Synthesis of one’s analyzed literature indicated that nurses‘ part when you look at the EOL decision making has changed because the Assistance investigation . Result of degree out-of 1996 to help you 2000 indicate that nurses had been much more indirect inside their approach. A much-quoted analysis of the Viney indicated that nurses observed that they performed not have a valid role from inside the EOL elizabeth playing and you will indirect process which have physicians so you’re able to dictate conclusion . Contained in this or any other studies, nurses advocated having patients or family by the telling physicians from patients‘ shown wants and you will talking to a doctor with respect to your family [23, 26, 32]. Even though there try evidence you to certain nurses continue to use indirect strategies, newer degree show that of several nurses today explore far more direct tips, eg talking-to medical Altersunterschied Dating-Seiten professionals and you may loved ones on the diagnosis and you may ramifications regarding choices. From this report, we unearthed that nurses enact about three roles when you look at the EOL decision making: suggestions broker, advocate, and you may endorse. Per role is actually displayed below which have a dialogue of tips nurses used to enact these jobs (summarized from inside the Table dos). Ultimately, we talk about the evidence of the effect that nurses‘ tips possess to your patient and you can nearest and dearest effects.
4.step 1. Recommendations Agent
Nurses enjoy a crucial role within the assisting telecommunications ranging from and you can among relatives and you will ranging from friends as well as the health care group (team). This new actions nurses use to enact it character was shown from inside the three classes: bring suggestions to physicians, render advice to help you family unit members, and you can mediate. Weiterlesen