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dc.contributor.authorCoombs, Maureen A.
dc.contributor.authorParker, Roses
dc.contributor.authorRanse, Kristen
dc.contributor.authorEndacott, Ruth
dc.contributor.authorBloomer, Melissa J.
dc.date.accessioned2018-11-13T02:39:18Z
dc.date.available2018-11-13T02:39:18Z
dc.date.issued2017
dc.identifier.issn0309-2402en_US
dc.identifier.doi10.1111/jan.13097en_US
dc.identifier.urihttp://hdl.handle.net/10072/381142
dc.description.abstractAim. The aim of this study was to conduct an integrative review on how nurses prepare families for and support families during withdrawal of life-sustaining treatments in intensive care. Background. End-of-life care is widely acknowledged as integral to the practice of intensive care. However, little is known about what happens after the decision to withdraw life-sustaining treatments has been made and how families are prepared for death and the dying process. Design. Integrative literature review. Data sources. MEDLINE, CINAHL Plus, PsychINFO, PUBMED, Scopus, EMBASE and Web of Knowledge were searched for papers published between 2000–May 2015. Review methods. A five stage review process, informed by Whittemore and Knafl’s methodology was conducted. All papers were reviewed and quality assessment performed. Data were extracted, organized and analysed. Convergent qualitative thematic synthesis was used. Results. From an identified 479 papers, 24 papers were included in this review with a range of research approaches: qualitative (n = 15); quantitative (n = 4); mixed methods (n = 2); case study (n = 2) and discourse analysis (n = 1). Thematic analysis revealed the nurses: equipped families for end of life through information provision and communication; managed the withdrawal of lifesustaining treatments to meet family need; and continued care to build memories. Conclusion. Greater understanding is needed of the language that can be used with families to describe death and dying in intensive care. Clearer conceptualization of the relationship between the medically focussed withdrawal of life-sustaining treatments and patient/family-centred end-of-life care is required making the nursing contribution at this time more visible.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherWiley Onlineen_US
dc.relation.ispartofpagefrom39en_US
dc.relation.ispartofpageto55en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalJournal of Advanced Nursingen_US
dc.relation.ispartofvolume73en_US
dc.subject.fieldofresearchNursing not elsewhere classifieden_US
dc.subject.fieldofresearchcode111099en_US
dc.titleAn integrative review of how families are prepared for, and supported during withdrawal of life-sustaining treatment in intensive careen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.hasfulltextNo Full Text


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