Abstract
End-of- Life decisions is an important issue that family has to make over a relatively short period. The transition from the phase of hoping for the patient’s recovery to the phase of deciding to withdraw life support does not leave the family with enough time to mentally prepare for the death. Provision of information, at end of life situation is necessary to prepare families and their patient for the events that occur before death. Because families wish to know about this issue, it is important for health care providers to recognize their need for information and preparation. Good communication between physicians, Nursing students, patients, and families will increase comfort and satisfaction during this stressful period. Nursing students can play significant role in the improvement of communication between health care provider and patients' family. Clear communication and honest discussion among physicians, Nursing students, and family members give the family opportunity to understand the patient's condition and consequently facilitate the decision-making process. End-of-life decisions are influenced by many factors; presence of life-threatening illnesses, family issues, social and cultural factors, values, beliefs, and poor expected quality of life. Keywords: End-of-life, Communication DOI: 10.7176/JHMN/81-04 Publication date: October 31 st 2020
Highlights
End-of-life decisions are an issue of considerable sensitivity for patients and their relatives, as well as all health care professions, Nursing students and physicians have identified end-of-life decision making as the most frequent ethical problem in clinical practice, because most of time they are described as a vague and unclear, especially in critical care settings
Generally, physicians take the most significant part in the end-of-life decisions, most often they initiate the discussions about end-of-life treatment with family and they often dominate the discussion, this dominance may occur because physicians assumed that they have superior knowledge, have difficulty understanding the lay perspective, or try to relief patient’s families of guilt and confusion
Nursing students perceive themselves as not sufficiently involved in end-of-life decisions, Nursing students agreed that patients and their families have the right to participate in all aspects of their care including the end-of-life care and related decisions
Summary
End-of-life decisions are an issue of considerable sensitivity for patients and their relatives, as well as all health care professions, Nursing students and physicians have identified end-of-life decision making as the most frequent ethical problem in clinical practice, because most of time they are described as a vague and unclear, especially in critical care settings. Clear direct and honest communication play an important role in effectiveness of end-of-life decision making, either among health care providers or between health care providers and patient family.
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