when life is just being extended under suffering after trying everything, limitation of therapeutic effort (LTE) is considered an alternative for a good death. This article establishes the ethical dilemmas and the nursing interventions in LTE in adult intensive care.
Methodology/Approach.
A critical review of the literature was made in five databases. We obtained 31 articles that met the study selection criteria.
Results/Findings.
Of the integrative analysis, five categories emerged related to ethical dilemmas and nursing interventions in LTE: nursing participation in decision-making, the nurse-patient/family relationship, the limiting factors in implementing LTE, and the search for a good death.
Discussion/Conclusions/Contributions.
Nursing makes far-reaching interventions at the end of the critical patient's life cycle; nevertheless, their participation in the process is still invisible. Nursing professionals need to acquire skills and knowledge of empathic communication, ethics, and the fundamentals of end-of-life care to guide comprehensive health care in the LTE process.
Palavras-chave : Ethical analysis; nursing care; quality of life; critical care; nursing ethics; beneficence.