scholarly journals Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-15 ◽  
Author(s):  
Judith A. Adams ◽  
Donald E. Bailey ◽  
Ruth A. Anderson ◽  
Sharron L. Docherty
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Acute Care ◽  
Future Research ◽  
Review Of The Literature ◽  
Literature Information ◽  
End Of Life Decision ◽  
Nursing Roles ◽  
Life Decision ◽  
Information Broker

The objective of this paper is to analyze the literature concerning nurses' roles and strategies in EOL decision making in acute care environments, synthesize the findings, and identify implications for future research. We conducted searches in CINAHL and PubMed, using a broad range of terms. The 44 articles retained for review had quantitative and qualitative designs and represented ten countries. These articles were entered into a matrix to facilitate examining patterns, themes, and relationships across studies. Three nursing roles emerged from the synthesis of the literature: information broker, supporter, and advocate, each with a set of strategies nurses use to enact the roles. Empirical evidence linking these nursing roles and strategies to patients and family members outcomes is lacking. Understanding how these strategies and activities are effective in helping patients and families make EOL decisions is an area for future research.

scholarly journals “What Would You Do?”: How Cat Owners Make End-of-Life Decisions and Implications for Veterinary-Client Interactions

Animals ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 1114
Author(s):  
Katherine Littlewood ◽  
Ngaio Beausoleil ◽  
Kevin Stafford ◽  
Christine Stephens
Keyword(s):  
Decision Making ◽  
New Zealand ◽  
End Of Life ◽  
Companion Animals ◽  
Chronically Ill ◽  
Future Research ◽  
End Of Life Decisions ◽  
Life Decisions ◽  
End Of Life Decision ◽  
Life Decision

Cats are the most common companion animals in New Zealand. Advances in veterinary care means that cats are living longer and there are many older cats. End-of-life decisions about cats are complicated by owner–cat relationships and other psychosocial factors. Our study explored the ways in which end-of-life decisions were being made by owners of older and chronically ill cats in New Zealand and the role of their veterinarian in the process. Qualitative data were gathered via retrospective semi-structured interviews with 14 cat owners using open-ended questions. Transcripts of these interviews were explored for themes using template analysis and nine themes were identified. Four were animal-centered themes: cat behavior change, pain was a bad sign, signs of ageing are not good, and the benefits of having other people see what owners often could not. Five were human-centered themes: veterinarians understanding owners’ relationships with their cat, normalizing death, the need for a good veterinarian to manage end of life, veterinary validation that owners were doing the right thing, and a strong desire to predict the time course and outcome for their cat. End-of-life decision making is complex, and the veterinarian’s role is often poorly defined. Our owners appreciated the expertise and validation that their veterinarian provided but continuity of care was important. Future research aimed at exploring the veterinarian’s perspective during end-of-life decision making for cats would be a valuable addition to the topic.

scholarly journals Residents?? End-of-Life Decision Making with Adult Hospitalized Patients: A Review of the Literature

2005 ◽  
Vol 80 (7) ◽  
pp. 622-633 ◽  
Author(s):  
Todd E. Gorman ◽  
St??phane P. Ahern ◽  
Jeffrey Wiseman ◽  
Yoanna Skrobik
Keyword(s):  
Decision Making ◽  
End Of Life ◽  
Hospitalized Patients ◽  
Review Of The Literature ◽  
End Of Life Decision ◽  
Life Decision

scholarly journals Communication Tools for End-of-Life Decision-Making in Ambulatory Care Settings: A Systematic Review and Meta-Analysis

PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0150671 ◽  
Author(s):  
Simon J. Oczkowski ◽  
Han-Oh Chung ◽  
Louise Hanvey ◽  
Lawrence Mbuagbaw ◽  
John J. You
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Ambulatory Care ◽  
End Of Life ◽  
Meta Analysis ◽  
Communication Tools ◽  
End Of Life Decision ◽  
Life Decision
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