Abstract

<p class="paragraph" align="center">ABSTRACT</p><p class="paragraph"><strong>Objectives</strong>: This study examines the significance of Muslim nurses' lived experiences in the Intensive Care Unit (ICU) when it comes to End-of-Life (EOL) decisions (ICU)</p><p class="paragraph"><strong>Methods</strong>: The research was carried out at an intensive care unit (ICU) of a government hospital in Central Java, Indonesia. Fourteen nurses were chosen as participants after meeting the inclusion criteria: Muslims with at least three years of experience in the ICU and experienced to involved in end of life decision making process in an ICU. Data were gathered using in-depth interview. The result the transcribed and analyzed by using van Manen’s hermeneutic phenomenological approach. Trustworthiness was established following Lincoln and Guba's criteria.</p><p class="paragraph"><strong>Results: </strong>Four theme themes emerged from nurses' engagement in EOL decision-making. Feeling dilemma, being in uncertain time, receiving overwhelming role, and evading the process. Van Manen's four lived world of body, time, relation, and space are reflected in these subjects.</p><p class="paragraph"><strong>Conclusion</strong>: The purpose of this study was to illustrate the meaning of Muslim nurses' EOL decision-making in the ICU and to affect nursing policy addressing EOL decision-making education in ICU settings.</p>

Highlights

  • Many patients admitted to the Intensive Care Unit (ICU)

  • As nurses spend more time with patients and families compared to other healthcare practitioners, it is common practice for nurses to share the role of advocate and support e-ISSN : 2579-9320 a peaceful death for patients during the EOL decisionmaking process

  • The participants in this study used their religious beliefs to justify their participation in the ICU EOL decision-making processed

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Summary

Introduction

Many patients admitted to the Intensive Care Unit (ICU)would have undergone life-prolonging treatments and are already in serious conditions. 20% of all ICU patients are lifeless when they receive treatment. As a result, making endof-life (EOL) decisions is an important part of ICU nursing practice. As nurses spend more time with patients and families compared to other healthcare practitioners, it is common practice for nurses to share the role of advocate and support e-ISSN : 2579-9320 a peaceful death for patients during the EOL decisionmaking process. As a result, they would have the role of aiding the family in dealing with the unfortunate circumstance (Nunez et al, 2015). Nurses are expected to be able to give advice and assistance to the patients'

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